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Immunophenotyping by Flow Cytometry: Leukemia / Lymphoma Diagnostic Panel-Chronic Lymphoproliferative Disorders T & B Cell Test

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Immunophenotyping by Flow Cytometry: Leukemia / Lymphoma Diagnostic Panel-Chronic Lymphoproliferative Disorders T & B Cell Test

Short Name: Flow Cytometry: CLPD T & B Cell Panel

Also known as: Flow Cytometry Immunophenotyping for CLPD, Leukemia/Lymphoma Diagnostic Panel, T & B Cell Chronic Lymphoproliferative Disorder Panel

Immunophenotyping by Flow Cytometry: Leukemia / Lymphoma Diagnostic Panel-Chronic Lymphoproliferative Disorders T & B Cell Test test available at DNA Labs India for ₹20,000. Uses Flow Cytometry, Immunophenotyping on 3 mL (2 mL min.) whole blood each in 1 Lavender Top (EDTA) tube AND 1 Green Top (Sodium Heparin) tube OR 2 mL (1 mL min.) Bone marrow in 1 Green Top (Sodium heparin) tube AND Aspirate Smear. samples. Results in Samples are accepted daily by 9 am; reports are delivered the same day. Complex or bone marrow samples may require additional clinical integration and may be communicated by the pathologist.. Free home collection in 300+ cities across India.

Oncologist, Hematologist🏠 Home Collection

🩺 Medically Reviewed By

Overview

The test evaluates cell surface markers to aid in the diagnosis and characterisation of neoplasms of hematopoietic origin. Results are useful in the differential diagnosis, therapeutic monitoring, and detection of relapses of these neoplasms.

Test Code
3504
Price
₹20,000
Sample Type
3 mL (2 mL min.) whole blood each in 1 Lavender Top (EDTA) tube AND 1 Green Top (Sodium Heparin) tube OR 2 mL (1 mL min.) Bone marrow in 1 Green Top (Sodium heparin) tube AND Aspirate Smear.
Result Time
Samples are accepted daily by 9 am; reports are delivered the same day. Complex or bone marrow samples may require additional clinical integration and may be communicated by the pathologist.
Fasting Required
No
Method
Flow Cytometry, Immunophenotyping
Step 1

Sample Collection

Specify time, date, and clinical details on the test request form. No fasting is required. Inform the laboratory if the patient has received recent chemotherapy, immunotherapy, or steroids, as these may affect results.

Method: Venipuncture or Bone Marrow Aspiration

Step 2

Laboratory Analysis

Whole blood is collected by venipuncture in one Lavender Top (EDTA) tube and one Green Top (Sodium Heparin) tube. Bone marrow samples, when indicated, are collected by a clinician in a Green Top (Sodium Heparin) tube with a separate aspirate smear. Samples must be maintained at 18–22°C.

Step 3

Report Delivery

Keep samples at room temperature 18–22°C. Do not refrigerate or freeze. Transport immediately to the laboratory to preserve cell viability. Reports are delivered the same day when sample reaches the lab by 9 am.

Timeline: Samples are accepted daily by 9 am; reports are delivered the same day. Complex or bone marrow samples may require additional clinical integration and may be communicated by the pathologist.

Patient Instructions

1
Before the Test:No fasting is required. Provide complete clinical details, date, and time on the test request form. Inform the laboratory about recent chemotherapy, immunotherapy, steroids, or other relevant medications.
2
During the Test:A phlebotomist collects whole blood from a vein in two tubes. If a bone marrow sample is requested, a clinician collects bone marrow aspirate and smear under sterile precautions. Samples are kept at room temperature immediately after collection.
3
After the Test:You may resume normal activities after blood collection. If bone marrow aspiration was performed, follow the clinician’s post-procedure care instructions. Reports are delivered the same day for samples received by 9 am.

About This Test

Who Should Get This Test

The test evaluates cell surface markers to aid in the diagnosis and characterisation of neoplasms of hematopoietic origin. Results are useful in the differential diagnosis, therapeutic monitoring, and detection of relapses of these neoplasms.

How to Prepare

  • Collect 3 mL whole blood in each Lavender Top (EDTA) and Green Top (Sodium Heparin) tube OR 2 mL bone marrow in Green Top (Sodium Heparin) tube and aspirate smear
  • Label all tubes with patient details, date, and time of collection
  • Do not refrigerate or freeze; maintain samples at 18–22°C
  • Ship immediately to the laboratory
  • Include clinical details and provisional diagnosis on the test request form
  • For bone marrow, send aspirate smear along with heparinized sample

Doctor's Notes

Reviewed by — MBBS, MD (Pathology) · Reg. No. 21521

"Flow cytometry immunophenotyping is essential for lineage assignment and subclassification of chronic lymphoproliferative disorders. Results should always be integrated with morphology, clinical features, and molecular or cytogenetic studies before final diagnosis and treatment planning."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample Type3 mL (2 mL min.) whole blood each in 1 Lavender Top (EDTA) tube AND 1 Green Top (Sodium Heparin) tube OR 2 mL (1 mL min.) Bone marrow in 1 Green Top (Sodium heparin) tube AND Aspirate Smear.
Sample VolumeWhole blood: 3 mL (2 mL min.) each; Bone marrow: 2 mL (1 mL min.)
ContainerLavender Top (EDTA) tube and Green Top (Sodium Heparin) tube; Bone marrow in Green Top (Sodium Heparin) tube with Aspirate Smear
Collection MethodVenipuncture or Bone Marrow Aspiration

Sample Stability

Room Temperature: 24 hrs
Refrigerator: NA
Frozen: NA
Transport immediately at 18–22°C. Do not refrigerate or freeze.
Sample Rejection Criteria:
  • Refrigerated or frozen samples
  • Clotted or hemolysed specimens
  • Incorrect anticoagulant or tube type
  • Insufficient sample volume
  • Missing clinical details or unlabeled tube
  • Delay in transport beyond room temperature stability

Understanding Your Results

Flow cytometry immunophenotyping results are interpreted by a pathologist or hematopathologist. The report describes the presence or absence of abnormal T-cell or B-cell populations, their antigen expression profile, and the percentage of positive cells. Results are correlated with clinical findings, blood counts, histopathology, and molecular or cytogenetic studies. An abnormal result may indicate a chronic lymphoproliferative disorder; however, definitive diagnosis requires integration of all findings.
📊

No abnormal lymphoid population detected

Normal immunophenotype; no evidence of a clonal B-cell or aberrant T-cell population.

📊

Monotypic B-cell population detected

Suggests a B-cell chronic lymphoproliferative disorder. The antigen profile helps classify the subtype and must be correlated with clinical, morphological, and molecular findings.

📊

Aberrant T-cell population detected

May indicate a T-cell chronic lymphoproliferative disorder. Correlation with T-cell receptor gene rearrangement and clinical features is required.

📊

Increased blasts or atypical cells

May indicate a more aggressive leukemia/lymphoma and requires urgent oncology review and additional investigations.

⚠️ When to Consult a Doctor:

Consult an oncologist or hematologist if you have unexplained fatigue, weight loss, fever, night sweats, enlarged lymph nodes or spleen, recurrent infections, or abnormal blood counts. A positive or indeterminate flow cytometry result requires specialist correlation for accurate diagnosis and treatment planning.

Limitations

  • Flow cytometry immunophenotyping should be interpreted with morphology, clinical features, and genetic or molecular studies
  • A non-diagnostic immunophenotype does not completely exclude a lymphoproliferative disorder
  • Small sample volume or low cell viability may limit comprehensive marker analysis
  • Rare or atypical lymphoid neoplasms may require extended panels or molecular studies
  • The panel does not independently provide chromosomal or molecular prognostic information

Risks & Considerations

  • Venipuncture may cause mild pain, bruising, or dizziness
  • Bone marrow aspiration carries a small risk of bleeding, pain, infection, or local discomfort
  • Bone marrow aspiration is performed only by a qualified clinician

Interfering Factors

  • Recent chemotherapy, immunotherapy, or steroids may alter lymphocyte marker expression and reduce abnormal cell numbers
  • Improper sample storage, refrigeration, or freezing can reduce cell viability and affect marker detection
  • Clotted or hemolysed samples may yield unreliable flow cytometry results
  • Delay in transport beyond room temperature stability may impair analysis
  • Recent infection or acute illness may cause reactive lymphoid changes

Compare With Similar Tests

TestImmunophenotyping by Flow Cytometry: Leukemia / Lymphoma Diagnostic Panel-Chronic Lymphoproliferative Disorders T & B Cell Test
ComparisonImmunophenotyping by Flow Cytometry: Leukemia / Lymphoma Diagnostic Panel-Chronic Lymphoproliferative Disorders T & B Cell Test

Frequently Asked Questions

What is Immunophenotyping by Flow Cytometry?
It is a laser-based technique that identifies and analyses cell characteristics in blood, bone marrow, and lymphatic system. Specific fluorescent antibodies detect cell surface markers and help identify cell type and abnormality.
Why is this test important for chronic lymphoproliferative disorders?
It identifies whether abnormal lymphocytes are T-cell or B-cell, assesses clonality, helps classify the disorder, and guides treatment decisions and monitoring.
What are common symptoms of CLPD?
Common symptoms include fatigue, weight loss, fever, night sweats, enlarged lymph nodes, enlarged spleen or liver, and recurrent infections.
How is the test performed?
A blood or bone marrow sample is collected. Cells are stained with fluorescent antibodies and passed through a flow cytometer, which measures physical and antigenic properties.
Is fasting required before the test?
No fasting is required. However, time, date, and clinical details should be specified on the test request form.
What sample is required?
3 mL whole blood in each Lavender Top (EDTA) and Green Top (Sodium Heparin) tube, or 2 mL bone marrow in Green Top (Sodium Heparin) tube and aspirate smear.
What is the cost of this test in India?
The cost is Rs 20000.0 at DNA Labs India, with free home sample collection for online bookings.
When will I receive the report?
Samples received daily by 9 am are reported the same day. Final interpretation may depend on sample quality and clinical correlation.
Can this test differentiate T-cell and B-cell chronic lymphoproliferative disorders?
Yes, the panel includes T-cell and B-cell markers and helps identify the lineage and abnormality of the lymphoid population.
Is the test safe?
Yes, blood collection is generally safe with minor risks such as bruising. Bone marrow collection may cause moderate discomfort but is performed by a clinician.
What factors can affect the test results?
Recent chemotherapy, immunotherapy, steroids, improper sample handling, delay in transport, or refrigeration/freezing may affect cell viability and marker interpretation.
How do I book this test at DNA Labs India?
You can book online through the DNA Labs India website or contact the laboratory. Free home sample collection is available across major Indian cities.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.

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