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MDS Panel (Cytogenetics + FISH [del(5q), del(7q), del(20q)]) Test

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MDS Panel (Cytogenetics + FISH [del(5q), del(7q), del(20q)]) Test

Short Name: MDS Panel

Also known as: MDS Cytogenetics and FISH Panel, MDS Chromosome Analysis with FISH

MDS Panel (Cytogenetics + FISH [del(5q), del(7q), del(20q)]) Test test available at DNA Labs India for ₹12,750. Uses Cell Culture, FISH on Bone marrow / Peripheral blood samples. Results in Reports are typically available within 5-7 days after sample collection.. Free home collection in 300+ cities across India.

Genetic🏠 Home Collection

🩺 Medically Reviewed By

Overview

The primary purpose of the MDS Panel is to aid in the diagnosis, prognosis, and management of Myelodysplastic Syndromes. By identifying specific chromosomal deletions, the test helps clinicians determine the risk category of MDS, which influences therapeutic choices such as lenalidomide for del(5q) or stem cell transplantation for high-risk cases. It also helps differentiate MDS from other causes of cytopenias and monitors disease progression or response to therapy.

Test Code
6132
CPT Code
88230, 88237, 88271, 88291
ICD Code
D46.9
Price
₹12,750
Sample Type
Bone marrow / Peripheral blood
Result Time
Reports are typically available within 5-7 days after sample collection.
Fasting Required
No
Method
Cell Culture, FISH
Step 1

Sample Collection

No special preparation required. Inform your doctor about any medications or recent transfusions.

Method: Venipuncture or bone marrow aspiration

Step 2

Laboratory Analysis

Sample collection involves a standard blood draw or bone marrow aspiration. Mild discomfort may occur.

Step 3

Report Delivery

No specific aftercare required. You can resume normal activities immediately.

Timeline: Reports are typically available within 5-7 days after sample collection.

Patient Instructions

1
Before the Test:No special preparation. Ensure you have a doctor's prescription. Inform your doctor about any medications.
2
During the Test:Sample collection is quick. For bone marrow, local anesthesia is used. You may feel a brief sting.
3
After the Test:You can resume normal activities. If bone marrow biopsy was done, keep the site clean and dry for 24 hours.

About This Test

Who Should Get This Test

The primary purpose of the MDS Panel is to aid in the diagnosis, prognosis, and management of Myelodysplastic Syndromes. By identifying specific chromosomal deletions, the test helps clinicians determine the risk category of MDS, which influences therapeutic choices such as lenalidomide for del(5q) or stem cell transplantation for high-risk cases. It also helps differentiate MDS from other causes of cytopenias and monitors disease progression or response to therapy.

How to Prepare

  • Use Sodium Heparin Vacutainer (2 ml)
  • Transport immediately at cool pack (2-8°C)
  • Do not freeze the sample
  • Label the sample with patient details and collection time

Doctor's Notes

Reviewed by — MBBS, MD (General Medicine) · Reg. No. 8052

"The MDS Panel is essential for risk stratification and guiding therapy in myelodysplastic syndromes. Early detection of del(5q), del(7q), and del(20q) can significantly impact management."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBone marrow / Peripheral blood
Sample Volume2 ml
ContainerSodium Heparin Vacutainer
Collection MethodVenipuncture or bone marrow aspiration

Sample Stability

Bone marrow: 24-48 hours at room temperature
Peripheral blood: 24-48 hours at room temperature
Refrigerated (2-8°C): up to 72 hours
Sample Rejection Criteria:
  • Clotted or hemolyzed sample
  • Incorrect anticoagulant (e.g., EDTA)
  • Sample older than 72 hours
  • Improper labeling or missing requisition form

Understanding Your Results

The MDS Panel results are interpreted based on the presence or absence of the targeted chromosomal deletions. A normal result indicates no evidence of del(5q), del(7q), or del(20q). Abnormal results may indicate the presence of MDS or related disorders and provide prognostic information.
📊

Associated with better prognosis, often responsive to lenalidomide

📊

Associated with poor prognosis, higher risk of progression to AML

📊

Variable prognosis, often seen in MDS and myeloproliferative disorders

📊

No evidence of the tested abnormalities; other genetic tests may be needed

⚠️ When to Consult a Doctor:

Consult your hematologist or oncologist if you have symptoms like persistent fatigue, unexplained bruising, recurrent infections, or if your blood counts are abnormal. The MDS Panel results should be discussed with your doctor to plan further management.

Limitations

  • Cytogenetics may miss small deletions not visible on karyotype
  • FISH only detects targeted abnormalities, not all possible MDS-related changes
  • Bone marrow sample is preferred for higher sensitivity; peripheral blood may have lower yield
  • Results should be interpreted in conjunction with clinical and morphological findings

Risks & Considerations

  • Minimal risk of bleeding or infection at the collection site
  • Bone marrow aspiration may cause temporary discomfort or soreness
  • Rare risk of nerve damage (very low)

Interfering Factors

  • Recent blood transfusion may dilute abnormal cells
  • Insufficient metaphase cells for cytogenetic analysis
  • Heparin contamination or improper sample handling
  • Delayed transport leading to cell death

Compare With Similar Tests

TestMDS Panel (Cytogenetics + FISH [del(5q), del(7q), del(20q)])Bone Marrow BiopsyConventional CytogeneticsFISH aloneNext-Generation Sequencing (NGS)
ComparisonMDS Panel (Cytogenetics + FISH [del(5q), del(7q), del(20q)])Provides morphological assessment of marrow cellularity and dysplasia, but does not detect chromosomal abnormalities.Part of the MDS Panel, but alone may miss small deletions; FISH adds sensitivity.Targets specific abnormalities but does not provide a full karyotype; combined with cytogenetics gives comprehensive information.Detects gene mutations, but does not replace cytogenetics/FISH for chromosomal deletions.

Frequently Asked Questions

What is the cost of the MDS Panel test at DNA Labs India?
The MDS Panel (Cytogenetics + FISH) costs INR 12,750. We offer free home sample collection for online bookings.
What is the difference between cytogenetics and FISH?
Cytogenetics analyzes the entire chromosome structure, while FISH uses fluorescent probes to detect specific DNA sequences. Combining both provides a comprehensive assessment.
Why are del(5q), del(7q), and del(20q) important in MDS?
These deletions are common in MDS and have prognostic significance. For example, del(5q) is associated with a better response to lenalidomide, while del(7q) indicates a poorer prognosis.
What sample is required for the MDS Panel?
Bone marrow or peripheral blood is required. Bone marrow is preferred for higher sensitivity. The sample must be collected in a Sodium Heparin Vacutainer and transported immediately.
Do I need to fast before the test?
No, fasting is not required for this test.
How long does it take to get the results?
Results are typically available within 5-7 days after the sample is received.
Can the test be done without a doctor's prescription?
A doctor's prescription is required for this test, except for surgery, pregnancy, or travel-related cases.
Is home sample collection available?
Yes, we offer free home sample collection for online bookings across major cities in India.
What does a positive result mean?
A positive result indicates the presence of one or more of the tested deletions, which may support a diagnosis of MDS and help determine prognosis.
Are there any risks associated with the test?
The test is generally safe. For bone marrow aspiration, there is a minimal risk of bleeding, infection, or discomfort at the site.
Can this test be used for monitoring treatment response?
Yes, the MDS Panel can be used to monitor response to therapy and detect any changes in chromosomal abnormalities over time.
Is the test covered by insurance?
Insurance coverage varies. We recommend checking with your insurance provider. We also offer affordable self-pay options.
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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