t(12;21) (p13;q22) ETV6-RUNX1 (TEL-AML1) PCR Qualitative Test
Short Name: ETV6-RUNX1 PCR Test
Also known as: TEL-AML1 PCR Test, ETV6-RUNX1 Fusion Gene Test, t(12;21) Translocation PCR
t(12;21) (p13;q22) ETV6-RUNX1 (TEL-AML1) PCR Qualitative Test test available at DNA Labs India for ₹5,000. Uses Real Time PCR on Whole Blood or Bone Marrow samples. Results in Reports are typically available within 2-3 working days after sample receipt. Online access is provided via portal, email, or WhatsApp.. Free home collection in 300+ cities across India.
🩺 Medically Reviewed By
Dr Pasupathy Arumugam
Consultant Pathologist · Reg: 21521
Last reviewed: September 7, 2026
Overview
The primary purpose of the ETV6-RUNX1 PCR Qualitative Test is to detect the specific genetic translocation t(12;21)(p13;q22) that leads to the ETV6-RUNX1 fusion gene. This fusion gene is a hallmark of a subtype of Acute Lymphoblastic Leukemia (ALL), which accounts for a significant proportion of childhood leukemia cases. By identifying this genetic marker, the test aids in confirming the diagnosis of ALL, differentiating it from other types of leukemia, and providing prognostic information. The presence of ETV6-RUNX1 is generally associated with a favorable outcome, guiding treatment decisions and reducing the need for more aggressive therapies. Additionally, the test can be used for minimal residual disease monitoring during and after treatment to assess treatment efficacy and detect early relapse.
- Test Code
- 1430
- Price
- ₹5,000
- Sample Type
- Whole Blood or Bone Marrow
- Result Time
- Reports are typically available within 2-3 working days after sample receipt. Online access is provided via portal, email, or WhatsApp.
- Fasting Required
- No
- Method
- Real Time PCR
Sample Collection
No specific preparation such as fasting is required. However, providing complete clinical history, including symptoms, family history, and previous test results, is mandatory. Inform the healthcare provider about any medications or recent procedures.
Method: Venipuncture or Bone Marrow Aspiration
Laboratory Analysis
A healthcare professional will collect the sample via venipuncture for blood or bone marrow aspiration. The procedure is minimally invasive for blood draw; bone marrow collection may involve local anesthesia. Patients may experience slight discomfort or bruising.
Report Delivery
Apply pressure to the puncture site to prevent bleeding. For bone marrow samples, avoid strenuous activity for a day. Store the sample as instructed: refrigerate and do not freeze. The sample is shipped to the laboratory for analysis.
Timeline: Reports are typically available within 2-3 working days after sample receipt. Online access is provided via portal, email, or WhatsApp.
Patient Instructions
About This Test
Who Should Get This Test
The primary purpose of the ETV6-RUNX1 PCR Qualitative Test is to detect the specific genetic translocation t(12;21)(p13;q22) that leads to the ETV6-RUNX1 fusion gene. This fusion gene is a hallmark of a subtype of Acute Lymphoblastic Leukemia (ALL), which accounts for a significant proportion of childhood leukemia cases. By identifying this genetic marker, the test aids in confirming the diagnosis of ALL, differentiating it from other types of leukemia, and providing prognostic information. The presence of ETV6-RUNX1 is generally associated with a favorable outcome, guiding treatment decisions and reducing the need for more aggressive therapies. Additionally, the test can be used for minimal residual disease monitoring during and after treatment to assess treatment efficacy and detect early relapse.
How to Prepare
- Collect 3 mL (minimum 2 mL) of whole blood or bone marrow in a Lavender Top (EDTA) tube
- Ship the sample refrigerated; do not freeze
- Include clinical history and patient details on the requisition form
- Ensure proper labeling to avoid sample mix-ups
- Process the sample within stability limits: room temperature up to 6 hours, refrigerated up to 72 hours
Doctor's Notes
Reviewed by Dr Pasupathy Arumugam — MBBS, MD (Pathology) · Reg. No. 21521
"This test is crucial for diagnosing a common subtype of childhood Acute Lymphoblastic Leukemia (ALL) with a favorable prognosis, aiding in targeted treatment planning."
Last medically reviewed: September 7, 2026
Test Parameters & Specifications
Sample Stability
- Hemolyzed, clotted, or insufficient sample volume
- Incorrect container or anticoagulant
- Sample received frozen or past stability period
- Missing clinical history or patient identification
- Contaminated or unlabeled samples
Understanding Your Results
Positive
Detection of the ETV6-RUNX1 fusion gene, confirming the diagnosis of a subtype of B-cell ALL associated with a favorable prognosis. Requires further clinical correlation and treatment planning.
Action: Consult an oncologist for comprehensive management.
Negative
No detection of the ETV6-RUNX1 fusion gene. This does not rule out ALL, as other genetic abnormalities may be present. Consider additional tests if clinical suspicion remains high.
Action: Discuss with physician for further evaluation, such as cytogenetics or FISH testing.
Consult a doctor immediately if you experience symptoms of leukemia such as persistent fever, fatigue, bone pain, easy bruising, or unexplained weight loss. If the test result is positive or uncertain, seek guidance from an oncologist for diagnosis and treatment. Regular follow-up is essential for monitoring after a diagnosis.
Limitations
- ⚠This test only detects the ETV6-RUNX1 fusion gene and may not identify other genetic abnormalities in ALL
- ⚠Qualitative results do not quantify the fusion gene level
- ⚠False negatives can occur if the fusion gene is present below the detection limit
- ⚠Not suitable for detecting other translocations like t(9;22) or t(1;19)
- ⚠Results should be interpreted in conjunction with clinical findings and other diagnostic tests
Risks & Considerations
- ●Minimal risks associated with blood draw: pain, bruising, or infection at puncture site
- ●For bone marrow aspiration: soreness, bleeding, or rare complications like infection
- ●No direct risks from the PCR test itself
Interfering Factors
- ●Sample contamination or improper handling
- ●Degraded DNA due to delayed processing
- ●Hemolyzed or lipemic blood samples
- ●Recent blood transfusions may affect DNA quality
- ●Incorrect sample type or volume
Compare With Similar Tests
| Test | t(12;21) (p13;q22) ETV6-RUNX1 (TEL-AML1) PCR Qualitative Test | Fluorescence In Situ Hybridization (FISH) for t(12;21) | Karyotyping | BCR-ABL PCR Test | Flow Cytometry for ALL |
|---|---|---|---|---|---|
| Comparison | t(12;21) (p13;q22) ETV6-RUNX1 (TEL-AML1) PCR Qualitative Test |
Frequently Asked Questions
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