ARUP's Laboratory Test Directory

DNA Content/Cell Cycle Analysis, Miscellaneous : 0095155

Mnemonic: DNA MISC

Methodology: Quantitative Flow Cytometry
Performed: Sun, Tue
Reported: 3-9 days
Specimen Required: Collect: Tumor tissue, body fluid, peripheral blood in green (sodium or lithium), bone marrow in green (sodium or lithium), OR urine/bladder washings.

Specimen Preparation: Tissue: Paraffin embed tissue block enriched with tumor
OR Body Fluid:
Transport: 100 mL body fluid. (Min: 10 mL)
OR Peripheral Blood:
Transport 5 mL whole blood.
OR Bone Marrow:
Transport 2 mL bone marrow (specimens with low mononuclear cell counts may require more volume).
OR Urine/Bladder Washings:
Centrifuge and remove supernatant. The cell pellet should then be re-suspended in a cell culture media such as Hank's Balanced Salt Solution or RPMI.


Storage/Transport Temperature: Tissue (paraffin embedded), Peripheral Blood, or Bone Marrow: Refrigerated or Room temperature.
Body Fluid or Urine/Bladder Washings:
Refrigerated or Refrigerated.


Remarks: Provide a Wright stained slide with all bone marrow and whole blood specimens along with clinical information and specimen source.

Unacceptable Conditions: No tumor tissue remaining on block. Specimens fixed in Bouin's solution (picric acid), mercuric chloride containing fixatives (e.g., B5, Zenker's solution) or ethanol-based fixatives containing ethylene glycol, acetic acid, or zinc chloride. Clotted or hemolyzed blood or bone marrow. Decalcified specimens.

Stability (collection to initiation of testing): Tissue (paraffin embedded): Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
Body Fluid or Urine/Bladder Washings:
Ambient: Unacceptable; Refrigerated: 24 hours; Frozen: Unacceptable
Peripheral Blood or Bone Marrow:
Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable


Reference Interval:
Report components include: DNA content, S-phase interpretation, and copy of histogram.
Interpretive Data: The diagnostic and prognostic importance of tumor DNA content depends on the tumor type and source of tissue. Interpretive information, if available for the tumor type, is included with the DNA histogram.

Refer to Statement B under Testing Information at http://www.aruplab.com.
Note: A thin section of each tissue submitted is stained with H & E to verify the presence of tumor. The DNA content of each tumor is classified as diploid, near-diploid, tetraploid, aneuploid, hypertetraploid, or hypodiploid. The DNA index is the ratio of tumor G0-G1 cells to normal G0-G1 cells.

The tumor-specific S-phase is used when possible. An average histogram S-phase is used for diploid, near-diploid and hypodiploid tumors where the tumor and host S-phases cannot be separated. An average histogram S-phase is also used when the percentage of aneuploid cells in the histogram is low (less than 25%). The S-phase interpretation is based on comparison to other tumors of the same type, controlled for histogram type (diploid, near-diploid, aneuploid) and sample type (fresh/frozen, paraffin, etc.). The appropriate population is divided into thirds and compared to the sample S-phase for an interpretation of low, moderate, or high S-phase.
CPT Code(s): 88182
 
 

 

 

 
All ARUP Sites:        www.aruplab.com     ·     www.arupconsult.com     ·     www.arup.utah.edu     ·     www.childx.org     ·     www.utahblood.org