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Bcl6generearbldtfishimp

Published: August 9, 2026Updated: August 16, 2026

This test detects genetic changes in the BCL6 gene using FISH technology to help diagnose certain types of lymphoma.

Quick summary

{"BCL6 gene rearrangement test is used to diagnose lymphoma","The test uses FISH technology to detect genetic changes in blood or tissue samples","Results help doctors determine the best treatment approach","Abnormal results may indicate certain types of lymphoma, particularly diffuse large B-cell lymphoma and follicular lymphoma","The test is performed on a sample of blood or tissue from a biopsy"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
78208-6
Short code
BCL6FISH
Synonyms
BCL6 gene Rear Bld/T FISH-Imp
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA) tube for whole blood; sterile container with tissue culture medium or RPMI for tissue specimens
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Fluorescence In Situ Hybridization (FISH) with narrative interpretation
CPT
88368
SNOMED
450020006
Specimen volume
3-5 mL whole blood; 1 cm³ fresh tissue or paraffin-embedded tissue block
Stability
Whole blood: Room temperature 24 hours; refrigerated (2-8°C) up to 72 hours. Tissue: Fresh tissue in RPMI stable 24-48 hours at 2-8°C; paraffin blocks stable indefinitely at room temperature
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
72–168 hours
Order
routine

What is this test?

The BCL6 gene rearrangement test is a specialized genetic test that uses Fluorescence In Situ Hybridization (FISH) technology to detect changes in the BCL6 gene. The BCL6 gene provides instructions for making a protein that helps regulate gene activity and is important for normal immune cell function. When this gene undergoes rearrangement (abnormal restructuring), it can contribute to the development of certain cancers, particularly lymphomas.

How is the test performed?

A healthcare provider will collect a sample either from your blood (via a vein in your arm) or from a tissue biopsy (usually from a lymph node or other affected tissue). The sample is then sent to a laboratory where technicians use FISH technology to examine the BCL6 gene. FISH uses fluorescent probes that bind to specific parts of the BCL6 gene, allowing scientists to see whether the gene has rearranged or changed under a special microscope.

Why is this test ordered?

Your doctor may order this test if you have symptoms suggesting lymphoma, such as enlarged lymph nodes, unexplained fever, night sweats, or weight loss. The test helps confirm a diagnosis and provides important information about the specific type of lymphoma, which guides treatment decisions.

Reference range

Negative for BCL6 gene rearrangement. Normal result: BCL6 rearrangement not detected in the specimen analyzed. Positive result indicates presence of BCL6 gene rearrangement, typically involving the 3q27 locus.N/A

Specimen: whole-blood

No special patient preparation is required for this test. Patients should inform their healthcare provider about any recent blood transfusions, bone marrow transplantation, or ongoing chemotherapy, as these may affect results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Do I need to fast before this test?
No, fasting is not required for this test. You can eat and drink normally before and after the test.
How long does it take to get results?
FISH testing is complex and typically takes 1-2 weeks to complete. Your doctor will contact you with the results when they become available.
Is the test painful?
For a blood test, you may feel a brief sting when the needle is inserted. For a tissue biopsy, you may receive local anesthesia to minimize discomfort. Any discomfort is usually temporary.
What do abnormal results mean?
An abnormal result showing BCL6 gene rearrangement suggests that you may have a certain type of lymphoma, most commonly diffuse large B-cell lymphoma or follicular lymphoma. Your doctor will interpret these results along with other test findings to determine the exact diagnosis and appropriate treatment plan.
Will I need additional tests?
Yes, BCL6 testing is usually part of a broader diagnostic workup. Your doctor may order additional tests including other genetic tests, imaging studies (like CT or PET scans), and blood tests to fully understand your condition.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy