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Myeloid Neoplasm Chromosomal Analysis by Fluorescence In Situ Hybridization (FISH) on Bone Marrow Cells

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

This test examines genetic changes in white blood cells from your bone marrow to help diagnose or monitor conditions like leukemia or other myeloid blood disorders.

Quick summary

["Helps detect genetic abnormalities in blood cells that may indicate a blood cancer or other myeloid disorders."]

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

Key facts at a glance

LOINC
94588-1
Short code
Myeloid neoplasm chr analy Bld/Mar MPSeq
Synonyms
Myeloid neoplasm chr analy Bld/Mar MPSeq
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
27
Ref high
33
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
mate-pair-sequencing
CPT
86038
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What This Test Measures

The test uses fluorescent probes to identify specific genetic abnormalities (such as translocations, deletions, or amplifications) in myeloid cells. These probes bind to specific DNA sequences on chromosomes, allowing for visualization under a microscope. The presence of these genetic changes can help confirm a diagnosis or guide treatment decisions.

Why It’s Done

Your healthcare provider may recommend this test if you have symptoms of a blood disorder (such as fatigue, unexplained bruising, or frequent infections) or if you’ve been diagnosed with a suspected myeloid neoplasm (e.g., myelodysplastic syndromes, acute myeloid leukemia). It’s also used to monitor disease progression or response to treatment.

Sample Collection and Preparation

A small sample of bone marrow is typically collected during a procedure called a bone marrow biopsy. The sample is then processed to isolate myeloid cells, which are analyzed for genetic abnormalities using FISH techniques.

What to Expect Before the Test

You may receive local anesthesia at the biopsy site to minimize discomfort. Recovery is usually quick, but you may experience mild soreness or bruising. Avoid heavy lifting or strenuous activity for a few days afterward.

Reference range

Adult: 27-33 pgN/A

Specimen: whole-blood

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test plays a critical role in diagnosing and managing myeloid neoplasms by identifying genetic markers that influence disease behavior. Certain abnormalities may predict prognosis or guide treatment options, such as targeted therapies or supportive care. Early detection can improve outcomes and help tailor treatment plans to your specific needs.

Short name

Myeloid Neoplasm FISH on Bone Marrow

Frequently asked questions

What does a positive result mean?
A positive result indicates the presence of genetic changes in your myeloid cells that may suggest a blood disorder, such as leukemia or another myeloid neoplasm. These findings help your healthcare team determine the next steps, including further testing or treatment options.
Will this test be done if I have no symptoms?
Sometimes, this test is performed as part of a routine evaluation, especially if you have risk factors (e.g., prior exposure to certain chemicals, genetic predispositions, or a family history of blood disorders). Your doctor will discuss whether this test is necessary based on your medical history and symptoms.
How long will it take to get results?
Results are typically available within 1 to 2 weeks after the sample is processed. Your healthcare provider will contact you to discuss the findings once they are ready.
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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