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B-cell receptor (BCR) mutation analysis (qualitative) for chronic lymphocytic leukemia (CLL) or other B-cell malignancies

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

This test checks for specific genetic changes in your B-cell receptors, which may help determine if your cancer is B-cell lymphoma or chronic lymphocytic leukemia (CLL) and guide treatment decisions.

Quick summary

["Assists doctors in identifying genetic mutations linked to certain blood cancers."]

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

Key facts at a glance

LOINC
21823-0
Short code
t(9;22)(ABL1,BCR) Minor Bld/T Ql
Synonyms
t(9;22)(ABL1,BCR) Minor Bld/T Ql
Category
coagulation
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
molgen
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

Why This Test Might Be Ordered

Your doctor may recommend this test if you have symptoms of a blood disorder, such as persistent lymphadenopathy (swollen lymph nodes), unexplained fatigue, or an abnormal complete blood count (CBC). It’s often used in patients suspected of having CLL or other B-cell malignancies to confirm or refine diagnosis and treatment planning.

How the Test Works

Blood is drawn to collect a sample, which is then analyzed for specific mutations in the B-cell receptor genes. The test detects whether these mutations are present, helping to distinguish between different types of B-cell cancers.

Sample Collection and Preparation

A small amount of whole blood is taken from your arm. The blood sample is processed and sent to a lab for genetic analysis. No special preparation is needed, but fasting may not be required unless instructed by your doctor.

Test Results and Interpretation

Results are reported as either positive (mutation detected) or negative (mutation not detected). Your healthcare provider will interpret the results in the context of your clinical symptoms and other test findings to guide treatment options.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

BCR Mutation Test (Qualitative)

Frequently asked questions

What Does a Positive or Negative Result Mean?
A positive result indicates the presence of the specific genetic mutation in your B cells, which may confirm a diagnosis of CLL or another B-cell malignancy. This information helps your doctor tailor treatment to your unique genetic profile.
Will I Need Further Testing If This Test Is Positive?
Yes, additional tests or genetic evaluations may be recommended to further characterize the cancer, determine the best treatment plan, and monitor disease activity over time.
How Long Does It Take to Get Results?
Test results are typically available within 2 to 4 weeks, depending on the lab’s processing time and any follow-up genetic analysis required.
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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