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Order Code LABGOR, PBLI Plasma Cell Assessment, Blood

Reporting Name

Plasma Cell Assessment, B

Useful For

Detecting peripheral blood involvement by plasma cell proliferative disorders

 

Establishing the diagnosis of and determining prognosis for plasma cell proliferative disorders

Testing Algorithm

The following algorithms are available:

-Amyloidosis: Laboratory Approach to Diagnosis

-Multiple Myeloma: Laboratory Screening

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Whole blood


Shipping Instructions


Specimen must arrive within 3 days of collection.



Necessary Information


Date and time of collection are required.



Specimen Required


Container/Tube:

Preferred: Green top (sodium heparin)

Acceptable: Lavender top (EDTA)

Specimen Volume: 10 mL

Collection Instructions:

1. Do not centrifuge.

2. Send whole blood specimen in original tube. Do not aliquot.


Specimen Minimum Volume

4 mL

Specimen Stability Information

Specimen Type Temperature Time
Whole blood Ambient (preferred) 72 hours
  Refrigerated  72 hours

Reference Values

An interpretive report will be provided.

Day(s) Performed

Monday through Saturday

CPT Code Information

88184-Flow cytometry, cell surface, cytoplasmic

88185 x 5-Each additional marker

88187-Flow cytometry, interpretation; 2 to 8 markers

Method Description

The plasma cell immunoglobulin light chain restriction assessment is performed by 6-color flow cytometry using a single assay tube containing antibodies to kappa Ig light chain, lambda Ig light chain, CD19, CD38, CD45, and CD138. CD38 and CD138 are used to gate on the plasma cells and anti-kappa and anti-lambda are used to identify cytoplasmic Ig light chains. The flow cytometric screen will report the presence or absence of a detectable plasma cell population with immunoglobulin light chain restriction (clonality).(Unpublished Mayo method)

Reject Due To

Gross hemolysis Reject

Method Name

Flow Cytometry

Forms

If not ordering electronically, complete, print, and send a Hematopathology/Cytogenetics Test Request (T726) with the specimen.