{"id":1335,"date":"2024-08-16T09:30:56","date_gmt":"2024-08-16T07:30:56","guid":{"rendered":"https:\/\/diagenom.de\/?page_id=1335"},"modified":"2025-07-14T09:16:14","modified_gmt":"2025-07-14T07:16:14","slug":"tumorgenetik","status":"publish","type":"page","link":"https:\/\/diagenom.de\/en\/leistungsspektrum\/tumorgenetik\/","title":{"rendered":"Tumor genetics"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">The diagnostic standard for hematological malignancies includes conventional chromosome analysis and fluorescence in situ hydridization (FISH). With these methods somatic alterations of the DNA can be identified and the karyotype can be established. Additionally, NGS-based analysis is used for the identification of specific mutations.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Diagnostics for hematological neoplasms<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The determination of the karyotype and gene mutational analyses are necessary for the diagnosis and classification of hematologiocal neoplasms. Moreover, these diagnostic tools have prognostic and therapeutic significance, which means they can be utilized to support the selection of risk-adapted treatments and for patient follow-ups (early relapse detection).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u200bIn addition to chromosome analysis, FISH analyses are used to answer specific questions. The FISH technique allows the ascertainment of structural chromosomal changes and the examination of cells in a non-dividing state (interphase nuclei). In many cases, FISH can be used to verify the treatment response.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u200bNext generation sequencing (NGS) based gene panel diagnostics facilitates the simultaneous sequencing of many genes. Our current panel includes 179 genes with relevance in myeloid and lymphoid neoplasms. Based on the WHO, various clinical practice guidelines and the current state of knowledge, we will compile appropriate subpanels for each specific entity and will update and optimize these subpanels continuously. Additionally, based on our 179 gene panel, we can create customized subpanels according to the specifications of our clients.<br>The processing time for examinations of hematologic neoplasms is approx. 14 days.<br><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">S<strong>ample material<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Peripheral blood in heparin<\/li>\n\n\n\n<li>bone marrow aspirate<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u200bFor more information, please visit the Preanalytics page or download our information guide as PDF under the following link:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u200b<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-36078703 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" style=\"border-radius:10px;background-color:#008532\">Information guide \u2192<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Services Cancer Genetics<\/h3>\n\n\n<style>#sp-ea-1664 .spcollapsing { height: 0; overflow: hidden; transition-property: height;transition-duration: 300ms;}#sp-ea-1664.sp-easy-accordion>.sp-ea-single {margin-bottom: 10px; border: 1px solid #e2e2e2; }#sp-ea-1664.sp-easy-accordion>.sp-ea-single>.ea-header a {color: #444;}#sp-ea-1664.sp-easy-accordion>.sp-ea-single>.sp-collapse>.ea-body {background: #fff; color: #444;}#sp-ea-1664.sp-easy-accordion>.sp-ea-single {background: #eee;}#sp-ea-1664.sp-easy-accordion>.sp-ea-single>.ea-header a .ea-expand-icon { float: left; color: #444;font-size: 16px;}<\/style><div id=\"sp_easy_accordion-1724175374\"><div id=\"sp-ea-1664\" class=\"sp-ea-one sp-easy-accordion\" data-ea-active=\"ea-click\" data-ea-mode=\"vertical\" data-preloader=\"\" data-scroll-active-item=\"\" data-offset-to-scroll=\"0\"><div class=\"ea-card ea-expand sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-16640\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse16640\" aria-controls=\"collapse16640\" href=\"#\" aria-expanded=\"true\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-minus\"><\/i> 01 | Acute leukemias<\/a><\/h3><div class=\"sp-collapse spcollapse collapsed show\" id=\"collapse16640\" data-parent=\"#sp-ea-1664\" role=\"region\" aria-labelledby=\"ea-header-16640\"> <div class=\"ea-body\"><p><strong>Acute Myeloid Leukemia (AML)<\/strong><\/p><ul><li>Chromosome analysis and FISH<\/li><li>FLT3 and NPM1 mutation analysis<\/li><li>Panel mutation analysis, including FLT3 and NPM1<\/li><\/ul><p><strong>Acute Lymphocytic Leukemia (ALL)<\/strong><\/p><ul><li>Chroma analysis and FISH<\/li><\/ul><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-16641\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse16641\" aria-controls=\"collapse16641\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-plus\"><\/i> 02 | Myelodysplastic Syndrome (MDS)<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse16641\" data-parent=\"#sp-ea-1664\" role=\"region\" aria-labelledby=\"ea-header-16641\"> <div class=\"ea-body\"><ul><li>Chromosome analysis<\/li><li>optional FISH<\/li><li>Panel mutation analysis<\/li><\/ul><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-16642\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse16642\" aria-controls=\"collapse16642\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-plus\"><\/i> 03 | Myeloproliferative neoplasms<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse16642\" data-parent=\"#sp-ea-1664\" role=\"region\" aria-labelledby=\"ea-header-16642\"> <div class=\"ea-body\"><p><strong>Chronic Myeloid Leukemia (CML)<\/strong><\/p><ul><li>Chromosome Analysis<\/li><li>FISH: BCR-ABL1 qualitative<\/li><li>PCR: BCR-ABL1 quantitative (PCR by partner laboratory; RNA-based, please transport quickly!)<\/li><li>Mutation analysis in TKI resistance (RNA-based, please transport quickly!)<\/li><\/ul><p>&nbsp;<\/p><p><strong>Chronic Neutrophilic Leukemia (CNL)<\/strong><\/p><ul><li>Chromosome Analysis<\/li><li>optional FISH<\/li><li>CSF3R mutation analysis<\/li><li>Panel mutation analysis<\/li><\/ul><p>&nbsp;<\/p><p><strong>Polycythemia vera (PV)<\/strong><\/p><ul><li>Chromosome analysis (in the case of a suspected diagnosis including BCR-ABL1 exclusion)<\/li><li>optional FISH<\/li><li>Step diagnostics:<ul type=\"circle\"><li>JAK2 Exon 14 \/ Exon12 mutation analysis<\/li><li>CALR mutation analysis<\/li><li>MPL mutation analysis<\/li><\/ul><\/li><li>Panel mutation analysis<\/li><\/ul><p>&nbsp;<\/p><p><strong><span class=\"J6XX-\">Primary myelofibrosis (PMF)<\/span><\/strong><\/p><ul><li>Chromosome analysis (in the case of a suspected diagnosis including BCR-ABL1 exclusion)<\/li><li>optional FISH<\/li><li>Step diagnostics:<ul type=\"circle\"><li>JAK2 Exon 14 \/ Exon12 mutation analysis<\/li><li>CALR mutation analysis<\/li><li>MPL mutation analysis<\/li><\/ul><\/li><li>Panel mutation analysis<\/li><\/ul><p>&nbsp;<\/p><p><strong><span class=\"J6XX-\">Essential thrombocythemia (ET)<\/span><\/strong><\/p><ul><li>Chromosome analysis (in the case of a suspected diagnosis including BCR-ABL1 exclusion)<\/li><li>optional FISH<\/li><li>Step diagnostics:<ul type=\"circle\"><li>JAK2 Exon 14 \/ Exon12 mutation analysis<\/li><li>CALR mutation analysis<\/li><li>MPL mutation analysis<\/li><\/ul><\/li><li>Panel mutation analysis<\/li><\/ul><p>&nbsp;<\/p><p><strong><span class=\"J6XX-\">Myeloproliferative neoplasia (MPN) ND.<\/span><\/strong><\/p><ul><li>Chromosome analysis (in the case of a suspected diagnosis including BCR-ABL1 exclusion)<\/li><li>optional FISH<\/li><li>Step diagnostics:<ul type=\"circle\"><li>JAK2 Exon 14 \/ Exon12 mutation analysis<\/li><li>CALR mutation analysis<\/li><li>MPL mutation analysis<\/li><\/ul><\/li><li>Panel mutation analysis<\/li><\/ul><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-16643\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse16643\" aria-controls=\"collapse16643\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-plus\"><\/i> 04 | Mastocytosis<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse16643\" data-parent=\"#sp-ea-1664\" role=\"region\" aria-labelledby=\"ea-header-16643\"> <div class=\"ea-body\"><ul><li>Chromosome analysis and FISH<\/li><li>KIT mutation analysis<\/li><\/ul><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-16644\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse16644\" aria-controls=\"collapse16644\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-plus\"><\/i> 05 | Neoplasms with eosinophilia<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse16644\" data-parent=\"#sp-ea-1664\" role=\"region\" aria-labelledby=\"ea-header-16644\"> <div class=\"ea-body\"><ul><li>Chromosome analysis and FISH (PDGFRA, PDGFRB, FGFR1, JAK2 translocations)<\/li><\/ul><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-16645\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse16645\" aria-controls=\"collapse16645\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-plus\"><\/i> 06 | Myelodysplastic\/myeloproliferative neoplasms<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse16645\" data-parent=\"#sp-ea-1664\" role=\"region\" aria-labelledby=\"ea-header-16645\"> <div class=\"ea-body\"><p><strong>Chronic myelomonocytic leukemia (CMMoL)<\/strong><\/p><ul><li>Chromosome Analysis<\/li><li>optional FISH<\/li><li>Panel mutation analysis<\/li><\/ul><p>&nbsp;<\/p><p><strong>Atypical Chronic Myeloid Leukemia (aCML)<\/strong><\/p><ul><li>Chromosome Analysis<\/li><li>optional FISH<\/li><li>Panel mutation analysis<\/li><\/ul><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-16646\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse16646\" aria-controls=\"collapse16646\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-plus\"><\/i> 07 | Mature B cell neoplasia<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse16646\" data-parent=\"#sp-ea-1664\" role=\"region\" aria-labelledby=\"ea-header-16646\"> <div class=\"ea-body\"><p><strong>Chronic Lymphocytic Leukemia (CLL)<\/strong><\/p><ul><li>Chromosome analysis and FISH including TP53 deletion<\/li><li>TP53 deletion (FISH)<\/li><li>TP53 mutation analysis<\/li><li>IgVH mutation analysis<\/li><\/ul><p><strong>Splenic marginal zone lymphoma (splen. MZL)<\/strong><\/p><ul><li>Chromosome analysis and FISH<\/li><\/ul><p><strong>Splenic lymphoma with villous lymphocytes (SLVL)<\/strong><\/p><ul><li>Chromosome analysis and FISH<\/li><\/ul><p><strong>Hairy cell leukemia (HZL)\/ hairy cell leukemia variant (HZLv)<\/strong><\/p><ul><li>Chromosome analysis and FISH<\/li><li>BRAF mutation analysis<\/li><\/ul><p><strong>IgM MGUS (Monoclonal Gammopathy of Unclear Significance)\/ Lymphoplasmocytic Lymphoma (LPL)\/ Waldenstrom's Disease<\/strong><\/p><ul><li>Chromosome analysis and FISH<\/li><li>MYD88 mutation analysis<\/li><li>CXCR4 mutational analysis<\/li><\/ul><p><strong>non-IgM MGUS (Monoclonal Gammopathy of Unclear Significance)\/ Plasmocytoma (PZ)\/ Multiple Myeloma (MM)<\/strong><\/p><ul><li>Chromosome analysis and FISH<\/li><\/ul><p><strong>Nodal marginal zone lymphoma (MZL)\/ Mucosa Associated Lymphatic Tissue (MALT) lymphoma<\/strong><\/p><ul><li>Chromosome analysis and FISH<\/li><\/ul><p><strong>Follicular Lymphoma (FL)<\/strong><\/p><ul><li>Chromosome analysis and FISH<\/li><\/ul><p><strong>Mantle cell lymphoma (MCL)<\/strong><\/p><ul><li>Chromosome analysis and FISH<\/li><\/ul><p><strong>Diffuse large B-cell lymphoma (DLBCL)<\/strong><\/p><ul><li>Chromosome analysis and FISH<\/li><\/ul><p><strong>High grade non-Hodgkin lymphoma (NHL) ND<\/strong><\/p><ul><li>Chromosome analysis and FISH<\/li><\/ul><p><strong>Burkitt lymphoma (BL)<\/strong><\/p><ul><li>Chromosome analysis and FISH<\/li><\/ul><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-16647\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse16647\" aria-controls=\"collapse16647\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-plus\"><\/i> 08 | Mature T-cell neoplasia<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse16647\" data-parent=\"#sp-ea-1664\" role=\"region\" aria-labelledby=\"ea-header-16647\"> <div class=\"ea-body\"><p><strong>T-cell prolymphocytic leukemia (T-PLL)<\/strong><\/p><ul><li>Chromosome analysis and FISH<\/li><\/ul><p><strong>T cell leukemia with granular lymphocytes (T-LGL)<\/strong><\/p><ul><li>Chromosome analysis and FISH<\/li><\/ul><p><strong>S\u00e9zary Syndrome<\/strong><\/p><ul><li>Chromosome analysis and FISH<\/li><\/ul><p><strong>T-cell non-Hodgkin lymphoma (T-NHL) ND.<\/strong><\/p><ul><li>Chromosome analysis and FISH<\/li><\/ul><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-16648\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse16648\" aria-controls=\"collapse16648\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-plus\"><\/i> 09 | Hodgkin lymphomas<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse16648\" data-parent=\"#sp-ea-1664\" role=\"region\" aria-labelledby=\"ea-header-16648\"> <div class=\"ea-body\"><ul><li>Chromosome analysis and FISH<\/li><\/ul><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>The diagnostic standard for hematological malignancies includes conventional chromosome analysis and fluorescence in situ hydridization (FISH). With these methods somatic [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1568,"parent":28,"menu_order":36,"comment_status":"closed","ping_status":"closed","template":"page-templates\/full-width.php","meta":{"footnotes":""},"class_list":["post-1335","page","type-page","status-publish","has-post-thumbnail","hentry"],"translation":{"provider":"WPGlobus","version":"3.0.5","language":"en","enabled_languages":["de","en"],"languages":{"de":{"title":true,"content":true,"excerpt":false},"en":{"title":true,"content":true,"excerpt":false}}},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tumor genetics - Diagenom GmbH<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/diagenom.de\/leistungsspektrum\/tumorgenetik\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tumor genetics - 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