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Cytogenetics - FISH, SRY, Male sex determination
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Test Description
Test Name

FISH, SRY

Synonym(s)

SRY FISH
Male sex determination FISH
FISH, male sex determination

Description

Fluorescence In Situ Hybridization (FISH) is performed to detect the presence or absence of the SRY gene (sex-determining region on the Y chromosome). Useful when karyotypic sex and phenotypic sex do not correspond.

Note: Cytogenetics, Blood, Constitutional Karyotype must be ordered on the same specimen, unless cytogenetic analysis has been performed on a prior specimen.

Methodology

A fluorescently labeled DNA probe for the SRY gene on the short arm of the Y chromosome is hybridized to unstained metaphase chromosomes. Ten cells are evaluated for the presence or absence of the target signal. Can also be performed on interphase nuclei.

Performed
Daily
Turnaround Time
8 - 10 Days (1-2 days for interphase study)
Specimen Requirements

Minimum 3 mL aseptically collected blood in a 5 mL green top, sodium heparin tube (or 2 mL pediatric green top, sodium heparin tube). DO NOT use lithium heparin tubes.

Note: Deliver to lab at room temperature within 24 hours. If collected over a weekend, call the laboratory to make arrangements for specimen delivery. May be refrigerated if not transported immediately. Do not freeze. Protect from heat or cold.

Rejection Criteria
Frozen, clotted, hemolyzed or grossly contaminated specimens. Incorrect anticoagulant used. Frozen or fixed tissue specimens, or tissue specimens sent without tissue culture medium.
CPT Code(s)

88271, 88273, 88291 (if routine cytogenetics not requested, add 88230)
Interphase method:  88271, 88275, 88291

Reference Range
See interpretive report
Contact

Cytogenetics Lab: (214) 645-7000
Customer Service: (214) 645-7057 or Toll Free (877) 887-8136

Last Modified: Feb 11, 2008