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CCND1/BCL1 Test: Booking, Price, and Results

About CCND1/BCL1 Test: Booking, Price, and Results

FieldValue
Also Known AsCCND1/IGH FISH Test, IGH/CCND1 t(11;14) Test, BCL1/IGH Translocation Test, Cyclin D1 FISH Test, t(11;14)(q13;q32) Test
Sample TypeBone marrow aspirate, peripheral blood
Fasting RequiredNo
Report Time8 days
Recommended ForAdults (both genders) with suspected blood cancers or lymphoma
PriceStarting at ₹4,800

What Is a CCND1/BCL1 Test?

The CCND1/BCL1 test is a specialised genetic test that detects a specific chromosomal abnormality in blood or bone marrow cells. It looks for a rearrangement between chromosome 11 and chromosome 14, known as the t(11;14) translocation. Doctors order this test when they suspect certain blood cancers, particularly mantle cell lymphoma. It is also known as the CCND1/IGH FISH test, IGH/CCND1 t(11;14) test, BCL1/IGH translocation test, cyclin D1 FISH test, or t(11;14)(q13;q32) test.

What Does a CCND1/BCL1 Test Measure?

This test analyses a single genetic event using a method called FISH (fluorescence in situ hybridisation). Fluorescent probes attach to specific parts of the chromosomes, allowing laboratory specialists to detect abnormal signal patterns under a microscope.

The table below explains what is measured:

ParameterWhat It Detects
CCND1/IGH fusion signal patternWhether the CCND1 gene on chromosome 11 has rearranged with the IGH gene on chromosome 14, producing a t(11;14) translocation

The CCND1 gene (also called BCL1 or cyclin D1) normally helps regulate cell growth. When it translocates to the IGH region, it can cause uncontrolled cell division, which is a key feature of mantle cell lymphoma.

Why Is a CCND1/BCL1 Test Done?

A doctor may order the CCND1/BCL1 test when a patient shows signs of a blood cancer or lymphoma that needs genetic confirmation for an accurate diagnosis.

Common Symptoms That May Require This Test

The following symptoms are among those that may lead a doctor to request this test:

  • Swollen lymph nodes (lymphadenopathy), particularly in the neck, armpits, or groin
  • Unexplained fevers
  • Night sweats
  • Unintended weight loss
  • Abdominal discomfort or fullness caused by an enlarged spleen
  • Abnormal blood counts found during routine testing

Conditions This Test Can Help Detect

This test helps identify or confirm several conditions:

  • Mantle cell lymphoma (MCL), a subtype of non-Hodgkin lymphoma in which the t(11;14) translocation is a defining marker
  • B-prolymphocytic leukaemia
  • Chronic lymphocytic leukaemia (CLL)
  • Multiple myeloma
  • Plasma cell leukaemia and splenic lymphoma with villous lymphocytes

How to Prepare and What to Expect

Preparing for the CCND1/BCL1 test procedure is straightforward, though the sample collection method depends on what your doctor has recommended.

Do You Need to Fast?

No fasting is required before this test. You may eat and drink normally on the day of sample collection. Always follow specific instructions for the biopsy procedure provided by your doctor.

Practical Tips Before Your Test

Keep these points in mind before attending your appointment:

  • Bring a detailed clinical history including your symptoms, previous test results, and any relevant medical records, as this is required for the test
  • Inform your doctor about all medications you take, particularly blood thinners
  • Disclose any past history of blood disorders or cancer treatment
  • Wear comfortable, loose clothing that allows easy access to the collection site
  • If a bone marrow biopsy is planned, arrange for someone to accompany you to the centre

Step-by-Step Procedure

This test uses two possible sample types: bone marrow aspirate and peripheral blood. The procedure for both samples is provided below:

Bone Marrow Aspirate Collection:

The following steps describe bone marrow sample collection:

  1. You will be asked to lie on your side or stomach. Most samples are taken from the iliac crest, a bone at the back of the hip.
  2. The skin and bone surface are cleaned and numbed with a local anaesthetic injection.
  3. A thin needle is inserted through the bone to draw a small amount of liquid bone marrow.
  4. The sample is placed in the appropriate collection tube and labelled for transport.
  5. The sample is stored at ambient temperature (2 to 8°C) and dispatched to the laboratory.
  6. In the laboratory, FISH analysis is performed, and your report is delivered within 8 days.

Peripheral Blood Collection:

Here are the steps involved in blood sample collection:

  1. A healthcare professional cleans the skin over a vein, usually in the arm.
  2. A needle is inserted, and a small blood sample (3 ml) is drawn into the appropriate collection tube.
  3. The sample is stored whole in the original tube at ambient temperature (2 to 8°C) and dispatched to the laboratory promptly.

Factors That Can Affect Accuracy

The following factors may influence how reliable your results are:

  • Quality of the sample collected
  • Delayed delivery to the laboratory
  • Improper storage, such as freezing the specimen
  • Insufficient number of cells in the sample

Understanding Your CCND1/BCL1 Test Results

Results from this test are reported as normal or abnormal based on the signal pattern seen under the microscope. Your doctor will interpret these findings alongside your clinical history, imaging, and other tests. The table below summarises typical findings:

ParameterNormal (Negative) PatternAbnormal (Positive) Pattern
CCND1/IGH signal patternTwo separate red signals and two separate green signalsOne red signal, one green signal, and two fused signals

A positive result is reported when the percentage of cells showing the abnormal pattern exceeds the established reference threshold for the probes used.

A negative result means no CCND1/IGH translocation was detected. However, in some atypical cases, FISH studies may not detect a rearrangement even when mantle cell lymphoma is present. Your doctor may request further testing if clinical suspicion remains.

Disclaimer: These ranges are general guidelines. Your doctor will interpret your results based on your age, health history, and other factors. Always consult a qualified healthcare professional for personalised medical advice.

How to Maintain Healthy Levels

This test detects a chromosomal change that is not influenced by lifestyle factors. However, these general steps support your overall wellbeing:

  • Keep all follow-up appointments with your haematologist or oncologist as advised
  • Maintain a balanced diet and stay well hydrated during the testing and treatment period
  • Speak openly with your care team about any new or worsening symptoms

Lupin Diagnostics CCND1/BCL1 Test Price

The CCND1/BCL1 test cost at Lupin Diagnostics starts at ₹4,800. This test requires a visit to a hospital; home collection is not available for this test due to the specialised nature of sample collection. The table below shows indicative prices:

CityApproximate Price (₹)
BHOPAL4800
CHENNAI4800
HYDERABAD4800
KOLKATA4800
NAVI MUMBAI4800
PUNE4800

Disclaimer: Prices are indicative and may vary by location. Please confirm the current price at the time of booking.

How to Book

Follow these steps for CCND1/BCL1 test online booking:

  1. Select the test on the Lupin Diagnostics website.
  2. Choose your city and preferred centre location.
  3. Visit the centre at your scheduled time for peripheral blood sample collection. For bone marrow samples, visit a hospital as directed by your doctor.
  4. Receive your report via email or WhatsApp within the stipulated turnaround time.

Frequently Asked Questions

The CCND1/BCL1 test detects the t(11;14) chromosomal translocation. It is primarily used to help diagnose mantle cell lymphoma and to distinguish it from other types of B-cell lymphomas and leukaemias. The result guides your doctor in determining the most appropriate course of action.

The most common sample is bone marrow aspirate, collected through a bone marrow biopsy performed by a specialist at a diagnostic centre or hospital. In some cases, a peripheral blood sample drawn from a vein in the arm may be used instead. However, the type of sample required and the collection method will be decided by your healthcare provider.

If a bone marrow biopsy is needed, local anaesthesia is given to reduce discomfort. You may feel brief pressure or mild pain during the procedure. A peripheral blood draw involves only a standard needle prick and is generally well tolerated.

At Lupin Diagnostics, the report is typically available within 8 days. The test results are delivered directly via email or WhatsApp.

No. A negative CCND1/BCL1 test result means this particular translocation was not detected. It does not rule out all forms of lymphoma. Your doctor may order additional genetic tests, imaging, or tissue biopsies to reach a full diagnosis.

CCND1/BCL1 test home collection is not available. Bone marrow collection must be performed at a hospital by a trained specialist, and the sample requires careful handling and prompt laboratory processing.

A positive result indicates the presence of the t(11;14) chromosomal translocation. This finding is most commonly associated with mantle cell lymphoma, though it can appear in other blood cancers. Your doctor will interpret the result alongside your full clinical picture before discussing next steps.

CCND1/BCL1 Test: Booking, Price, and Results

Price
4,800.00
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