What's this test for?

This test is ideal if you've been diagnosed with plasma cell myeloma (multiple myeloma) and need more information about how your specific case may behave. It looks for a chromosome change called t(4;14) that helps show how the disease might progress and which treatment approaches may work best. This test is typically used alongside other bone marrow test results to guide your care planning.

What's included in this test?

This test looks specifically for the FGFR3/IGH gene translocation, known as t(4;14), in myeloma cells. This genetic change matters because it's linked to how aggressively the disease may behave and can influence which treatment strategies are considered most effective.

What happens after I get my results?

Your results will be available in your account, showing whether the t(4;14) translocation was detected along with an explanation of what that finding means. Because this is a specialized genetic marker test, next steps usually involve discussing the finding with your care team as part of your broader myeloma treatment plan rather than routine lifestyle changes. A standard lab report is downloadable from your account for your records or to share as needed. You can also track this and other related results over time using the trends feature.

How can I naturally support my body during myeloma care?

While no lifestyle change can replace targeted treatment for a genetic marker like t(4;14), supporting your overall health can help you feel better day to day. Eating a balanced diet rich in protein and vegetables, staying hydrated, getting light physical activity as tolerated, and prioritizing sleep can support your immune system and energy levels. Reducing stress through relaxation techniques and staying connected with supportive people can also help you cope with treatment. Always pair these habits with the specific guidance you receive for your treatment plan.

When will I get my results?

Results for this specialized genetic test are typically available within about 7 days of your sample being processed at the lab. This turnaround time allows for the detailed genetic analysis needed to detect the t(4;14) translocation accurately. You'll receive a notification once your results are ready to view in your account.

Who should consider this test?

This test is most relevant for people who have already been diagnosed with plasma cell myeloma or a related plasma cell disorder. It's often ordered as part of a broader panel of genetic tests used to better understand an individual case of myeloma. If you've recently received a myeloma diagnosis, this type of testing can add valuable detail to your overall picture.

What is the t(4;14) translocation and why does it matter?

The t(4;14) translocation is a swap of genetic material between chromosome 4 and chromosome 14 that occurs in some myeloma cells. It's considered one of the more significant genetic changes in myeloma because it's associated with a different disease course than cases without this change. Knowing whether you have this marker helps put your specific diagnosis into a clearer context.

What does a positive result for t(4;14) mean?

A positive result means the FGFR3/IGH translocation was found in the tested cells, which is considered a higher-risk genetic feature in myeloma. This doesn't predict an exact outcome for any one person, but it does give useful information that can shape how your case is approached. It's one piece of a larger puzzle that includes your symptoms, other lab results, and overall health.

How often should I retest for this marker?

This translocation test is usually done once at diagnosis rather than on a repeating schedule, since it reflects a fixed genetic feature of the myeloma cells. Retesting might be considered if there's a significant change in your disease or if a new bone marrow sample is being evaluated for other reasons. Your overall myeloma monitoring will likely include other tests on a more frequent basis.

What should I do if my results show this genetic change?

If your results show the t(4;14) translocation, the most important step is to share the full report with your care team so it can be factored into your treatment planning. Keep a copy of your downloadable lab report for your records and any future consultations. Staying on top of your overall health with good nutrition, rest, and follow-up testing can also support your treatment journey. If you experience new or worsening symptoms, seek medical care promptly.

Getting your blood test with us is easy, private & backed by the power of science.Long story short: In the test options, use the filters or search box to narrow your choices and find the test you want. If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test. Once your order is placed, we’ll create your doctor’s lab order remotely, without any need for you to make a trip to a doctor in person or to talk to the doctor. Expect to receive your doctor’s lab order right in your inbox. It will also be in your patient portal if you need to find it later. We’ll also include instructions regarding fasting and other requirements for your test. Your patient portal will be auto-created hassle-free during checkout. If this is your first time ordering, you'll be prompted to create a password for instant login access to your patient portal. It's a quick way to conveniently access your orders and results whenever you want. When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system. Note that most lab locations don’t accept walk-ins, so it’s best to book an appointment in advance. Don’t worry – we’ll provide detailed instructions along the way. You’ll get your results via email & SMS and dive into understanding your body better. Yup, that easy! If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com and we'll gladly help you.

How do I know which test to get?

In the test options, find the test you want. If you’re not sure which test to get, we can lend a hand in finding the right option. Just text or call us at 754-799-7833, email us at support@privatemdlabs.com, and we'll gladly help you. We've got your back and reply quickly.

When will my lab results be available?

Most test results will be available within 1–3 business days. Once they're ready, we'll send an email and text message to let you know. After your blood draw, just hang tight and don't worry – we'll keep you updated and in the loop! If you have any further questions, please text us at 754-799-7833 or email support@privatemdlabs.com, and we'll gladly help you.

Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?

Absolutely! We totally understand that errors can happen. No worries, we're here to help you. Just reach out to us via text at 754-799-7833 or shoot us an email at support@privatemdlabs.com. Remember to include your order number and let us know the correct information you’d like to update. Our awesome team will jump right in and make sure everything is sorted out and accurate for you. There are no changes necessary if your address is wrong on the requisition though. We don’t mail anything out. Our lab requires an address to be listed to generate an order.

Do you accept health insurance?

Only HSA & FSA is accepted. Our services are strictly self-pay and cannot be submitted to your health insurance provider except for Health Savings Accounts or Flexible Savings Accounts. This policy applies to all insurance companies, including federal health insurance programs like Medicare. If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com.

Can I cancel my order?

Yes. We get it – sometimes your needs change. As long as your samples haven’t been collected yet, we’re happy to help you cancel your order. If you have any further questions, please text us at 754-799-7833 or email support@privatemdlabs.com. You can read more about our cancellation policy here.

How can I find a lab location near me?

During the ordering process, you’ll be able to select a specific lab near you, with no strings attached! You can switch it up later easily and visit any of our authorized locations as long as it’s the same lab company you selected your test for (Quest Diagnostics or Labcorp). Before you proceed with your order, feel free to browse through all our lab locations here. This will give you the peace of mind of knowing that there's a lab nearby your home, office or your favorite gym. If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com and we'll gladly help you.

Myeloma FISH Test - t(4;14) Genetic Marker Panel

Getting your blood test with us is easy, private & backed by the power of science.

Long story short:

In the test options, use the filters or search box to narrow your choices and find the test you want.
If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test.
Once your order is placed, we’ll create your doctor’s lab order remotely, without any need for you to make a trip to a doctor in person or to talk to the doctor. Expect to receive your doctor’s lab order right in your inbox. It will also be in your patient portal if you need to find it later. We’ll also include instructions regarding fasting and other requirements for your test. Your patient portal will be auto-created hassle-free during checkout.
If this is your first time ordering, you'll be prompted to create a password for instant login access to your patient portal. It's a quick way to conveniently access your orders and results whenever you want.
When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system.
Note that most lab locations don’t accept walk-ins, so it’s best to book an appointment in advance. Don’t worry – we’ll provide detailed instructions along the way.
You’ll get your results via email & SMS and dive into understanding your body better. Yup, that easy!

754-799-7833

[email protected]