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FISH test for T-cell receptor gene rearrangements linked to T-cell cancers

T-Cell Receptor Gene Rearrangement FISH Test

FISH, T-cell Receptor alpha/delta, 14q11.2

  • Detect T-cell gene rearrangement changes
  • Screen for suspected T-cell cancers
  • Assess lymph node abnormality causes
$1920
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First results as soon as overnight*

All results normal? Get your money back. First-time customers only. File a support ticket titled “Money Back Guarantee” with your order number within 15 days of receiving your results. STD, Sickle Cell, and gift orders aren’t eligible. Full terms apply. guarantee
No questions asked refunds
LegitScript certified

Prescription & all lab fees included

Go directly to the lab, no extra fees

Doctor's guidance included

Easy to understand results

Fast & convenient

Lab visit as quick as 10 mins in & out

  • Many results come back overnight *
  • 90-day money back guarantee
  • Save time & skip the doctor’s office
  • Lab visit as quick as 10 minutes
  • Results explained, with clear next steps
  • LegitScript certified
  • No questions asked refunds
  • The price you see is the price you pay

Prescription & all lab fees included

Go directly to the lab, no extra fees

Doctor's guidance included

Easy to understand results

Fast & convenient

Lab visit as quick as 10 mins in & out

All results normal? Get your money back. First-time customers only. File a support ticket titled “Money Back Guarantee” with your order number within 15 days of receiving your results. STD, Sickle Cell, and gift orders aren’t eligible. Full terms apply. guarantee
No questions asked refunds
LegitScript certified

What's this test for?

This test is ideal if you're being evaluated for a T-cell blood cancer, such as T-cell lymphoma or leukemia, and your lab work needs a more detailed genetic look. It checks for specific rearrangements in the T-cell receptor alpha/delta gene region that are linked to how certain T-cells grow abnormally. This kind of testing is typically ordered as a follow-up to other blood work or a biopsy, not as a first-line screening test.

What's included in this test?

This test uses a technique called FISH (fluorescence in situ hybridization) to look specifically at the TRA/D gene region on chromosome 14. It matters because many rearrangements in this region are invisible to standard chromosome tests and can only be picked up with this more sensitive method, helping identify certain T-cell abnormalities that routine bloodwork could miss.

What happens after I get my results?

Your results will show up in your account along with an explanation of what a positive or negative finding means for this specific gene region. Because this is a specialized genetic test, next steps usually involve sharing the report with the specialist managing your care so it can be considered alongside your other test results and symptoms. The standard lab report can be downloaded directly from your account at any time. If you have follow-up testing down the road, you can track results over time using the trends feature.

How can I naturally support my immune and lymphatic health?
While this test result itself isn't something you can change through lifestyle, supporting your overall immune system is always a good idea. Eating a balanced diet rich in fruits, vegetables, and lean protein, staying physically active, getting enough sleep, and managing stress all help your body function at its best. Avoiding smoking and limiting alcohol can also support healthy cell function over time.
When will I get my results?
Results for this test are typically available within about 7 days after your sample is processed at the lab. This is a specialized genetic test, so it takes longer than routine bloodwork because of the detailed analysis involved. You'll be notified as soon as your results are ready to view in your account.
Who should consider this test?
This test is generally considered for people who already have signs of a T-cell disorder, such as abnormal results on a complete blood count, unexplained swollen lymph nodes, or a suspicious biopsy finding. It's most useful as a follow-up test rather than something ordered on its own. If a specialist has recommended genetic testing to better understand a suspected blood or lymph condition, this test may be relevant.
What symptoms might lead someone to need this test?
People are often referred for this kind of testing when they have symptoms like persistent swollen lymph nodes, unexplained fatigue, unexplained weight loss, night sweats, or skin changes that don't resolve. Abnormal results on a routine blood count, such as unusual white blood cell counts, can also prompt this more detailed genetic workup. These symptoms alone don't confirm anything serious, but they're often the reason this type of test gets ordered.
What does a positive result mean?
A positive result means a rearrangement was found in the TRA/D gene region, which can be associated with certain T-cell cancers like T-cell lymphoma or leukemia. This finding is usually interpreted together with your symptoms, blood counts, and any biopsy results rather than on its own. It's an important piece of information but not a standalone diagnosis.
What does a negative result mean?
A negative result means no rearrangement was detected in this particular gene region, which is a reassuring finding for this specific abnormality. However, it doesn't rule out all forms of T-cell disorders, since other genetic changes elsewhere may still be present. Your overall symptoms and other test results still matter for the full picture.
How often should I retest?
This isn't a routine test you'd repeat on a regular schedule like a cholesterol check. Retesting is generally only recommended if there's a new clinical concern, a change in symptoms, or if it's being used to monitor a known condition over time. Following the specific guidance tied to your individual situation is the best approach.
How’s this work?
Getting your blood test with us is easy, private & backed by the power of science.

Long story short:
  1. In the test options, use the filters or search box to narrow your choices and find the test you want.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. You’ll get your results via email & SMS and dive into understanding your body better. Yup, that easy!
  8. If you have any questions, please text us at 754-799-7833 or email [email protected] 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 [email protected], and we'll gladly help you. We've got your back and reply quickly.
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 [email protected]. 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 [email protected].
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 [email protected].

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 [email protected] and we'll gladly help you.

Here’s why 1,000,000+ customers chose us for affordable hassle-free private blood testing.

You get clinical lab reports & simplified health insights.
Save time & gas, go straight to the lab. Our doctors cover the rest.
Results start landing the next day after your lab visit.*
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US-licensed doctors have your back if things get unclear.
No hidden fees, nice discounts for regular checkups.
Save a trip to the doctor, go directly to the lab
Get lab order in minutes, results come overnight*
Results explained in simple language
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Fast & confidential, we never sell or share your data
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Demo results
TRA/D (T-cell Receptor alpha/delta) Gene Rearrangement Negative
Demo results
Negative Positive
Negative

What this means

A negative result means no rearrangement was detected in the TRA/D gene region tested. This is a reassuring finding for this specific genetic change, though it doesn't rule out other causes of abnormal blood counts or symptoms.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More advanced tests may take longer due to complexity.
Here’s how easy it is to get blood work done on your terms
Choose a checkup
Order your test Save a trip to the doctor. Your results will come with clear, friendly explanations. Takes 2 minutes
Book a lab
Book an appointment Visit any of our 4,000 nearby lab locations to have your samples collected. Book or walk-in
Choose a checkup
Get results Receive a clear, easy-to-digest health report by email & SMS within a few business days. Get answers, fast

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Search Quest Diagnostics and LabCorp locations available through Private MD Labs.

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T-Cell Receptor Gene Rearrangement FISH Test

  • Detect T-cell gene rearrangement changes
  • Screen for suspected T-cell cancers
  • Assess lymph node abnormality causes
$1920
Still got questions? Text our super-cool support team at 754-799-7833 to get help finding your ideal checkup.
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For informational purposes only. Not medical advice.