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PCR Testing Question

PCR Lab tests

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#1 Lisa Lisa

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Posted 29 March 2016 - 05:38 PM

This question is related to the PCR Lab Test. 

 

I went for my PCR test this morning. The lab at Sloan had a problem with my test of March 15.  I went to have it redone today, and I always ask them what test they are running to be sure it is the correct one.  I asked today and the tech said PCR, but the test tube top was clear.  I thought it should have been lavender/purple and I said this to him.  He said he was indeed testing the PCR.  

 

Me, being my usual worrying self, wanted a second opinion. I thought I read somewhere Trey had said lavender/purple is for PCR.

Trey, can you, or anyone in our forum answer this q for me?

 

Thanks

Lisa 


Dx 2/2015 BCR-ABL1 (p210) 85.2% (IS) 3/15

     22%  5/15     0.13% 6/15   PCRU attained 9/15

Initial dose Sprycel 100 mg 3/15  Lowered 80 mg 5/15   Lowered 50 mg 1/16

Note: dose lowered bc of side effects - not bc onc wanted to reduce dosage

Sprycel: Currently 50 mg per day - taken 10 pm

 


#2 Trey

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Posted 29 March 2016 - 08:05 PM

You remember correctly.  Lavender (purple) is normal, and yellow is acceptable.  There should not be a clear top tube since that is not a color. 

 

Which of these tubes was it:

http://www.bd.com/va...uide_VS5229.pdf

 

You are a good student, but a clarification is needed.  We should not simply ask for "PCR" but for "BCR-ABL PCR".  Several types of PCR exist for a variety of blood diseases.


Edited by Trey, 29 March 2016 - 08:07 PM.


#3 hannibellemo

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Posted 31 March 2016 - 05:43 PM

Trey,

 

The chart is confusing because it says a white top is used for PCR testing, too.


Pat

 

"You can't change the direction of the wind but you can adjust your sails."

DX 12/08; Gleevec 400mg; liver toxicity; Sprycel 100mg.; CCyR 4/10; MMR 8/10; Pleural Effusion 2/12; Sprycel 50mg. Maintaining MMR; 2/15 PCRU; 8/16 drifting in and out of undetected like a wave meeting the shore. Retired 12/23/2016! 18 months of PCRU, most recent at Mayo on 7/25/17 was negative at their new sensitivity reporting of 0.003.<p>


#4 gerry

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Posted 31 March 2016 - 07:31 PM


PCR mentioned there is for polymerase chain reaction. Probably why the blood collection agency I go to look at me strangely when I say PCR, I have to say BCR-ABL to them when they can't read my doc's writing on the request form. :-)

#5 Trey

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Posted 31 March 2016 - 08:01 PM

White top tube is used for PCR for HIV, Hepatitis-C, Cytomegalovirus, and other blood diseases.  I have never heard of white top tube being acceptable for BCR-ABL PCR. 



#6 Lisa Lisa

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Posted 31 March 2016 - 08:05 PM

I guess they did use a white top, not clear as I told Trey. In my original post.
This test tube was only for PCR, they weren't going to use it for CBC or CMP. They were retesting because there was a lab error two weeks ago, so I got the results of my other labs minus the PCR.
All I know is every time they do the PCR-or should I say the BCR ABL it is with a lavender top I always make sure. Thats why I panicked seeing white (clear). I dont know why it wasn't lavender
Even the tech said it was for PCR.

Dx 2/2015 BCR-ABL1 (p210) 85.2% (IS) 3/15

     22%  5/15     0.13% 6/15   PCRU attained 9/15

Initial dose Sprycel 100 mg 3/15  Lowered 80 mg 5/15   Lowered 50 mg 1/16

Note: dose lowered bc of side effects - not bc onc wanted to reduce dosage

Sprycel: Currently 50 mg per day - taken 10 pm

 


#7 Trey

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Posted 31 March 2016 - 08:13 PM

I would ask the Onc to confirm that white top tube is acceptable to the Sloan lab.  I would doubt it.  I have never seen a lab accept white top tube for BCR-ABL PCR.  The phlebotomist may have seen "PCR" and jumped to the conclusion (wrongly) that all PCRs are the same.  They are not.  You are not being tested for HIV, so white top is probably not appropriate.  Lavender or yellow are standard.  Each tube has different preservatives and mixing agents.



#8 Buzzm1

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Posted 31 March 2016 - 10:10 PM

Dx 2/2015 BCR-ABL1 (p210) 85.2% (IS) 3/15

     22%  5/15     0.13% 6/15   PCRU attained 9/15

Initial dose Sprycel 100 mg 3/15  Lowered 80 mg 5/15   Lowered 50 mg 1/16

Note: dose lowered bc of side effects - not bc onc wanted to reduce dosage

 

Sprycel: Currently 50 mg per day - taken 10 pm

Great quick response Lisa Lisa!! ... 


For the benefit of yourself and others please add your CML history into your Signature

 

02/2010 Gleevec 400mg

2011 Two weakly positives, PCRU, weakly positive

2012 PCRU, PCRU, PCRU, PCRU

2013 PCRU, PCRU, PCRU, weakly positive

2014 PCRU, PCRU, PCRU, PCRU (12/07 began dose reduction w/each continuing PCRU)

2015 300, 250, 200, 150

2016 100, 50/100, 100, 10/17 TFR

2017 01/17 TFR, 04/18 TFR, 07/18 TFR 0.0012, 08/29 TFR 0.001, 10/17 TFR 0.000

2018 01/16 TFR 0.0004 ... next quarterly PCR 04/17

 

At the earliest opportunity, and whenever possible, lower your TKI dosage; TKIs are toxic drugs and the less we take longterm the better off we are going to be ... this is especially true for older adults.  

 

In hindsight I should have started my dosage reduction two years earlier; it might have helped minimize some of the longterm cumulative toxic effects of TKIs that I am beset with.  

 

longterm side-effects Peripheral Artery Disease - legs (it's a bitch); continuing shoulder problems, right elbow inflammation.   GFR and creatinine vastly improved after stopping Gleevec.

 

Cumulative Gleevec dosage estimated at 830 grams

 

Taking Gleevec 400mg an hour after my largest meal of the day helped eliminate the nausea that Gleevec is notorious for.  

 

Trey's CML BlogStopping - The OddsStop Studies - Discussion Forum Cessation Study

Big PhRMA - Medicare Status - Social Security Status - Deficit/Debt


#9 CallMeLucky

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Posted 31 March 2016 - 10:50 PM

When I was at Sloan they always used lavender top tubes. If they are using white now that is a change.
Date  -  Lab  -  Scale  -  Drug  -  Dosage MG  - PCR
2010/Jul -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 1.2%
2010/Oct -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.25%
2010/Dec -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.367%
2011/Mar -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.0081%
2011/Jun -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2011/Sep -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.00084%
2011/Dec -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Mar -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.004%
2012/Jun -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Sep -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Dec -  MSKCC  -  Non-IS  -  Sprycel  - 100 - 0%
2013/Jan -  Quest  -  IS  -  Sprycel  -  50-60-70  - 0%
2013/Mar -  Quest  -  IS  -  Sprycel  -  60-70  - 0%
2013/Apr -  CUMC  -  Non-IS  -  Sprycel  - 50 - 0.036%
2013/May -  CUMC  -  Non-IS  -  Sprycel  - 50 - 0.046%
2013/Jun -  Genoptix  -  IS  -  Sprycel  - 50 - 0.0239%
2013/Jul -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0192%
2013/Jul -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0034%
2013/Oct -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0054%
2014/Jan -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0093%
2014/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0.013%
2014/Apr -  Genoptix  -  IS  -  Sprycel  - 100 - 0.0048%
2014/Jul -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2014/Nov -  Genoptix  -  IS  -  Sprycel  - 100 - 0.047%
2014/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0.0228%
2016/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Dec - Genoptix  -  IS  -  Sprycel  -  100 - 0%
 

 


#10 Lisa Lisa

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Posted 01 April 2016 - 06:27 AM

Call me Lucky and Trey,
I agree. Sloan has always drawn it using the lavender. Thats why I questioned the draw. I thoight this was wrong to use a different color. I've googled and searched multiple times and only lavender comes up. Guess Ill be retaking or have to wait another three months for the real deal.

Dx 2/2015 BCR-ABL1 (p210) 85.2% (IS) 3/15

     22%  5/15     0.13% 6/15   PCRU attained 9/15

Initial dose Sprycel 100 mg 3/15  Lowered 80 mg 5/15   Lowered 50 mg 1/16

Note: dose lowered bc of side effects - not bc onc wanted to reduce dosage

Sprycel: Currently 50 mg per day - taken 10 pm

 






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