Services

 
   

Chromosomal Diagnosis

 

Chromosomal abnormalities are major cause of human suffering, which are implicated in mental retardation, congenital malformations, dysmorphic features, primary and secondary amenorrhea, reproductive wastage, infertility neoplastic diseases. Cytogenetic evaluation of patients is helpful in the counselling and management of affected individuals and families. Prenatal diagnosis of chromosomal abnormalities in high-risk pregnancies helps in detecting chromosomally abnormal foetuses. Such couples are counselled regarding continuation of pregnancy. 

 

Our state-of-the-art laboratory offers cytogenetic services in a variety of samples with the application of differential chromosome banding techniques and automated image analysis system for karyotyping, FISH (fluorescence in situ hybridization) as well as Molecular Genetic tests like PCR (Polymerase Chain Reaction) for Y chromosome microdeletions.

 

Indications     
  1. Dysmorphic features/Congenital malformations

  2. Syndromic and non-syndromic birth defects

  3. Trisomy/monosomy syndromes (eg. Down syndrome, Edwards syndrome, Patau syndrome, Klinefelter syndrome, Turner syndrome)

  4. Delayed developmental milestones/growth retardation

  5. Overgrowth syndromes

  6. Abnormal developmental of the genitalia/ambiguous genitalia

  7. Delayed puberty/lack or late onset of secondary sexual characters

  8. Infertility

  9. Mental retardation

  10. Recurrent abortions

  11. Primary amenorrhoea

  12. Poor gonadal development/atropic gonads

  13. Premature menopause/premature ovarian failure

  14. Chromosome instability syndromes

  15. Contiguous gene syndromes

  • Prader-Willi/Angelman syndrome

  • Williams syndrome

  • DiGeorge syndrome

  1. Haematological malignancies

  2. Solid tumors

  3. Prenatal testing in case where there is

  • Prior affected child

  • Maternal age factor

  • Change in routine ultrasound pattern

Nature of sample and requirements     

From peripheral blood

2-3 ml heparinised blood (green cap vacutainers)

From bone/marrow leukemic blood

2-3 ml heparinised bone marrow/peripheral blood (peripheral blood is desirable only if blast cells are present) 

From prenatal samples

Products of conception
Properly washed in normal saline
Amniotic fluid 
15-20 ml amniotic fluid in sterile centrifuge tubes 
Fetal cord blood 
1-2 ml heparinised fetal cord blood 

Fetal tissue sampling should be done under sterile conditions and samples should be transported in sterile tissue culture media. CYTOGENETIC ANALYSIS IS NOT POSSIBLE IN FORMALIN FIXED SAMPLES. 

 

Chromosome diagnostic services- charges    
 

Cost of chromosome-based diagnostic services/sample

Peripheral blood

:

Rs 2,210/-

Fetal cord blood

:

Rs 3,310/-

Other prenatal samples

:

Rs 6,620/-

Fluorescence based chromosome analysis

  • Conventional probes 
    (whole chromosome paint)
: Rs 7,170/-
  • Locus Specific Probes 
: *Approximately Rs 7,000/-
  • Multicolor, aneuvysion, etc
: Rs 16,660/-
Y chromosome microdeletion analysis 
(AZFa, AZFb and AZFc)
: Rs 4,420/- 
Y chromosome microdeletion analysis  
(AZFa, AZFb and AZFc) and karyotype
: Rs 6,630 

[*Charges of the tests for respective Locus Specific Probes vary according to the cost of the probes. Payment of Rs 7,000/- can be made initially and the balance amount for the specified test can be paid before the final chromosome analysis report is handed over to the patient]

Note: Charges of the tests would change accordingly with variation in the service tax.

 

Reporting time    
  • 2-3 weeks for blood samples.

  • 3-4 weeks for prenatal samples

 

Transport of referral samples     

The samples should reach us within 24-48 hrs in cold conditions (packed with ice or cool packs). Samples received within 24 hrs are good because the viability of the cells is lost when the sample is sent late which affects the quality of chromosomes. CYTOGENETIC ANALYSIS IS NOT POSSIBLE IN FROZEN SAMPLES. 

 

Contact details    

Dr Lakshmi Rao
Scientist 
Clinical Research Facility-Medical Biotechnology (CRF-MB)
Centre for Cellular and Molecular Biology (CCMB) Annex-II
Council of Scientific and Industrial Research (CSIR)
Uppal Road, Hyderabad 500 007. INDIA
Tel: CRF-MB: 00-91-40-27195 541 (Off) 00-91-40-27195 544 (Lab)
CCMB: 00-91-40-27192607/2657
Fax: 00-91-40-2716 0591, 2716 0311
Email: lakshmi@ccmb.res.in




 

 

 

 

 

 

 

 

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