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FISH for Ewing's Sarcoma (EWSR1 gene)

FISH for Ewing's Sarcoma (EWSR1 gene)

Ewing’s Sarcoma is a rare type of cancer that primarily affects the bone or soft tissue. It’s most common in teenagers and young adults but can occur at any age. Ewing’s Sarcoma is characterized by the presence of specific genetic changes, particularly in the EWSR1 gene. The FISH (Fluorescence In Situ Hybridization) test for Ewing's Sarcoma is a diagnostic test that helps in detecting the rearrangements in the EWSR1 gene. This is particularly important in diagnosing, prognostication, and management of Ewing's Sarcoma.

The EWSR1 gene is involved in encoding a protein that is believed to play a role in various cellular processes. The rearrangements of this gene are common in Ewing’s Sarcoma and related tumors, leading to the formation of abnormal proteins that contribute to cancer development. The FISH test uses fluorescent probes to visualize and analyze the EWSR1 gene rearrangements in tissue samples.


  • Test NameFISH for Ewing's Sarcoma (EWSR1 gene)
  • Sample TypeParaffin embedded tissue blocks
  • Preparations RequiredNo special preparation is needed for this test. It is a standard tissue biopsy procedure.
  • Report Time10 days

What is Ewing's Sarcoma?

Ewing's Sarcoma is a rare type of cancer that primarily affects bones or the soft tissue around bones. It is more common in teenagers and young adults but can occur at any age.

What is the role of the EWSR1 gene in Ewing's Sarcoma?

The EWSR1 gene is involved in encoding a protein that plays a role in various cellular processes. In Ewing's Sarcoma, this gene undergoes rearrangement, which leads to the formation of abnormal proteins that contribute to the development of cancer.

Home Sample Collection Process

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Sample Collection by Phlebotomist
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Reporting of the sample at lab
Reporting of the sample at lab
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Frequently Asked Questions

FISH for Ewing's Sarcoma is a diagnostic test that uses fluorescent probes to detect and analyze the rearrangements in the EWSR1 gene. This test is critical in confirming the diagnosis of Ewing's Sarcoma.

The test is performed on a tissue sample, usually obtained through a biopsy. The tissue is treated with fluorescent probes that bind specifically to the EWSR1 gene, and the sample is then analyzed under a microscope.

The FISH test is vital for confirming the diagnosis of Ewing's Sarcoma, as the presence of EWSR1 gene rearrangements is a characteristic feature of this cancer. Additionally, this information can help in guiding treatment decisions and prognostication.

A positive EWSR1 rearrangement result indicates the presence of Ewing's Sarcoma or a related tumor. It is critical for a patient to consult an oncologist for further evaluation and management.

The result of the FISH test can help in selecting specific therapies that target the genetic abnormalities in Ewing's Sarcoma. It is essential in personalized cancer treatment planning.

There are minimal risks associated with the FISH test itself. However, obtaining a tissue sample through a biopsy procedure may have risks, including infection, bleeding, or pain at the biopsy site.

Yes, EWSR1 gene rearrangements can occur in other tumors as well. However, it is most characteristically associated with Ewing’s Sarcoma and related tumors.

Treatment options for Ewing's Sarcoma include surgery, chemotherapy, radiation therapy, and targeted therapies that specifically address the genetic abnormalities in the cancer cells.

The prognosis for Ewing's Sarcoma varies depending on various factors, including the stage of the disease, the age of the patient, and the location of the tumor. Early detection and aggressive treatment can lead to better outcomes.

There is no established screening protocol for Ewing's Sarcoma. Individuals with a family history should consult a doctor for personalized advice on monitoring and risk reduction.

There is no clear evidence that lifestyle or environmental factors cause EWSR1 gene rearrangements. These rearrangements are thought to be random events.

The FISH test for Ewing's Sarcoma is typically done on tissue samples. It is not usually performed on blood samples.

In case of abnormal EWSR1 rearrangement results, it is essential to consult an oncologist specializing in bone and soft tissue tumors for further evaluation and treatment.

The importance of the EWSR1 gene in the diagnosis and management of Ewing's Sarcoma, patients and their families can be better equipped to understand and navigate the challenges of this disease. The FISH test is a crucial tool in this process, aiding in the confirmation of diagnosis and informing treatment decisions. If you or someone you know is facing a diagnosis of Ewing's Sarcoma, it is imperative to work closely with an oncologist for the best possible care and outcomes.

FISH for Ewing's Sarcoma (EWSR1 gene)
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