Patient Preparation

No special patient preparation is necessary

Collect

Five to ten µM sections of tumor-containing tissue placed in a sterile container (>10% tumor content).
If tumor enrichment is required (tissue containing <10% tumor), tissue sections are placed on slides for macrodissection.
One accompanying H&E slide cut after all sections for extraction have been cut.

Unacceptable Conditions

Specimens fixed/processed in alternative fixatives (alcohol, Prefer) or heavy metal fixatives. Tissue containing no tumor.

Storage/Transport Temperature

Room temperature. Ship in cooled container during summer months.

Stability (from collection to initiation)

Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable

Remarks

Include surgical pathology report.

Cerner Orderable(s)

Lung Tumor Panel (NGS) Request

Performed

BayCare Laboratories, LLC (Esoteric) - Weekly

Ordering Recommendations

Aid in therapeutic decisions for lung cancer. The test detects single nucleotide changes and small insertions and deletions.

Methodology

Next generation sequencing (NGS) was performed on the Illumina MiSeq platform to identify alterations within the following gene regions based on Genbank accession numbers, version hg19 (GrCH37):  BRAF (NM_004333), exon 15; EGFR (NM_005228), exons 18 - 21; ERBB2 (NM_004448), exon 20; KRAS (NM_033360), exons 2 – 4.  This NGS method detects single nucleotide changes as well as small insertions and deletions.  This assay does not detect chromosomal rearrangements or gene amplifications, and it does not differentiate somatic versus germline mutations.  The limit of detection is 5% mutant allele frequency with a minimum coverage of 500 fold. This test was developed and performed and its performance characteristics determined by the BayCare Molecular Laboratory located at 5455 W Waters Ave, Suite 208, Tampa FL 33634. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary.  This test is used for clinical purposes.  It should not be regarded as investigational or for research.  This laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA-88) as qualified to perform high complexity clinical laboratory testing.

Reported

TAT:  10 - 14 days

Synonyms

  • Solid Tumor Next Gen sequencing

Reference Interval

No mutations detected

Interpretive Data

See interpretation section of the report.

CPT Codes

81210, 81235, 81275, 81276, 81479
Collection

Patient Preparation

No special patient preparation is necessary

Collect

Five to ten µM sections of tumor-containing tissue placed in a sterile container (>10% tumor content).
If tumor enrichment is required (tissue containing <10% tumor), tissue sections are placed on slides for macrodissection.
One accompanying H&E slide cut after all sections for extraction have been cut.

Unacceptable Conditions

Specimens fixed/processed in alternative fixatives (alcohol, Prefer) or heavy metal fixatives. Tissue containing no tumor.

Storage/Transport Temperature

Room temperature. Ship in cooled container during summer months.

Stability (from collection to initiation)

Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable

Remarks

Include surgical pathology report.
Ordering

Cerner Orderable(s)

Lung Tumor Panel (NGS) Request

Performed

BayCare Laboratories, LLC (Esoteric) - Weekly

Ordering Recommendations

Aid in therapeutic decisions for lung cancer. The test detects single nucleotide changes and small insertions and deletions.

Methodology

Next generation sequencing (NGS) was performed on the Illumina MiSeq platform to identify alterations within the following gene regions based on Genbank accession numbers, version hg19 (GrCH37):  BRAF (NM_004333), exon 15; EGFR (NM_005228), exons 18 - 21; ERBB2 (NM_004448), exon 20; KRAS (NM_033360), exons 2 – 4.  This NGS method detects single nucleotide changes as well as small insertions and deletions.  This assay does not detect chromosomal rearrangements or gene amplifications, and it does not differentiate somatic versus germline mutations.  The limit of detection is 5% mutant allele frequency with a minimum coverage of 500 fold. This test was developed and performed and its performance characteristics determined by the BayCare Molecular Laboratory located at 5455 W Waters Ave, Suite 208, Tampa FL 33634. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary.  This test is used for clinical purposes.  It should not be regarded as investigational or for research.  This laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA-88) as qualified to perform high complexity clinical laboratory testing.

Reported

TAT:  10 - 14 days

Synonyms

  • Solid Tumor Next Gen sequencing
Result Interpretation

Reference Interval

No mutations detected

Interpretive Data

See interpretation section of the report.
Administrative

CPT Codes

81210, 81235, 81275, 81276, 81479