Special Collection

At least 20% tumor must be present in the submitted sample (based on internal pathology review). Snap-frozen tissue is preferred.

Outpatient Submit with Specimen

Collect

Specimen Type Type of Container Volume of Specimen Status
Tissue (Snap-frozen) Tissue cassette 50 mg Preferred
Tissue (Snap-frozen) Cryogenic tube 50 mg Alternate
Bone marrow 6 mL Purple tube (EDTA) 3 mL-5 mL Preferred
OCT-embedded tissue Tissue cassette   Preferred
OCT-embedded tissue Cryogenic tube   Alternate
Paraffin embedded tissue Paraffin block   Preferred
Tissue (Fresh) Tissue culture transport media 50 mg Preferred
Tissue (Fresh) Sterile container with saline 50 mg Alternate
Tissue scrolls (FFPE) Sterile container   Preferred

Outpatient Specimen Preparation

Tissue (Snap-frozen): Freeze immediately after collection.
                                    Immediately place on dry ice and transport frozen
                                    Keep frozen
                                    Transport to laboratory as soon as possible

Bone marrow: Keep at room temperature or refrigerate
                       Do not freeze
                       Do not centrifuge

OCT-embedded tissue: Freeze immediately after collection.
                                      Keep frozen
                                      Immediately place on dry ice and transport frozen
                                      Protect from heat

Paraffin embedded tissue: Keep at room temperature
                                           Protect from heat

Tissue (Fresh): Keep at room temperature or refrigerate
                         Do not add fixative
                         Do not freeze
                         Transport to laboratory as soon as possible
                   
Tissue scrolls (FFPE): Must accompany H&E slide from adjacent section
                                    Keep at room temperature
                                    Protect from heat

Unacceptable Conditions

Inadequate tissue, Tissue degradation, Delayed or improper handling, Clotted EDTA, Insufficient tumor content in tumor sample

Stability

Tissue (Snap-frozen): Frozen 36 month(s)

Bone marrow: Room temperature 24 hour(s)
Bone marrow: Refrigerated 72 hour(s)

OCT-embedded tissue: Frozen 36 month(s)

Paraffin embedded tissue: Room temperature 6 month(s)

Tissue (Fresh): Room temperature 24 hour(s)
Tissue (Fresh): Refrigerated 72 hour(s)

Tissue (Snap-frozen): Frozen 36 month(s)

Tissue scrolls (FFPE): Room temperature 6 month(s)

Remarks

If you are an internal ordering provider with access to Nationwide Children’s Epic system, no requisition form is required; please place the lab order electronically in Epic. If you are an external healthcare provider with no access to Nationwide Children’s Epic system, submission of a completed Oncology Genetic Test Requisition Form is required. Please send all samples via overnight delivery. Saturday deliveries are accepted; please check Saturday Delivery on shipment label. For questions, please call (614) 722-5321.

If submitting tissue scroll specimen, please use this Tissue Scroll Calculator tool to determine the thickness and number of tissue scrolls to send to the laboratory.

A minimum of 20% tumor cellularity must be present in the submitted sample (based on internal pathology review) for accurate reporting of somatic variants. Testing will not be carried out on samples with <20% tumor.

For variants reported as pathogenic, likely pathogenic, or unknown significance, a germline sample (buccal swab or uninvolved peripheral blood sample) may be submitted (additional charges apply). Please contact the laboratory directly for information.

Clinical Information

This test includes targeted sequencing of the ALK, ATRX, BRAF, HRAS, KRAS, NRAS, PTPN11, and TP53 genes.

For variants reported as pathogenic, likely pathogenic, or unknown significance, a germline sample (buccal swab or uninvolved peripheral blood sample) may be submitted (additional charges apply). Please contact the laboratory directly for information.

Days Performed

Monday through Saturday

Set Up Schedule

All tests not performed daily.

Typical Turnaround

14 days

Lab Area

Institute for Genomic Medicine

Methodology

Next Generation Sequencing (NGS)

CPT Codes

81445, 81479

Synonyms

  • NBL, NBL Panel, ALK, ATRX, BRAF, HRAS, KRAS, NRAS, PTPN11, TP53, Neuroblastoma sequencing, IGM Test

Special Collection

At least 20% tumor must be present in the submitted sample (based on internal pathology review). Snap-frozen tissue is preferred.

Collect

Specimen Type Type of Container Volume of Specimen Status
Tissue (Snap-frozen) Tissue cassette 50 mg Preferred
Tissue (Snap-frozen) Cryogenic tube 50 mg Alternate
Bone marrow 6 mL Purple tube (EDTA) 3 mL-5 mL Preferred
OCT-embedded tissue Tissue cassette   Preferred
OCT-embedded tissue Cryogenic tube   Alternate
Paraffin embedded tissue Paraffin block   Preferred
Tissue (Fresh) Tissue culture transport media 50 mg Preferred
Tissue (Fresh) Sterile container with saline 50 mg Alternate
Tissue scrolls (FFPE) Sterile container   Preferred

Minimum Volume

Specimen Type Type of Container Minimum Volume
Tissue (Snap-frozen) Tissue cassette  
Tissue (Snap-frozen) Cryogenic tube  
Bone marrow 6 mL Purple tube (EDTA) 2 mL
OCT-embedded tissue Tissue cassette  
OCT-embedded tissue Cryogenic tube  
Paraffin embedded tissue Paraffin block  
Tissue (Fresh) Tissue culture transport media  
Tissue (Fresh) Sterile container with saline  
Tissue scrolls (FFPE) Sterile container  

Inpatient Specimen Preparation

Tissue (Snap-frozen): Freeze immediately after collection.
                                    Immediately place on dry ice and transport frozen
                                    Keep frozen
                                    Transport to laboratory as soon as possible

Bone marrow: Keep at room temperature or refrigerate
                       Do not freeze
                       Do not centrifuge

OCT-embedded tissue: Freeze immediately after collection.
                                      Keep frozen
                                      Immediately place on dry ice and transport frozen
                                      Protect from heat

Paraffin embedded tissue: Keep at room temperature
                                           Protect from heat

Tissue (Fresh): Keep at room temperature or refrigerate
                         Do not add fixative
                         Do not freeze
                         Transport to laboratory as soon as possible
                   
Tissue scrolls (FFPE): Must accompany H&E slide from adjacent section
                                    Keep at room temperature
                                    Protect from heat

Unacceptable Conditions

Inadequate tissue, Tissue degradation, Delayed or improper handling, Clotted EDTA, Insufficient tumor content in tumor sample

Stability

Tissue (Snap-frozen): Frozen 36 month(s)

Bone marrow: Room temperature 24 hour(s)
Bone marrow: Refrigerated 72 hour(s)

OCT-embedded tissue: Frozen 36 month(s)

Paraffin embedded tissue: Room temperature 6 month(s)

Tissue (Fresh): Room temperature 24 hour(s)
Tissue (Fresh): Refrigerated 72 hour(s)

Tissue (Snap-frozen): Frozen 36 month(s)

Tissue scrolls (FFPE): Room temperature 6 month(s)

Remarks

If you are an internal ordering provider with access to Nationwide Children’s Epic system, no requisition form is required; please place the lab order electronically in Epic. If you are an external healthcare provider with no access to Nationwide Children’s Epic system, submission of a completed Oncology Genetic Test Requisition Form is required. Please send all samples via overnight delivery. Saturday deliveries are accepted; please check Saturday Delivery on shipment label. For questions, please call (614) 722-5321.

If submitting tissue scroll specimen, please use this Tissue Scroll Calculator tool to determine the thickness and number of tissue scrolls to send to the laboratory.

A minimum of 20% tumor cellularity must be present in the submitted sample (based on internal pathology review) for accurate reporting of somatic variants. Testing will not be carried out on samples with <20% tumor.

For variants reported as pathogenic, likely pathogenic, or unknown significance, a germline sample (buccal swab or uninvolved peripheral blood sample) may be submitted (additional charges apply). Please contact the laboratory directly for information.

Clinical Information

This test includes targeted sequencing of the ALK, ATRX, BRAF, HRAS, KRAS, NRAS, PTPN11, and TP53 genes.

For variants reported as pathogenic, likely pathogenic, or unknown significance, a germline sample (buccal swab or uninvolved peripheral blood sample) may be submitted (additional charges apply). Please contact the laboratory directly for information.

Days Performed

Monday through Saturday

Set Up Schedule

All tests not performed daily.

Typical Turnaround

14 days

CPT Codes

81445, 81479

Lab Area

Institute for Genomic Medicine

Synonyms

  • NBL, NBL Panel, ALK, ATRX, BRAF, HRAS, KRAS, NRAS, PTPN11, TP53, Neuroblastoma sequencing, IGM Test

Estimated Patient Price

$1,000 - $2,500

Synonyms

  • NBL, NBL Panel, ALK, ATRX, BRAF, HRAS, KRAS, NRAS, PTPN11, TP53, Neuroblastoma sequencing, IGM Test

CPT Codes

81445, 81479

Clinical Information

This test includes targeted sequencing of the ALK, ATRX, BRAF, HRAS, KRAS, NRAS, PTPN11, and TP53 genes.

For variants reported as pathogenic, likely pathogenic, or unknown significance, a germline sample (buccal swab or uninvolved peripheral blood sample) may be submitted (additional charges apply). Please contact the laboratory directly for information.

Methodology

Next Generation Sequencing (NGS)

Special Collection

At least 20% tumor must be present in the submitted sample (based on internal pathology review). Snap-frozen tissue is preferred.

Outpatient Submit with Specimen

Collect

Specimen Type Type of Container Volume of Specimen Status
Tissue (Snap-frozen) Tissue cassette 50 mg Preferred
Tissue (Snap-frozen) Cryogenic tube 50 mg Alternate
Bone marrow 6 mL Purple tube (EDTA) 3 mL-5 mL Preferred
OCT-embedded tissue Tissue cassette   Preferred
OCT-embedded tissue Cryogenic tube   Alternate
Paraffin embedded tissue Paraffin block   Preferred
Tissue (Fresh) Tissue culture transport media 50 mg Preferred
Tissue (Fresh) Sterile container with saline 50 mg Alternate
Tissue scrolls (FFPE) Sterile container   Preferred

Minimum Volume

Specimen Type Type of Container Minimum Volume
Tissue (Snap-frozen) Tissue cassette  
Tissue (Snap-frozen) Cryogenic tube  
Bone marrow 6 mL Purple tube (EDTA) 2 mL
OCT-embedded tissue Tissue cassette  
OCT-embedded tissue Cryogenic tube  
Paraffin embedded tissue Paraffin block  
Tissue (Fresh) Tissue culture transport media  
Tissue (Fresh) Sterile container with saline  
Tissue scrolls (FFPE) Sterile container  

Inpatient Specimen Preparation

Tissue (Snap-frozen): Freeze immediately after collection.
                                    Immediately place on dry ice and transport frozen
                                    Keep frozen
                                    Transport to laboratory as soon as possible

Bone marrow: Keep at room temperature or refrigerate
                       Do not freeze
                       Do not centrifuge

OCT-embedded tissue: Freeze immediately after collection.
                                      Keep frozen
                                      Immediately place on dry ice and transport frozen
                                      Protect from heat

Paraffin embedded tissue: Keep at room temperature
                                           Protect from heat

Tissue (Fresh): Keep at room temperature or refrigerate
                         Do not add fixative
                         Do not freeze
                         Transport to laboratory as soon as possible
                   
Tissue scrolls (FFPE): Must accompany H&E slide from adjacent section
                                    Keep at room temperature
                                    Protect from heat

Outpatient Specimen Preparation

Tissue (Snap-frozen): Freeze immediately after collection.
                                    Immediately place on dry ice and transport frozen
                                    Keep frozen
                                    Transport to laboratory as soon as possible

Bone marrow: Keep at room temperature or refrigerate
                       Do not freeze
                       Do not centrifuge

OCT-embedded tissue: Freeze immediately after collection.
                                      Keep frozen
                                      Immediately place on dry ice and transport frozen
                                      Protect from heat

Paraffin embedded tissue: Keep at room temperature
                                           Protect from heat

Tissue (Fresh): Keep at room temperature or refrigerate
                         Do not add fixative
                         Do not freeze
                         Transport to laboratory as soon as possible
                   
Tissue scrolls (FFPE): Must accompany H&E slide from adjacent section
                                    Keep at room temperature
                                    Protect from heat

InLab Processing

Send to Molecular Genetics Lab ASAP with all submitted paperwork. For Non-EPIC lab orders, lab staff to order GENSP in Sunquest.

Stability

Tissue (Snap-frozen): Frozen 36 month(s)

Bone marrow: Room temperature 24 hour(s)
Bone marrow: Refrigerated 72 hour(s)

OCT-embedded tissue: Frozen 36 month(s)

Paraffin embedded tissue: Room temperature 6 month(s)

Tissue (Fresh): Room temperature 24 hour(s)
Tissue (Fresh): Refrigerated 72 hour(s)

Tissue (Snap-frozen): Frozen 36 month(s)

Tissue scrolls (FFPE): Room temperature 6 month(s)

Unacceptable Conditions

Inadequate tissue, Tissue degradation, Delayed or improper handling, Clotted EDTA, Insufficient tumor content in tumor sample

Days Performed

Monday through Saturday

Set Up Schedule

All tests not performed daily.

Typical Turnaround

14 days

Remarks

If you are an internal ordering provider with access to Nationwide Children’s Epic system, no requisition form is required; please place the lab order electronically in Epic. If you are an external healthcare provider with no access to Nationwide Children’s Epic system, submission of a completed Oncology Genetic Test Requisition Form is required. Please send all samples via overnight delivery. Saturday deliveries are accepted; please check Saturday Delivery on shipment label. For questions, please call (614) 722-5321.

If submitting tissue scroll specimen, please use this Tissue Scroll Calculator tool to determine the thickness and number of tissue scrolls to send to the laboratory.

A minimum of 20% tumor cellularity must be present in the submitted sample (based on internal pathology review) for accurate reporting of somatic variants. Testing will not be carried out on samples with <20% tumor.

For variants reported as pathogenic, likely pathogenic, or unknown significance, a germline sample (buccal swab or uninvolved peripheral blood sample) may be submitted (additional charges apply). Please contact the laboratory directly for information.

Clinical Information

This test includes targeted sequencing of the ALK, ATRX, BRAF, HRAS, KRAS, NRAS, PTPN11, and TP53 genes.

For variants reported as pathogenic, likely pathogenic, or unknown significance, a germline sample (buccal swab or uninvolved peripheral blood sample) may be submitted (additional charges apply). Please contact the laboratory directly for information.

Synonyms

  • NBL, NBL Panel, ALK, ATRX, BRAF, HRAS, KRAS, NRAS, PTPN11, TP53, Neuroblastoma sequencing, IGM Test

Methodology

Next Generation Sequencing (NGS)

CPT Codes

81445, 81479

Estimated Patient Price

$1,000 - $2,500

DC Code

5321

Downtime Availability

4-Not available
Outpatient Requirements

Special Collection

At least 20% tumor must be present in the submitted sample (based on internal pathology review). Snap-frozen tissue is preferred.

Outpatient Submit with Specimen

Collect

Specimen Type Type of Container Volume of Specimen Status
Tissue (Snap-frozen) Tissue cassette 50 mg Preferred
Tissue (Snap-frozen) Cryogenic tube 50 mg Alternate
Bone marrow 6 mL Purple tube (EDTA) 3 mL-5 mL Preferred
OCT-embedded tissue Tissue cassette   Preferred
OCT-embedded tissue Cryogenic tube   Alternate
Paraffin embedded tissue Paraffin block   Preferred
Tissue (Fresh) Tissue culture transport media 50 mg Preferred
Tissue (Fresh) Sterile container with saline 50 mg Alternate
Tissue scrolls (FFPE) Sterile container   Preferred

Outpatient Specimen Preparation

Tissue (Snap-frozen): Freeze immediately after collection.
                                    Immediately place on dry ice and transport frozen
                                    Keep frozen
                                    Transport to laboratory as soon as possible

Bone marrow: Keep at room temperature or refrigerate
                       Do not freeze
                       Do not centrifuge

OCT-embedded tissue: Freeze immediately after collection.
                                      Keep frozen
                                      Immediately place on dry ice and transport frozen
                                      Protect from heat

Paraffin embedded tissue: Keep at room temperature
                                           Protect from heat

Tissue (Fresh): Keep at room temperature or refrigerate
                         Do not add fixative
                         Do not freeze
                         Transport to laboratory as soon as possible
                   
Tissue scrolls (FFPE): Must accompany H&E slide from adjacent section
                                    Keep at room temperature
                                    Protect from heat

Unacceptable Conditions

Inadequate tissue, Tissue degradation, Delayed or improper handling, Clotted EDTA, Insufficient tumor content in tumor sample

Stability

Tissue (Snap-frozen): Frozen 36 month(s)

Bone marrow: Room temperature 24 hour(s)
Bone marrow: Refrigerated 72 hour(s)

OCT-embedded tissue: Frozen 36 month(s)

Paraffin embedded tissue: Room temperature 6 month(s)

Tissue (Fresh): Room temperature 24 hour(s)
Tissue (Fresh): Refrigerated 72 hour(s)

Tissue (Snap-frozen): Frozen 36 month(s)

Tissue scrolls (FFPE): Room temperature 6 month(s)

Remarks

If you are an internal ordering provider with access to Nationwide Children’s Epic system, no requisition form is required; please place the lab order electronically in Epic. If you are an external healthcare provider with no access to Nationwide Children’s Epic system, submission of a completed Oncology Genetic Test Requisition Form is required. Please send all samples via overnight delivery. Saturday deliveries are accepted; please check Saturday Delivery on shipment label. For questions, please call (614) 722-5321.

If submitting tissue scroll specimen, please use this Tissue Scroll Calculator tool to determine the thickness and number of tissue scrolls to send to the laboratory.

A minimum of 20% tumor cellularity must be present in the submitted sample (based on internal pathology review) for accurate reporting of somatic variants. Testing will not be carried out on samples with <20% tumor.

For variants reported as pathogenic, likely pathogenic, or unknown significance, a germline sample (buccal swab or uninvolved peripheral blood sample) may be submitted (additional charges apply). Please contact the laboratory directly for information.

Clinical Information

This test includes targeted sequencing of the ALK, ATRX, BRAF, HRAS, KRAS, NRAS, PTPN11, and TP53 genes.

For variants reported as pathogenic, likely pathogenic, or unknown significance, a germline sample (buccal swab or uninvolved peripheral blood sample) may be submitted (additional charges apply). Please contact the laboratory directly for information.

Days Performed

Monday through Saturday

Set Up Schedule

All tests not performed daily.

Typical Turnaround

14 days

Lab Area

Institute for Genomic Medicine

Methodology

Next Generation Sequencing (NGS)

CPT Codes

81445, 81479

Synonyms

  • NBL, NBL Panel, ALK, ATRX, BRAF, HRAS, KRAS, NRAS, PTPN11, TP53, Neuroblastoma sequencing, IGM Test
Inpatient Requirements

Special Collection

At least 20% tumor must be present in the submitted sample (based on internal pathology review). Snap-frozen tissue is preferred.

Collect

Specimen Type Type of Container Volume of Specimen Status
Tissue (Snap-frozen) Tissue cassette 50 mg Preferred
Tissue (Snap-frozen) Cryogenic tube 50 mg Alternate
Bone marrow 6 mL Purple tube (EDTA) 3 mL-5 mL Preferred
OCT-embedded tissue Tissue cassette   Preferred
OCT-embedded tissue Cryogenic tube   Alternate
Paraffin embedded tissue Paraffin block   Preferred
Tissue (Fresh) Tissue culture transport media 50 mg Preferred
Tissue (Fresh) Sterile container with saline 50 mg Alternate
Tissue scrolls (FFPE) Sterile container   Preferred

Minimum Volume

Specimen Type Type of Container Minimum Volume
Tissue (Snap-frozen) Tissue cassette  
Tissue (Snap-frozen) Cryogenic tube  
Bone marrow 6 mL Purple tube (EDTA) 2 mL
OCT-embedded tissue Tissue cassette  
OCT-embedded tissue Cryogenic tube  
Paraffin embedded tissue Paraffin block  
Tissue (Fresh) Tissue culture transport media  
Tissue (Fresh) Sterile container with saline  
Tissue scrolls (FFPE) Sterile container  

Inpatient Specimen Preparation

Tissue (Snap-frozen): Freeze immediately after collection.
                                    Immediately place on dry ice and transport frozen
                                    Keep frozen
                                    Transport to laboratory as soon as possible

Bone marrow: Keep at room temperature or refrigerate
                       Do not freeze
                       Do not centrifuge

OCT-embedded tissue: Freeze immediately after collection.
                                      Keep frozen
                                      Immediately place on dry ice and transport frozen
                                      Protect from heat

Paraffin embedded tissue: Keep at room temperature
                                           Protect from heat

Tissue (Fresh): Keep at room temperature or refrigerate
                         Do not add fixative
                         Do not freeze
                         Transport to laboratory as soon as possible
                   
Tissue scrolls (FFPE): Must accompany H&E slide from adjacent section
                                    Keep at room temperature
                                    Protect from heat

Unacceptable Conditions

Inadequate tissue, Tissue degradation, Delayed or improper handling, Clotted EDTA, Insufficient tumor content in tumor sample

Stability

Tissue (Snap-frozen): Frozen 36 month(s)

Bone marrow: Room temperature 24 hour(s)
Bone marrow: Refrigerated 72 hour(s)

OCT-embedded tissue: Frozen 36 month(s)

Paraffin embedded tissue: Room temperature 6 month(s)

Tissue (Fresh): Room temperature 24 hour(s)
Tissue (Fresh): Refrigerated 72 hour(s)

Tissue (Snap-frozen): Frozen 36 month(s)

Tissue scrolls (FFPE): Room temperature 6 month(s)

Remarks

If you are an internal ordering provider with access to Nationwide Children’s Epic system, no requisition form is required; please place the lab order electronically in Epic. If you are an external healthcare provider with no access to Nationwide Children’s Epic system, submission of a completed Oncology Genetic Test Requisition Form is required. Please send all samples via overnight delivery. Saturday deliveries are accepted; please check Saturday Delivery on shipment label. For questions, please call (614) 722-5321.

If submitting tissue scroll specimen, please use this Tissue Scroll Calculator tool to determine the thickness and number of tissue scrolls to send to the laboratory.

A minimum of 20% tumor cellularity must be present in the submitted sample (based on internal pathology review) for accurate reporting of somatic variants. Testing will not be carried out on samples with <20% tumor.

For variants reported as pathogenic, likely pathogenic, or unknown significance, a germline sample (buccal swab or uninvolved peripheral blood sample) may be submitted (additional charges apply). Please contact the laboratory directly for information.

Clinical Information

This test includes targeted sequencing of the ALK, ATRX, BRAF, HRAS, KRAS, NRAS, PTPN11, and TP53 genes.

For variants reported as pathogenic, likely pathogenic, or unknown significance, a germline sample (buccal swab or uninvolved peripheral blood sample) may be submitted (additional charges apply). Please contact the laboratory directly for information.

Days Performed

Monday through Saturday

Set Up Schedule

All tests not performed daily.

Typical Turnaround

14 days

CPT Codes

81445, 81479

Lab Area

Institute for Genomic Medicine

Synonyms

  • NBL, NBL Panel, ALK, ATRX, BRAF, HRAS, KRAS, NRAS, PTPN11, TP53, Neuroblastoma sequencing, IGM Test

Estimated Patient Price

$1,000 - $2,500
Overview/Billing

Synonyms

  • NBL, NBL Panel, ALK, ATRX, BRAF, HRAS, KRAS, NRAS, PTPN11, TP53, Neuroblastoma sequencing, IGM Test

CPT Codes

81445, 81479
Interpretation

Clinical Information

This test includes targeted sequencing of the ALK, ATRX, BRAF, HRAS, KRAS, NRAS, PTPN11, and TP53 genes.

For variants reported as pathogenic, likely pathogenic, or unknown significance, a germline sample (buccal swab or uninvolved peripheral blood sample) may be submitted (additional charges apply). Please contact the laboratory directly for information.

Methodology

Next Generation Sequencing (NGS)
NCH Lab Only

Special Collection

At least 20% tumor must be present in the submitted sample (based on internal pathology review). Snap-frozen tissue is preferred.

Outpatient Submit with Specimen

Collect

Specimen Type Type of Container Volume of Specimen Status
Tissue (Snap-frozen) Tissue cassette 50 mg Preferred
Tissue (Snap-frozen) Cryogenic tube 50 mg Alternate
Bone marrow 6 mL Purple tube (EDTA) 3 mL-5 mL Preferred
OCT-embedded tissue Tissue cassette   Preferred
OCT-embedded tissue Cryogenic tube   Alternate
Paraffin embedded tissue Paraffin block   Preferred
Tissue (Fresh) Tissue culture transport media 50 mg Preferred
Tissue (Fresh) Sterile container with saline 50 mg Alternate
Tissue scrolls (FFPE) Sterile container   Preferred

Minimum Volume

Specimen Type Type of Container Minimum Volume
Tissue (Snap-frozen) Tissue cassette  
Tissue (Snap-frozen) Cryogenic tube  
Bone marrow 6 mL Purple tube (EDTA) 2 mL
OCT-embedded tissue Tissue cassette  
OCT-embedded tissue Cryogenic tube  
Paraffin embedded tissue Paraffin block  
Tissue (Fresh) Tissue culture transport media  
Tissue (Fresh) Sterile container with saline  
Tissue scrolls (FFPE) Sterile container  

Inpatient Specimen Preparation

Tissue (Snap-frozen): Freeze immediately after collection.
                                    Immediately place on dry ice and transport frozen
                                    Keep frozen
                                    Transport to laboratory as soon as possible

Bone marrow: Keep at room temperature or refrigerate
                       Do not freeze
                       Do not centrifuge

OCT-embedded tissue: Freeze immediately after collection.
                                      Keep frozen
                                      Immediately place on dry ice and transport frozen
                                      Protect from heat

Paraffin embedded tissue: Keep at room temperature
                                           Protect from heat

Tissue (Fresh): Keep at room temperature or refrigerate
                         Do not add fixative
                         Do not freeze
                         Transport to laboratory as soon as possible
                   
Tissue scrolls (FFPE): Must accompany H&E slide from adjacent section
                                    Keep at room temperature
                                    Protect from heat

Outpatient Specimen Preparation

Tissue (Snap-frozen): Freeze immediately after collection.
                                    Immediately place on dry ice and transport frozen
                                    Keep frozen
                                    Transport to laboratory as soon as possible

Bone marrow: Keep at room temperature or refrigerate
                       Do not freeze
                       Do not centrifuge

OCT-embedded tissue: Freeze immediately after collection.
                                      Keep frozen
                                      Immediately place on dry ice and transport frozen
                                      Protect from heat

Paraffin embedded tissue: Keep at room temperature
                                           Protect from heat

Tissue (Fresh): Keep at room temperature or refrigerate
                         Do not add fixative
                         Do not freeze
                         Transport to laboratory as soon as possible
                   
Tissue scrolls (FFPE): Must accompany H&E slide from adjacent section
                                    Keep at room temperature
                                    Protect from heat

InLab Processing

Send to Molecular Genetics Lab ASAP with all submitted paperwork. For Non-EPIC lab orders, lab staff to order GENSP in Sunquest.

Stability

Tissue (Snap-frozen): Frozen 36 month(s)

Bone marrow: Room temperature 24 hour(s)
Bone marrow: Refrigerated 72 hour(s)

OCT-embedded tissue: Frozen 36 month(s)

Paraffin embedded tissue: Room temperature 6 month(s)

Tissue (Fresh): Room temperature 24 hour(s)
Tissue (Fresh): Refrigerated 72 hour(s)

Tissue (Snap-frozen): Frozen 36 month(s)

Tissue scrolls (FFPE): Room temperature 6 month(s)

Unacceptable Conditions

Inadequate tissue, Tissue degradation, Delayed or improper handling, Clotted EDTA, Insufficient tumor content in tumor sample

Days Performed

Monday through Saturday

Set Up Schedule

All tests not performed daily.

Typical Turnaround

14 days

Remarks

If you are an internal ordering provider with access to Nationwide Children’s Epic system, no requisition form is required; please place the lab order electronically in Epic. If you are an external healthcare provider with no access to Nationwide Children’s Epic system, submission of a completed Oncology Genetic Test Requisition Form is required. Please send all samples via overnight delivery. Saturday deliveries are accepted; please check Saturday Delivery on shipment label. For questions, please call (614) 722-5321.

If submitting tissue scroll specimen, please use this Tissue Scroll Calculator tool to determine the thickness and number of tissue scrolls to send to the laboratory.

A minimum of 20% tumor cellularity must be present in the submitted sample (based on internal pathology review) for accurate reporting of somatic variants. Testing will not be carried out on samples with <20% tumor.

For variants reported as pathogenic, likely pathogenic, or unknown significance, a germline sample (buccal swab or uninvolved peripheral blood sample) may be submitted (additional charges apply). Please contact the laboratory directly for information.

Clinical Information

This test includes targeted sequencing of the ALK, ATRX, BRAF, HRAS, KRAS, NRAS, PTPN11, and TP53 genes.

For variants reported as pathogenic, likely pathogenic, or unknown significance, a germline sample (buccal swab or uninvolved peripheral blood sample) may be submitted (additional charges apply). Please contact the laboratory directly for information.

Synonyms

  • NBL, NBL Panel, ALK, ATRX, BRAF, HRAS, KRAS, NRAS, PTPN11, TP53, Neuroblastoma sequencing, IGM Test

Methodology

Next Generation Sequencing (NGS)

CPT Codes

81445, 81479

Estimated Patient Price

$1,000 - $2,500

DC Code

5321

Downtime Availability

4-Not available

Lab Area

Lab Area
Institute for Genomic Medicine