Molecular Oncologic Testing of Skin and Adnexa Tumors

Oct 9, 2016 by in ONCOLOGY Comments Off on Molecular Oncologic Testing of Skin and Adnexa Tumors

Genetic mutation Mutation type Melanoma subtypes affected Melanocytic nevus subtypes affected Type of test KIT Point mutation, amplification Acral (~15 %), Mucosal (~15 %), CSD skin (~10–15 %) Uncommon/rare IHC…

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Gastrointestinal and Pancreatobiliary Tumors

Oct 9, 2016 by in ONCOLOGY Comments Off on Gastrointestinal and Pancreatobiliary Tumors

Fig. 12.1 Age-standardized colorectal cancer incidence rates by World Health Organization region and sex for 2008 [4] Mortality rates in the United States have declined since the mid-1980s, due to…

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Lung and Mediastinal Tumors

Oct 9, 2016 by in ONCOLOGY Comments Off on Lung and Mediastinal Tumors

Gene Alteration Frequency (%) Histology Smoking history frequent patterns EGFR Mutation 10–35 Adenocarcinoma, few adenosquamous carcinoma Frequent in never smokers KRAS Mutation 15–25 Mostly in adenocarcinomas, frequently mucinous morphology Former/current…

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Central Nervous System Tumors

Oct 9, 2016 by in ONCOLOGY Comments Off on Central Nervous System Tumors

Example clinical reporting—MGMT Negative result RESULT: Gene Methylation NOT detected Positive result RESULT: Gene Methylation DETECTED Methylation of the MGMT (0 (6)–methylguanine–DNA methyltransferase) gene was detected using methylation specific PCR…

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Standard Nomenclature: Why Bother?

Oct 9, 2016 by in ONCOLOGY Comments Off on Standard Nomenclature: Why Bother?

.   b) The centromere (cen) is designated 10: p10 is the portion of the centromeric band that faces the short arm; q10 is the portion of the centromeric band…

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Common Hereditary Cancer Syndromes

Oct 9, 2016 by in ONCOLOGY Comments Off on Common Hereditary Cancer Syndromes

and John M. Quillin2   (1) Massey Cancer Center, Virginia Commonwealth University Health System, 1101 East Marshall Street, Richmond, VA 23298-0033, USA (2) Department of Human and Molecular Genetics, Virginia Commonwealth University Health System,…

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Lymphoma and Lymphoproliferative Disorders

Oct 9, 2016 by in ONCOLOGY Comments Off on Lymphoma and Lymphoproliferative Disorders

Assay Gene/fusion transcript Gene function Test methodology/specimen Test interpretation Clinical utility IGH-BCL2 Fusion of IGH-BCL2 t(14;18). Translocation of IGH (14q) promoter leads to aberrant overexpression of BCL2 which is anti-apoptotic…

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Breast Tumors

Oct 9, 2016 by in ONCOLOGY Comments Off on Breast Tumors

Fig. 9.1 ESR1 (ER) positive by immunohistochemistry Fig. 9.2 ESR1 (ER) negative by immunohistochemistry The IHC results can be reported either as percentage of positive cells or by using one…

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General Principles of Validating a Molecular Test

Oct 9, 2016 by in ONCOLOGY Comments Off on General Principles of Validating a Molecular Test

Performance characteristic Verification Validation Accuracy Required by CLIA-’88 and CAP Required by CLIA-’88 and CAP Precision Required by CLIA-’88 and CAP Required by CLIA-’88 and CAP Analytical sensitivity Not required…

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