Laboratory Test Information Guide

Details for Colon Cancer (Proband)

Test Name: Colon Cancer (Proband)
Alternate Name(s): Hereditary Colorectal/Gastric Cancer
Laboratory: Molecular Diagnostics
Specimen Type: Whole Blood-3 x 4 mL Lavender EDTA top Vacutainer tube
Collection Information: Blood samples must be maintained at room temperature.
Requisition: MOLECULAR DIAGNOSTIC REQUISITION
Test Schedule: As Required
Monday - Friday
0800 - 1600 h
Turnaround time from when specimen
is received in testing laboratory:
 
Routine
4-6 weeks
Stat
4 weeks
 
Reference Range: See report
Effective Date:  
Revised Date: 2019-04-29
Critical Value: N/A
Interpretive Comments: The Hereditary Colorectal/Gastric Cancer Panel (HCP-Colorectal/Gastric) is a genetic test designed to help assess the cancer predisposition risk for colorectal, pancreatic, melanoma, prostate, and endometrial cancers. This panel includes the 23 genes listed above. Mutations in these genes are associated with clinically actionable results which will directly impact medical management recommendations and disease risk assessment.
Special Processing:  
Comments: Genes Tested (hg19;HGVS nomenclature):APC and5’UTR(NM_001127510.2), BMPR1A(NM_004329.2), CDH1(NM_004360.3), CDK4(NM_000075.3), CHEK2(NM_007194.3), CTNNA1(NM_001903.2), EPCAM(NM_002354.2:3' large del only), FLCN(NM_144997.5), GREM1(NM_013372.6), MLH1 and5’UTR(NM_000249.3), MSH2(NM_000251.2), MSH3(NM_002439.4), MSH6(NM_000179.2), MUTYH(NM_001128425.1), NTHL1(NM_002528.5), PMS2(NM_000535.5), POLD1(NM_001256849.1), POLE(NM_006231.2), PTEN and5’UTR(NM_000314.4), SDHB(NM_003000.2), SMAD4(NM_005359.5), STK11(NM_000455.4), TP53(NM_000546.5)
Method of Analysis: All coding exons and 20 bp of flanking intronic sequence are enriched using an LHSC custom targeted hybridization protocol (Roche Nimblegen), followed by high throughput sequencing (Illumina). Sequence variants and copy number changes are assessed and interpreted using clinically validated algorithms and commercial software (SoftGenetics: Nextgene, Geneticist Assistant, Mutation Surveyor; and Alamut Visual). All exons have >300x mean read depth coverage, with a minimum 100x coverage at a single nucleotide resolution. This assay meets the sensitivity and specificity of combined Sanger sequencing and MLPA copy number analysis. All variants interpreted as either ACMG category 1, 2, or 3 (pathogenic, likely pathogenic, VUS; PMID: 25741868) are confirmed using Sanger sequencing, MLPA, or other assays. ACMG category 4 and 5 variants (likely benign, benign) are not reported, but are available upon request. This assay has been validated at a level of sensitivity equivalent to the Sanger sequencing and standard copy number analysis (>99%; PMID: 27376475,28818680).
Critical Information Required: Restricted to cancer genetics only.
Pedigree required.
Storage & Shipment: Must be received in testing laboratory within 48 hours of collection, shipped at room temperature by courier/overnight delivery.
System Codes: 
Cerner
 
 
Referred To:  

Questions? Comments? Contact Laura Gopaul