Microsatellite Instability PCR with Interpretation
Label Mnemonic: | MSI |
Epic code: | LAB1980 |
Downtime form: | Doctor/Provider Orders - Pathology Molecular |
Molecular Pathology
6240 RCP
384-9568
6240 RCP
384-9568
Specimen(s):
Formalin fixed, paraffin embedded tissue block or 10 unstained 5-10 μM slides at 20-25°C and an H&E slide of the tissue
Minimum:
Tumor cells more than 50% of the total tissue and greater than
10mm2 in surface area on the block.
Must also submit a healthy tissue specimen or peripheral blood from the same subject for comparison of microsatellite markers.
Must also submit a healthy tissue specimen or peripheral blood from the same subject for comparison of microsatellite markers.
Rejection Criteria:
Specimens fixed in B5 fixative or that have been decalcified will not
be accepted. Tumor specimens containing less than 50% tumor cells or
are less than 10mm2 in area may be unacceptable.
Testing Schedule:
Weekly
Turn Around
Time:
7-10 working days
Reference Range:
Microsatellite Stable
Comments:
Tumor tissue and normal tissue should be obtained as part of the
surgical procedure for testing. The tissue should be formalin-fixed,
paraffin embedded and reviewed by a surgical pathologist prior to MSI
testing. A block containing normal tissue (non-tumor) should be
submitted for testing in addition to a block containing at least 50%
tumor. Acceptable tissue for the non-tumor block is tissue with a
high
nuclear content, preferably benign lymph node tissue if available.
Blood submitted in EDTA or sodium citrate is acceptable for the normal
block if tissue is not available. An H&E stained glass slide from both
blocks should also be submitted.
Methodology:
Multiplex PCR followed by Fluorescence Capillary Electrophoresis
CPT Code:
81301