Tumor Gene RNA Fusion with Interpretation
Label Mnemonic: CTL-TUMOR
Epic code: LAB8956
Downtime form: A-1a Doctor/Provider Orders - Pathology Molecular
Molecular Pathology
6240 RCP
384-9568
Specimen(s):
Formalin-fixed, paraffin embedded tissue block, or ten unstained 4 micron-thick sections on non-plus slides and one H&E stained section
Minimum:
One tumor-containing formalin-fixed paraffin embedded tissue block or 10 unstained 4 micron-thick sections on non-plus slides and one H&E stained section from one tumor-containing FFPET block or any or all unstained or stained slides from tumor-containing fine needle aspirate cytologic preparations.
Rejection Criteria:
Specimens that have been decalcified will not be accepted.
Turn Around Time:
10-14 days
Reference Range:
Fusion or mutation not detected
Comments:
Tissue sections are reviewed by a pathologist. RNA is isolated from the selected area of the sample. Anchored multiplex PCR for targeted next-generation sequencing is performed. The sequenced sample is a reverse transcription PCR-amplified fragment library in which each sample is uniquely identified by ligation of a short oligonucleotide barcode. The resultant sequence identifies the exons of the fusion transcript arising from the specific gene target and the partner gene.

The panel targets gene rearrangements of these gene targets: AKT1, ALK, AXL, BRAF, CCND1, EGFR (vIII), FGFR1, FGFR2, FGFR3, MET (exon 14 skip), NRG1, NTRK1, NTRK2, NTRK3, PPARG, RAF1, RET, ROS, and THADA.
Methodology:
Massively parallel next generation sequencing on RNA
CPT Code:
81445