Epic Code LAB3406 Cancer Hotspot Analysis
Test Name Alias
Cancer Hotspot Analysis | Next Gen | Ion Torrent | 703
Interface Order Alias
11712
Quick Collect
AP Ambient
Clinical Information
Cancer Hotspot Analysis requires a small amount of tumor tissue to deep sequence 207 target regions prone to mutation (hotspots) present on 50 genes known to affect tumor growth and response to treatment. Patients with refractory and/or advanced solid tumors and those for which there is no standard treatment may benefit from this test. Guidelines are being developed in collaboration with specialists for appropriate use in each type of cancer. This assay is performed on the Ion Torrent PGM platform and has been validated in the CLIA-certified Advanced Technology Laboratory (ATL) in both research and clinical settings.
The molecular profile of a tumor specimen may provide valuable information which has the potential to guide personalized cancer treatment and provide results necessary for enrollment into various clinical trials. Next generation sequencing and targeted molecular therapy are core components of Personalized Cancer Care within the Spectrum Health Regional Cancer Center.
Specimen Requirements
Submit only one of the following specimens:
Specimen Type: Formalin-fixed, paraffin-embedded (FFPE) tissue (block or 10 unstained slides) accompanied by an H&E slide scribed by Pathologist and Surgical Specimen Testing order sheet
Specimen Collection: Place specimen in 10% Formalin and order Tissue Pathology in addition to Cancer Hotspot Analysis order.
Specimen Type: Fresh tissue, flash frozen, then shipped on dry ice.
Specimen Transport Temperature
FFPE: Ambient
Frozen: On dry ice of -80oC
Specimen Stability
Laboratory Retention: Extracted DNA retained greater than 1 year.
Reflex Information
Mandatory Reflex Information:
● All gliomas, Cancer Hotspot Analysis
Test Frequency
Available Monday - Friday, usual TAT 10-14 days
Reference Range
An interpretative report will be provided.
Performing Department
Molecular Diagnostics
Performing Department Laboratory Location
Corewell Health Advanced Technology Laboratory (ATL), Grand Rapids, MI
Methodology
Next generation sequencing by Ion AmpliSeq technology
CPT
81445-GENE SEQ ANALYS 5-50 GENES
This test uses next generation sequencing by Ion AmpliSeq technology to detect mutations in target regions of the following genes: ABL1, AKT1, ALK, APC, ATM, BRAF, CDH1, CDKN2A, CSF1R, CTNNB1, EGFR, ERBB2, ERBB4, EZH2, FBXW7, FGFR1, FGFR2, FGFR3, FLT3, GNA11, GNAS, GNAQ, HNF1A, HRAS, IDH1, IDH2, JAK2, JAK3, KDR, KIT, KRAS, MET, MLH1, MPL, NOTCH1, NPM1, NRAS, PDGFRA, PIK3CA, PTEN, PTPN11, RB1, RET, SMAD4, SMARCB1, SMO, SRC, STK11, TP53, and VHL. Specific regions covered by this assay in each gene can be requested.
CDM Code
3008144502
Epic Test ID
1230100436
LOINC
LOINC code not available at this time
Reviewed Date
6/22/2023