Collect

Heme samples : one 5 mL blood in EDTA (lav top), OR one 3 mL bone marrow in EDTA (min 0.5mL or >100K nucleated cells)
Formalin-Fixed, paraffin-embedded tissue (FFPE) in microtainer: 3-5 10uM slices or >100K cells
Formalin-Fixed, paraffin-embedded tissue (FFPE) slides: 10 unstained slides with slices of 10uM, and an associated H&E slide with tumor cells marked.  Include surgical pathology report with tumor cellularity estimate in marked region.
Fresh tissue: min 0.1mL
Frozen tissue: min 100mg or 0.5cc / 0.5 cm3
Body Fluids: >200K cells
Fine needle aspirate slides: Minimum volume is dependent on the tumor size and cellularity.  Unfixed, ethanol fixed, or H&E stained – Soak slide in xylene to remove coverslip and dry before transporting to the lab.
 

Storage/Transport Temperature

Fresh samples: Ambient: 72 hours; Refrigerated: 1 week
FFPE samples: Ambient: 60 days
Protect FFPE samples from heat exposure, especially in summer months.  Fresh tissue should be sent in saline soaked gauze, a tube with saline, or tissue culture medium.  Frozen samples should be sent on dry ice.

Unacceptable Conditions

Specimens fixed/processed in alternative fixatives.  Samples without a tumor cellularity estimate

Lab Section

Molecular Diagnostics

Methodology

Idylla

Reported

3-5 Working Days

Performing Laboratory Website (click below)

Notes

Variants detected:
Protein Change Nucleotide Change
BRAF V600E (c.1799T>A)
BRAF V600E2 (c.1799_1800delinsAA)
BRAF V600D (c.1799_1800delinsAT)
BRAF V600D (c.1799_1800delinsAC)
BRAF V600K (c.1798_1799delinsAA)
BRAF V600R (c.1798_1799delinsAG)
BRAF V600M (c.1798G>A)
BRAF wildtype (c.1799T)

Reference Interval

By report.

CPT Codes

81210
88381 if microdissection performed

CPT Codes

81210
88381 if microdissection performed
Specimen Requirements

Collect

Heme samples : one 5 mL blood in EDTA (lav top), OR one 3 mL bone marrow in EDTA (min 0.5mL or >100K nucleated cells)
Formalin-Fixed, paraffin-embedded tissue (FFPE) in microtainer: 3-5 10uM slices or >100K cells
Formalin-Fixed, paraffin-embedded tissue (FFPE) slides: 10 unstained slides with slices of 10uM, and an associated H&E slide with tumor cells marked.  Include surgical pathology report with tumor cellularity estimate in marked region.
Fresh tissue: min 0.1mL
Frozen tissue: min 100mg or 0.5cc / 0.5 cm3
Body Fluids: >200K cells
Fine needle aspirate slides: Minimum volume is dependent on the tumor size and cellularity.  Unfixed, ethanol fixed, or H&E stained – Soak slide in xylene to remove coverslip and dry before transporting to the lab.
 

Storage/Transport Temperature

Fresh samples: Ambient: 72 hours; Refrigerated: 1 week
FFPE samples: Ambient: 60 days
Protect FFPE samples from heat exposure, especially in summer months.  Fresh tissue should be sent in saline soaked gauze, a tube with saline, or tissue culture medium.  Frozen samples should be sent on dry ice.

Unacceptable Conditions

Specimens fixed/processed in alternative fixatives.  Samples without a tumor cellularity estimate
Testing

Lab Section

Molecular Diagnostics

Methodology

Idylla

Reported

3-5 Working Days

Performing Laboratory Website (click below)

Notes

Variants detected:
Protein Change Nucleotide Change
BRAF V600E (c.1799T>A)
BRAF V600E2 (c.1799_1800delinsAA)
BRAF V600D (c.1799_1800delinsAT)
BRAF V600D (c.1799_1800delinsAC)
BRAF V600K (c.1798_1799delinsAA)
BRAF V600R (c.1798_1799delinsAG)
BRAF V600M (c.1798G>A)
BRAF wildtype (c.1799T)
Result Interpretation

Reference Interval

By report.
Coding

CPT Codes

81210
88381 if microdissection performed
URM Labs Internal
Test Build

CPT Codes

81210
88381 if microdissection performed