GTR Test Accession:
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GTR000597215.1
CAP
Last updated in GTR: 2021-12-07
View version history
GTR000597215.1, last updated: 2021-12-07
Last annual review date for the lab: 2023-05-30
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At a Glance
Test purpose:
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Diagnosis;
Prognostic;
Therapeutic management
Conditions (1):
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Solid tumor
Genes (476):
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ABL1 (9q34.12), ABL2 (1q25.2), ABRAXAS1 (4q21.23), ACVR1 (2q24.1), ACVR1B (12q13.13), ...
Methods (3):
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Molecular Genetics - Microsatellite instability testing (MSI): Next-Generation (NGS)/Massively parallel sequencing (MPS); ...
Target population: Help
Patients with solid tumors that would benefit from biomarker-assisted management
Clinical validity:
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Not provided
Clinical utility:
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Not provided
Ordering Information
Offered by:
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Test short name:
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MCSTP
Specimen Source:
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- Paraffin block
- View specimen requirements
Who can order: Help
- Genetic Counselor
- Health Care Provider
- Licensed Dentist
- Licensed Physician
- Nurse Practitioner
- Physician Assistant
- Public Health Mandate
- Registered Nurse
Test Order Code:
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MCSTP
View other test codes
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LOINC codes:
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CPT codes:
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Lab contact:
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Antonina Wojcik, MS, Certified Genetic counselor, CGC, Genetic Counselor
GCMolgen@mayo.edu
1-800-533-1710
GCMolgen@mayo.edu
1-800-533-1710
Contact Policy:
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Laboratory can only accept contact from health care providers. Patients/families are encouraged to discuss genetic testing options with their health care provider.
How to Order:
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https://www.mayocliniclabs.com/test-catalog/Specimen/606162
Order URL
Order URL
Test development:
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Test developed by laboratory (no manufacturer test name)
Informed consent required:
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Based on applicable state law
Pre-test genetic counseling required:
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Decline to answer
Post-test genetic counseling required:
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Decline to answer
Recommended fields not provided:
Test strategy
Conditions
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Total conditions: 1
Condition/Phenotype | Identifier |
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Test Targets
Genes
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Total genes: 476
Gene | Associated Condition | Germline or Somatic | Allele (Lab-provided) | Variant in NCBI |
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Methodology
Total methods: 3
Method Category
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Test method
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Instrument *
Microsatellite instability testing (MSI)
Next-Generation (NGS)/Massively parallel sequencing (MPS)
RNA analysis
Next-Generation (NGS)/Massively parallel sequencing (MPS)
Sequence analysis of the entire coding region
Next-Generation (NGS)/Massively parallel sequencing (MPS)
* Instrument: Not provided
Clinical Information
Test purpose:
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Diagnosis;
Prognostic;
Therapeutic management
Target population:
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Patients with solid tumors that would benefit from biomarker-assisted management
View citations (4)
- Standards and Guidelines for the Interpretation and Reporting of Sequence Variants in Cancer: A Joint Consensus Recommendation of the Association for Molecular Pathology, American Society of Clinical Oncology, and College of American Pathologists. Li MM, et al. J Mol Diagn. 2017;19(1):4-23. doi:10.1016/j.jmoldx.2016.10.002. PMID: 27993330.
- Marcus L, Lemery SJ, Keegan P, Pazdur R. FDA Approval Summary: Pembrolizumab for the Treatment of Microsatellite Instability-High Solid Tumors. Clin Cancer Res. 2019;25(13):3753-3758. doi:10.1158/1078-0432.CCR-18-4070. Epub 2019 Feb 20. PMID: 30787022.
- Subbiah V, Solit DB, Chan TA, Kurzrock R. The FDA approval of pembrolizumab for adult and pediatric patients with tumor mutational burden (TMB) ≥10: a decision centered on empowering patients and their physicians. Ann Oncol. 2020;31(9):1115-1118. doi:10.1016/j.annonc.2020.07.002. Epub 2020 Aug 05. PMID: 32771306.
- Instruction manual: TruSight Oncology 500 High-Throughput. Illumina; 11/2020
Variant Interpretation:
What is the protocol for interpreting a variation as a VUS?
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All detected variants are evaluated according to the most recent American College of Medical Genetics and Genomics (ACMG), Association for Molecular Pathology (AMP), American Society of Clinical Oncology (ASCO) and College of American Pathologists (CAP) recommendations. Variants are classified based on known, predicted, or possible pathogenicity and reported with interpretive … View more
All detected variants are evaluated according to the most recent American College of Medical Genetics and Genomics (ACMG), Association for Molecular Pathology (AMP), American Society of Clinical Oncology (ASCO) and College of American Pathologists (CAP) recommendations. Variants are classified based on known, predicted, or possible pathogenicity and reported with interpretive … View more
Are family members with defined clinical status recruited to assess significance of VUS without charge?
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No.
No.
Will the lab re-contact the ordering physician if variant interpretation changes?
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No. The laboratory encourages health care providers to contact the laboratory at any time to learn how the status of a particular variant may have changed over time.
No. The laboratory encourages health care providers to contact the laboratory at any time to learn how the status of a particular variant may have changed over time.
Research:
Is research allowed on the sample after clinical testing is complete?
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Research testing is only performed under IRB approved protocol with an opt-out policy in place.
Research testing is only performed under IRB approved protocol with an opt-out policy in place.
Recommended fields not provided:
Clinical validity,
Clinical utility,
Sample negative report,
Sample positive report
Technical Information
Test Procedure:
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Next-generation sequencing is performed to estimate tumor mutational burden (TMB) and microsatellite instability (MSI) status, somatic sequence variants, gene amplifications, fusions, and specific transcript variants in solid tumors. This test detects single nucleotide variants and small insertions and deletion within 514 genes, amplification of 59 genes, gene fusions involving 55 …
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Availability:
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Tests performed
Entire test performed in-house
Entire test performed in-house
Analytical Validity:
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The MayoComplete Solid Tumor panel utilizes the Illumina TruSight Oncology 500 chemistry to identify tumor mutation burden (TMB) status, microsatellite instability (MSI) status, sequence variants involving exonic regions and exon/intron boundaries of 514 genes ≥ 2.0% VAF, gene amplifications in 59 genes ≥ 2.2x fold change, fusions involving any of …
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Assay limitations:
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Next-generation sequencing is performed to estimate tumor mutational burden (TMB) and microsatellite instability (MSI) status, somatic sequence variants, gene amplifications, fusions, and specific transcript variants in solid tumors. This test detects single nucleotide variants and small insertions and deletion within 514 genes, amplification of 59 genes, gene fusions involving 55 …
View more
Proficiency testing (PT):
Is proficiency testing performed for this test?
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Yes
Method used for proficiency testing: Help
Formal PT program
PT Provider: Help
College of American Pathologists, CAP
Description of PT method: Help
CAP Vended
Yes
Method used for proficiency testing: Help
Formal PT program
PT Provider: Help
College of American Pathologists, CAP
Description of PT method: Help
CAP Vended
VUS:
Software used to interpret novel variations
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Variants may be analyzed using any combination of the following: Qiagen Clinical Insight (QCI), Alamut, REVEL, Polyphen-2, SIFT, AGVGD, MutationTaster, SpliceSiteFinder-like, MaxEntScan, NNSPLICE, GeneSplicer, gene and somatic-specific online databases, ISCA, UCSC Genome Browser
Laboratory's policy on reporting novel variations Help
All novel alterations and copy number variants are evaluated for potential pathogenicity and included in the written report, accordingly.
Variants may be analyzed using any combination of the following: Qiagen Clinical Insight (QCI), Alamut, REVEL, Polyphen-2, SIFT, AGVGD, MutationTaster, SpliceSiteFinder-like, MaxEntScan, NNSPLICE, GeneSplicer, gene and somatic-specific online databases, ISCA, UCSC Genome Browser
Laboratory's policy on reporting novel variations Help
All novel alterations and copy number variants are evaluated for potential pathogenicity and included in the written report, accordingly.
Recommended fields not provided:
Test Confirmation,
Citations to support assay limitations,
Description of internal test validation method,
Citations for Analytical validity,
Major CAP category, CAP category, CAP test list
Regulatory Approval
FDA Review:
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Category:
FDA exercises enforcement discretion
Additional Information
Reviews:
Clinical resources:
Consumer resources:
IMPORTANT NOTE:
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NIH makes no endorsements of tests or laboratories listed in GTR. GTR is not a substitute for medical advice.
Patients and consumers
with specific questions about a genetic test should contact a health care provider or a genetics professional.