Hereditary Breast and Gynecological Cancers Panel, Sequencing and Deletion/Duplication
Ordering Recommendation
Recommended test to confirm a hereditary cause of breast and/or gynecological cancer(s) in individuals with a complex personal or family history of breast, ovarian, or endometrial cancer. Testing minors for adult-onset conditions is not recommended; testing will not be performed in minors without prior approval. For additional information, please contact an ARUP genetic counselor at 800-242-2787 ext. 2141.
To compare this test to other hereditary cancer panels, refer to the Hereditary Cancer Panel Comparison table.
New York DOH Approval Status
Specimen Required
Lavender or pink (EDTA) or yellow (ACD solution A or B).
New York State Clients: Lavender (EDTA)
Transport 3 mL whole blood. (Min: 3 mL)
Refrigerated.
Serum or plasma; grossly hemolyzed or frozen specimens; saliva, buccal brush, or swab; FFPE tissue; DNA.
Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
New York State Clients: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: Unacceptable
Methodology
Massively Parallel Sequencing / Sequencing / Multiplex Ligation-Dependent Probe Amplification (MLPA)
Performed
Varies
Reported
14-21 days
Reference Interval
Refer to report
Interpretive Data
Refer to report.
Laboratory Developed Test (LDT)
Note
Genes tested: ATM ; BARD1 ; BRCA1 *; BRCA2 ; BRIP1 ; CDH1 *; CHEK2 *; DICER1 ; EPCAM **; MLH1 ; MSH2 ; MSH6 ; NBN ; NF1 ; PALB2 ; PMS2 ***; PTEN *; RAD51C ; RAD51D ; RECQL *; SMARCA4 ; STK11 ; TP53
*One or more exons are not covered by sequencing and/or deletion/duplication analysis for the indicated gene; see Additional Technical Information.
**Deletion/duplication analysis of EPCAM (NM_002354) exon 9 only, sequencing is not available for this gene.
***Deletions/duplications in exons 12-15 may not be distinguishable from the PMS2CL pseudogene and may be reported as inconclusive.
When testing cord blood specimens, the presence of maternal cell contamination (MCC) is possible, which may impact result interpretation. If clinically warranted, testing for MCC is available, at a charge, through ARUP Laboratories.
Hotline History
CPT Codes
81432
Components
| Component Test Code* | Component Chart Name | LOINC |
|---|---|---|
| 2012028 | Breast/Ovarian Cancer Panel Interp | 35474-6 |
| 2012029 | Breast/Ovarian Cancer Panel Spcm | 31208-2 |
Aliases
- Coffin-Siris syndrome
- Cowden syndrome
- HBOC syndrome
- Hereditary diffuse gastric cancer (HDGC)
- Li-Fraumeni syndrome (LFS)
- Lynch syndrome
- Neurofibromatosis type 1
- Peutz-Jegher syndrome (PJS)
- PTEN hamaratoma tumor syndrome
- Rhabdoid tumor predisposition syndrome
















