Hereditary Cancer Panel, Sequencing and Deletion/Duplication
Ordering Recommendation
Recommended test to confirm a hereditary cause of cancer in individuals with a personal or family history consistent with features of more than one cancer syndrome. 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).
Transport 3 mL whole blood. (Min: 2 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: Preferred Ambient: 4 days; Refrigerated: 4 days; Frozen: 4 days
It is preferred that specimens be received within 4 days of collection. Extraction will be attempted for specimens received after 4 days, and DNA yield will be evaluated to determine if testing may proceed.
Methodology
Massively Parallel Sequencing / Sequencing / Multiplex Ligation-Dependent Probe Amplification (MLPA)
Performed
Varies
Reported
14-21 days
Reference Interval
By report
Interpretive Data
Refer to report.
Laboratory Developed Test (LDT)
Note
Genes Tested: ALK; APC*; ATM; AXIN2; BAP1; BARD1; BMPR1A*; BRCA1*; BRCA2; BRIP1; CDC73; CDH1*; CDK4; CDKN1B; CDKN2A*; CHEK2*; CTNNA1*; DICER1; EGFR; EPCAM**; FH; FLCN*; HOXB13; HRAS; KIT; LZTR1; MAX; MC1R; MEN1*; MET; MITF*; MLH1; MLH3*; MSH2; MSH3; MSH6; MUTYH; NBN; NF1; NF2; NTHL1; PALB2; PDGFRA*; PMS2; POLD1; POLE; POT1; PRKAR1A; PTCH1; PTEN*; RAD51C; RAD51D; RB1*; RECQL*; RET; SDHA*; SDHAF2; SDHB; SDHC*; SDHD*; SMAD4; SMARCA4; SMARCB1; SMARCE1*; STK11; SUFU; TERT; TMEM127; TP53; TSC1; TSC2; VHL*; WT1
*- 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.
Hotline History
Hotline History
CPT Codes
81162; 81201; 81292; 81295; 81298; 81307; 81317; 81321; 81351; 81403; 81404; 81405; 81406; 81407; 81408; 81479
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
2012033 | Cancer Panel, Hereditary, Spcm | 31208-2 |
2012034 | Cancer Panel, Hereditary, Interp | 35474-6 |
Aliases
- Birt-Hogg-Dube (BHD) syndrome
- Coffin-Siris syndrome
- Cowden syndrome
- Familial Adenomatous Polyposis (FAP)
- HBOC syndrome
- Hereditary Diffuse Gastric Cancer (HDGC)
- Hereditary Leiomyomatosis and Renal Cell Cancer (HLRCC) syndrome
- Hereditary Nonpolyposis Colorectal Cancer (HNPCC)
- Hereditary Papillary Renal Carcinoma (HPRC) syndrome
- Hereditary Paraganglioma Pheochromocytoma
- Juvenile Polyposis syndrome (JPS)
- Li-Fraumeni syndrome (LFS)
- Lynch syndrome
- Malignant Mesothelioma
- MUTYH-Associated Polyposis (MAP)
- Peutz-Jegher syndrome (PJS)
- PTEN Hamartoma Tumor syndrome
- Rhabdoid Tumor Predisposition syndrome
- Tuberous Sclerosis Complex (TSC)
- Von Hippel Lindau (VHL) syndrome
- Wilms Tumor