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NRAS Mutation Detection (8000101248)
Test Mnemonic:

NRAS Codons 12, 13, 61 Mutations

Specimen Requirements:

FFPE (tissue); Aspirate; Other (Tumor Specimen)

Collection:

For FFPE:                                                       

NEED 1 H&E AND 5 UNSTAINED SLIDES (10 MICRON) sequencially; and Need >20% tumor cells in the marked area for mutation assays        

For Aspirate:                                        

Need Estimation of Total Cells in the Marked Area for Nucleotide Extraction; and Need >20% tumor cells in the marked area for mutation assays

Minimum Volume:

1 H&E AND 5 UNSTAINED SLIDES (5-10 MICRON)

Storage/Transport:

Ambient for FFPE and Aspirate

Stability:

30 days

Causes for Rejection:

Incorrect specimen

Reference Range:

Negative

Turnaround Time:

7 days

Methodology:

Pyrosequencing

Performed:

Molecular Diagnostics

Synonyms:

NRAS, NRAS Hot-spot mutations

CPT 4 Code:

81311

Note:

 

Oncogenic NRAS mutations have been linked to resistance to anti-EGFR therapies. Test results can predict response to anti-EGFR and MAPK pathway therapies in a variety of malignancies including colorectal cancer and melanoma.
 

Limit of detection: 10% mutant alleles (20% tumor cells).

Genomic DNA is isolated from macro-dissected tumor tissue and amplified for segments of the NRAS gene covering codons 12, 13, and 61. Mutation status for these three codons is determined by pyrosequencing. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions.

This test was developed and its performance characteristics were determined by UTMB Pathology Molecular Diagnostics Laboratory. It has not been cleared or approved by the U. S. Food and Drug Administration (FDA). The FDA has determined that such clearance or approval is not necessary. This test is used for clinical purposes. It should not be regarded as investigational or for research. This laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA-88) as qualified to perform high complexity clinical laboratory testing.

References:
https://omim.org/entry/164790

http://atlasgeneticsoncology.org//Genes/NRASID92.html

http://cancer.sanger.ac.uk/cosmic/gene/analysis?ln=NRAS

When ordering tests for which Medicare or Medicaid reimbursement will be sought, physicians should only order tests that are medically necessary for the diagnosis or treatment of the patient. Components of the organ or disease panels may be ordered individually. The diagnostic information must substantiate all tests ordered and must be in the form of an ICD-10 code or its verbal equivalent.
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