Epidermal Growth Factor Receptor (EGFR) Mutation, Cobas V2, Solid Tumor

Epidermal Growth Factor Receptor (EGFR) Mutation, Cobas V2, Solid Tumor

Test Code

94719
81235
94719
81235
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection is not available in your area through Quest Mobile.

Clinical Significance

Epidermal Growth Factor Receptor (EGFR) Mutation, Cobas V2, Solid Tumor - Activating mutations in the gene encoding EGFR occur primarily in NSCLC, and result in constitutive activation of the kinase activity of the EGFR protein, thereby contributing to the oncogenic process. The most common EGFR mutations in NSCLC include a variety of deletions in exon 19 and the substitution mutation L858R in exon 21; these mutations collectively constitute approximately 85% of EGFR mutations observed in NSCLC. The Cobas® EGFR Mutation Test v2 (Cobas® EGFR Test) is a real-time PCR assay designed to detect G719X substitution mutations in exon 18, deletion mutations in exon 19, ...

Test Details

Methodology

Real-Time Polymerase Chain Reaction

Reference Range(s)

Not detected

Alternative Name(s)

Tarceva, T790M, EGFR, Tagrisso, erlotinib, NSCLC, osimertinib

LOINC® Codes, Performing Laboratory

Methodology

Real-Time Polymerase Chain Reaction

Reference Range(s)

Not detected

Alternative Name(s)

Tarceva, T790M, EGFR, Tagrisso, erlotinib, NSCLC, osimertinib

Preferred Specimen(s)

Formalin-fixed, paraffin-embedded tissue

Alternative Specimen(s)

10 unstained 5-micron slides AND 1 H&E slide

Minimum Volume

5 unstained slides AND 1 H&E slide

Collection Instructions

Only NSCLC FFPET sections of 5-micron thickness containing at least 10% tumor content by area are to be used in the Cobas® EGFR Test. Any sample containing less than 10% tumor content by area should be macro-dissected after deparaffinization.

Transport Container

Formalin-fixed, paraffin-embedded tissue block

Transport Temperature

Room temperature

Specimen Stability

  • Formalin-fixed, paraffin-embedded tissue
  • Room temperature: 1 year
  • Refrigerated: Unacceptable
  • Frozen: Unacceptable
  •  
  • 5 Micron unstained slides
  • Room temperature: 60 days
  • Refrigerated: Unacceptable
  • Frozen: Unacceptable

Reject Criteria

Baked slides

Setup Schedule

Formalin-fixed, paraffin-embedded tissue
10 unstained 5-micron slides AND 1 H&E slide
5 unstained slides AND 1 H&E slide
Only NSCLC FFPET sections of 5-micron thickness containing at least 10% tumor content by area are to be used in the Cobas® EGFR Test. Any sample containing less than 10% tumor content by area should be macro-dissected after deparaffinization.
Formalin-fixed, paraffin-embedded tissue block
Room temperature
Formalin-fixed, paraffin-embedded tissue
Room temperature: 1 year
Refrigerated: Unacceptable
Frozen: Unacceptable

5 Micron unstained slides
Room temperature: 60 days
Refrigerated: Unacceptable
Frozen: Unacceptable
Baked slides
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection is not available in your area through Quest Mobile.
Test Details

Clinical Significance

Test Resources

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidance and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.

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