NKX3.1 IMMUNOHISTOCHEMISTRY (IHC)

Message
Note: This test is ordered by pathology in the laboratory information system


Test Code
NKX3


CPT Codes
88342-TC, primary, 88341-TC if additional IHC

Preferred Specimen
Tissue


Instructions




FDA Status
This test has been cleared or approved by the U.S. Food and Drug Administration and is used per manufactureer's instructions. Performance characteristics were verified by WVUH in a manner consisten with CLIA requirements.

Clinical Significance
Differentiating high-grade prostatic neoplasms from urothelial carcinoma, and evaluating tumors of unknown primary.
NKX3.1 is a prostate specific androgen-regulated homeobox gene located on chromosome 8p. NKX3.1 is a sensitive and specific tissue
marker of prostate adenocarcinoma. It is reported to be superior to PSA (prostate specific antigen) and PSAP (prostate specific acid
phosphatase) in both sensitivity and specificity. NKX3.1 may be useful in differentiating high-grade prostatic from urothelial carcinoma as well
as tumors of unknown primary. NKX3.1 a nuclear stain, but also typically shows a faint cytoplasmic blush in prostatic glandular cells. It
is expressed in both benign and neoplastic epithelium. It does not stain prostatic basal cells.


Performing Laboratory
West Virginia University Hospital, Inc.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.