MDM2 (12q15) Amplification, Well-Differentiated Liposarcoma/Atypical Lipomatous Tumor, FISH, Tissue

Message
Must have H&E marked by pathologist indicating area of tumor


Test Code
LAB1230877


Alias/See Also
Lipoma
WDL/ALT
Osteosarcoma


CPT Codes
88271x2, 88274x1, 88291 x1

Includes
FISH analysis using probes for MDM2 gene and Chromosome 12 centromere and an interpretive report


Preferred Specimen
Formalin-fixed paraffin-embedded tissue slides


Minimum Volume
Two 3-micron unstained recuts and one marked H&E slide


Instructions
Please submit 2 consecutive unstained, 3-micron-thick sections placed on positively charged slides, and 1 matching hematoxylin and eosin-stained slide marked by pathologist for tumor area.


Transport Temperature
Ambient


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Will not reject, however decalcified tissues or tissues processed with unacceptable fixative may not yield a result


Methodology
FISH (fluorescence in situ hybridization)

Setup Schedule
Monday - Friday


Reference Range
Average MDM2:Average CEP12 ≤2.0 are considered negative for MDM2 amplification.


Clinical Significance
Supporting a diagnosis of well-differentiated liposarcoma/atypical lipomatous tumor Supporting a diagnosis of low-grade central or parosteal osteosarcoma


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.