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Test ID UVEAL GNAQ/GNA11 Mutation Analysis, Uveal Melanoma

Useful For

Aiding in the diagnosis of uveal melanoma and targeting therapeutic approaches

Additional Tests

Test ID Reporting Name Available Separately Always Performed
SLIRV Slide Review in MG No Yes

Testing Algorithm

When this test is ordered, slide review will always be performed at an additional charge.

Method Name

Polymerase Chain Reaction (PCR)

(PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.)

Reporting Name

GNAQ/GNA11 Mutation Analysis

Specimen Type

Varies

Pathology report must accompany specimen in order for testing to be performed.

 

Forms: If not ordering electronically, complete, print, and send an Oncology Test Request Form (T729) with the specimen

(http://www.mayomedicallaboratories.com/it-mmfiles/oncology-request-form.pdf)

 

Preferred:

Specimen Type: Tissue

Container/Tube: Tissue block

Collection Instructions: Submit a formalin-fixed, paraffin-embedded tissue block.

 

Acceptable:

Specimen Type: Tissue

Container/Tube: Slides

Specimen Volume: 1 stained and 5 unstained

Collection Instructions: Submit 1 slide stained with hematoxylin and eosin and 5 unstained, nonbaked slides with 5-micron thick sections of the tumor tissue.

Specimen Minimum Volume

Formalin-fixed, paraffin-embedded (FFPE) tissue block (preferred) or 1 slide stained with hematoxylin- and -eosin and 5 unstained, nonbaked slides with 5-microns thick sections of the tumor tissue.

Specimen Stability Information

Specimen Type Temperature Time
Varies Ambient (preferred)
  Frozen 
  Refrigerated 

Clinical Information

The GNAQ and GNA11 codon 209 mutations in exon 5 are the most common genetic alterations in uveal melanoma, occurring in around 80% of uveal melanoma tumors. Additionally, these mutations occur almost exclusively in uveal melanomas and blue nevi. Detection of the codon 209 mutations can help in the diagnosis of uveal melanoma cases, as well as aid in knowledge of prognosis and possible therapeutic approaches.

Reference Values

An interpretive report will be provided.

Cautions

Clinical diagnosis or therapy should not be based solely on this assay. The results should be considered in conjunction with clinical information and additional diagnostic tests.

Day(s) Performed

Performed weekly, varies

Report Available

10 days

Performing Laboratory

Mayo Medical Laboratories in Rochester

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the U.S. Food and Drug Administration.

CPT Code Information

81403- GNAQ (guanine nucleotide-binding protein G[q] subunit alpha)(eg, uveal melanoma), common variants (eg, R183, Q209)

 

81479- Unlisted molecular pathology procedure code

 

Slide Review

88381-Microdissection, manual

NY State Approved

Yes