EPCAM Deletion/Duplication Analysis

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Synonyms

  • Lynch Syndrome

Test Includes

Deletion/duplication analysis of the terminal region of the EPCAM gene


Expected Turnaround Time

35 - 42 days


Related Documents


Specimen Requirements


Specimen

Whole blood


Volume

7 mL


Minimum Volume

4 mL


Container

Lavender-top (EDTA) tube


Storage Instructions

Maintain specimen at room temperature.


Causes for Rejection

Container broken or leaking; container not labeled; improper anticoagulant


Test Details


Use

Can confirm a clinical diagnosis of HNPCC and allow early diagnosis in family members, guiding preventive measures. Hereditary nonpolyposis colorectal cancer (HNPCC) is an autosomal-dominant, genetically heterogeneous syndrome caused by heterozygous mutations in mismatch repair genes (MMR). HNPCC is estimated to account for 4% to 6% of colorectal cancer and is characterized by early onset, a predominant proximal location of colon cancer, multiple primary cancers, and significantly improved survival when compared stage for stage to sporadic colon cancer survival rates. EPCAM gene accounting for an estimated 1% to 3% of all detectable HNPCC syndrome mutations. Studies indicate that large deletions in the end of this gene can lead to a loss of MSH2 expression and result in HNPCC. Genetic testing can confirm the diagnosis of HNPCC and can also identify presymptomatic individuals among the patient's relatives.


Limitations

Copy number variations are assessed by multiple-ligation-probe amplification assay (MLPA) to detect deletions and duplications of exons 8 and 9 in the EPCAM gene. Copy number analyses are designed to detect single exon, multi-exon, and full gene deletions or duplications. These analyses may not detect certain genomic rearrangements, such as translocations (balanced or unbalanced), inversions, or some partial exon rearrangements. This assay cannot determine exact breakpoints of deletions or duplications detected.

This test is not intended to detect somatic variants. Bone marrow transplantation may affect the outcome of these results. Please contact LabCorp to discuss testing options at 1-800-345-GENE.

This test was developed, and its performance characteristics determined, by LabCorp. It has not been cleared or approved by the US Food and Drug Administration (FDA).


Methodology

Multiplex ligation-dependent probe amplification (MLPA)


References

Kang SY, Park CK, Chang DK, et al. Lynch-like syndrome: Characterization and comparison with EPCAM deletion carriers. Int J Cancer. 2015 Apr;136(7):1568-1578. doi: 10.1002/ijc. 29133.25110875
Kohlmann W, Gruber SB. Lynch syndrome. In: Pagon RA, Adam MP, Ardinger HH, et al, eds. GeneReviews®. 2004 Feb 5; Seattle, Wash: University of Washington;1993-2014. Available at: http://www.ncbi.nlm.nih.gov/books/NBK1211/.20301390
Online Mendelian Inheritance in Man (OMIM™). Colorectal cancer, hereditary nonpolyposis, type 8; HNPCC8. Baltimore, Md: Johns Hopkins University. Available at: http://www.ncbi.nlm.nih.gov/omim/613244.
Online Mendelian Inheritance in Man (OMIM™). Epithelial cellular adhesion molecule; EPCAM. Baltimore, Md: Johns Hopkins University. Available at: http://omim.org/entry/185535.
Online Mendelian Inheritance in Man (OMIM™). Lynch syndrome I. Baltimore, Md: Johns Hopkins University. Available at: http://www.ncbi.nlm.nih.gov/omim/120435.
Online Mendelian Inheritance in Man (OMIM™). MutS, E coli, homolog of, 2; MSH2. Baltimore, Md: Johns Hopkins University. Available at:http://www.ncbi.nlm.nih.gov/omim/609309.
Online Mendelian Inheritance in Man (OMIM™). Postmeiotic segregation increased, S cerevisiae, 2; PMS2. Baltimore, Md: Johns Hopkins University. Available at: http://www.ncbi.nlm.nih.gov/omim/600259.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
511654 EPCAM Deletion/Duplication 511679 Test Order Review N/A
511654 EPCAM Deletion/Duplication 511652 Tracking N/A
511654 EPCAM Deletion/Duplication 512123 PDF 51967-8
Reflex Table for Test Order Review
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 511678 EPCAM Deletion/Duplication 511648 Specimen Type 31208-2
Reflex Table for Test Order Review
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 511678 EPCAM Deletion/Duplication 511649 Result 79418-0
Reflex Table for Test Order Review
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 511678 EPCAM Deletion/Duplication 511651 Director Review 72486-4
Reflex Table for Test Order Review
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 511678 EPCAM Deletion/Duplication 512123 PDF 51967-8

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