TY - JOUR
T1 - Laboratory Assays in Evaluation of Lynch Syndrome in Patients with Endometrial Carcinoma
AU - Djordjevic, Bojana
AU - Broaddus, Russell R.
N1 - Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2016/6/1
Y1 - 2016/6/1
N2 - This article reviews the main tissue testing modalities for Lynch Syndrome in the pathology laboratory, such as immunohistochemistry and PCR based analyses, and discusses their routine application, interpretation pitfalls, and troubleshooting of common technical performance issues. Discrepancies between laboratory and genetic testing may arise, and are examined in the context of the complexity of molecular abnormalities associated with Lynch Syndrome. The merits of targeted versus universal screening in a changing healthcare climate are addressed. In the absence of comprehensive screening programs, specific tumor topography and histological features that may prompt pathologist-initiated molecular tumor testing are outlined.
AB - This article reviews the main tissue testing modalities for Lynch Syndrome in the pathology laboratory, such as immunohistochemistry and PCR based analyses, and discusses their routine application, interpretation pitfalls, and troubleshooting of common technical performance issues. Discrepancies between laboratory and genetic testing may arise, and are examined in the context of the complexity of molecular abnormalities associated with Lynch Syndrome. The merits of targeted versus universal screening in a changing healthcare climate are addressed. In the absence of comprehensive screening programs, specific tumor topography and histological features that may prompt pathologist-initiated molecular tumor testing are outlined.
KW - Endometrial cancer
KW - Lynch syndrome
KW - Molecular diagnostic testing
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U2 - 10.1016/j.path.2016.01.007
DO - 10.1016/j.path.2016.01.007
M3 - Review article
C2 - 27241109
AN - SCOPUS:84964336267
SN - 1875-9181
VL - 9
SP - 289
EP - 299
JO - Surgical Pathology Clinics
JF - Surgical Pathology Clinics
IS - 2
ER -