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KRAS Mutation Analysis in Other Cancers

Mutations in the KRAS gene are frequently found in human cancers. Recent studies have found mutations in the KRAS gene to be associated with a poor prognosis and predictive of limited clinical response to cancer therapies targeted to the EGFR/KRAS pathway. Genzyme offers KRAS Mutation Analysis in several tumor types found to harbor KRAS mutations.

Additional tumor types can include:

  • Colorectal
  • Non-small cell lung
  • Ovarian
  • Bile Duct
  • Pancreas
  • Esophageal
  • Appendix
  • Breast
  • Endometrial
  • Gastric
  • Thyroid

KRAS Mutation Analysis analyzes codons 12 and 13 of the KRAS gene by single nucleotide primer extension.

 CPT Codes:

83890(1), 83892(3), 83898(1), 83907(1), 83909(2), 83912(1), 83914(4), 88381(1)

Please Note: Include a copy of the original pathology report.


Specimen Requirements:

3 Options

Option 1 - Formalin-fixed, Paraffin-embedded Block with Corresponding H&E slide (preferred specimen type):*

  • Tissues should be well-fixed in formalin. If an alternative fixative is used, it should be noted on the requisition.
  • Store specimen at room temperature (20-23.5°C).
  • Use cold pack for transport. Be sure cold pack is not in direct contact with specimen during transport.

Option 2 - Unstained Slides:

  • Send all slides within 5-7 days of cutting.
  • Minimum of 4 slides (plus 1 H&E) or 5 slides (w/o H&E).
  • Pre-cut slides from paraffin block in 7 micron sections.
  • Air dry. Do not oven dry.
  • Store specimen at room temperature (20-23.5°C).

Option 3 - Fresh Snap Frozen Biopsy:

  • Fresh tissue snap frozen at -20°C.
  • Store at -20°C.
  • Ship on minimum of 10 lbs. dry ice.

*We will accept core needle biopsies, FNAs and pleural effusions; however, the smaller amount of tissue usually present in these specimens can lower the success rate of the assay.

Decalcified samples and Bouin’s, B-5, or any fixative containing heavy metals (i.e., zinc) are incompatible with sensitive DNA-based methodologies and are not acceptable sample types for this test.

Turnaround Time:

8-10 days


Client Services: Oncology/Pathology   800-447-5816

Specimen Services/Pickup:  877-246-1226