1-800-533-1710 Laboratory Service Report Patient Name ENHANCEDREP,VLD20150821A0068 Ordering Phys CLIENT,CLIENT Client Order # SA00002998 Collected 08/20/2015 12:51 Printed 08/25/2015 15:34 Test Patient ID SA00002998 Age 34 Account Information Gender Order # M SA00002998 DOB 01/01/1981 Report Notes C7028846-DLMP Rochester SDSC 2 - Client Support Rochester, MN 55901 Flag Results Reference Value Unit Perform Site* TP53 gene somatic mutation analysis Specimen Type Peripheral blood Final Diagnosis: Peripheral blood, TP53 Analysis for Tumor-associated Mutations, Sequencing: Positive. A mutation in the MCR MCR TP53 gene was detected. The mutation identified is:NM_000546.4(TP53): c.610del; p.Glu20Serfs*43. The predicted effect of this mutation is: likely pathogenic. Somatic TP53 mutations often result in loss of protein function, although in some cases, the changes could result in an aberrant gain of function (http:/www-p53.iarc.fr/FunctionCriteria.asp and http:/p53.free.fr/Database/p53_recommendations.html). The identified TP53 mutation in this specimen is most likely a somatic alteration in the neoplastic cell population; however, a small possibility exists that this abnormality may be a germline nucleotide change (i.e. present in all cells at birth and typically inherited from a parent rather than somatically acquired). Congenital TP53 mutations are known to cause an inherited cancer syndrome known as Li-Fraumeni syndrome. If this individual has a strong family history of cancer, consultation with a geneticist or genetic counselor may be beneficial. Signing Pathologist: Melissa Tricker-Klar -------------------ADDITIONAL INFORMATION------------------Method Summary: DNA was extracted from the sample and PCR was performed to amplify exon regions 4 to 9 of the TP53 gene. This assay uses Sanger sequencing to detect the presence or absence of acquired (somatic) TP53 mutations involving exons 4 to 9 and associated splice junctions. However, mutations outside of the analyzed region, or mutations present at low level or in small subclonal populations below the analytic sensitivity of the assay (approximately 20%) cannot be excluded by this method (See Mayo Medical Laboratories Interpretive Handbook for method details). Laboratory developed test. PDF Report available at: https://test.mmlaccess.com/Reports/C7028846-qgDaUiu3J1.ashx ***Performing Site Legend on Last Page of Report*** Patient Name Collection Date and Time ENHANCEDREP,VLD20150821A0068 08/20/2015 12:51 Page 1 of 2 * Report times for Mayo performed tests are CST/CDT Report Status Final >> Continued on Next Page >> 1-800-533-1710 Laboratory Service Report Patient Name ENHANCEDREP,VLD20150821A0068 Ordering Phys CLIENT,CLIENT Client Order # SA00002998 Collected 08/20/2015 12:51 Printed 08/25/2015 15:34 Test RECEIVED: 08/21/2015 13:45 Patient ID SA00002998 Account Information Age 34 Gender Order # M SA00002998 DOB 01/01/1981 Report Notes C7028846-DLMP Rochester SDSC 2 - Client Support Rochester, MN 55901 Flag Results Unit Reference Value Perform Site* REPORTED: 08/24/2015 11:24 * Performing Site: MCR Mayo Clinic Laboratories - Rochester Main Campus 200 First St SW Rochester, MN 55905 Patient Name Collection Date and Time ENHANCEDREP,VLD20150821A0068 08/20/2015 12:51 Page 2 of 2 * Report times for Mayo performed tests are CST/CDT Lab Director: William G. Morice, II, M.D., Ph.D. Report Status Final ** End of Report **