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88957<br />

88955<br />

dysphagia. Clin Cancer Res 2004;10:1250-1254 2. Li FP, Fletcher JA, Heinrich MC, et al: Familial<br />

gastrointestinal stromal tumor syndrome: phenotypic and molecular features in a kindred. J Clin Oncol<br />

2005;23:2735-2743 3. Corless CL, Fletcher JA, Heinrich MC: Biology of gastrointestinal stromal tumors.<br />

J Clin Oncol 2004;22:3813-3825 4. Debiec-Rychter M, Raf Sciot R, Le Cesne A, et al: KIT mutations and<br />

dose selection for imatinib in patients with advanced gastrointestinal stromal tumors. Eur J Cancer<br />

2006;42:1093-1103 5. Heinrich MC, Corless CL, Demetri GD, et al: Kinase mutations and imatinib<br />

response in patients with metastatic gastrointestinal stromal tumor. J Clin Onc 2003;21:4342-4349 6.<br />

Debiec-Rychter M, Dumez H, Judson I, et al: Use of c-KIT/PDGFRA mutational analysis to predict the<br />

clinical response to imatinib in patients with advanced gastrointestinal stromal tumors entered on phase I<br />

and II studies of the EORTC Soft Tissue and Bone Sarcoma Group. Eur J Cancer 2004;40:689-695<br />

KIT, Mutation Analysis, Exon 17<br />

Clinical Information: Several tumors can harbor KIT mutations, including gastrointestinal stromal<br />

tumors (GIST), mast cell disease, melanoma, seminoma, acute myeloid leukemia, myeloproliferative<br />

neoplasms, and lymphomas. In addition, occasional cases of GIST can also harbor mutations in PDGFRA,<br />

a gene structurally related to KIT. The frequency and type of mutations vary among these tumors and<br />

portent distinct clinical implications. The ordering physician is responsible for the diagnosis and<br />

management of disease and decisions based on the data provided.<br />

Useful For: Diagnosis and management of patients with gastrointestinal stromal tumors or melanomas<br />

Identification of a mutation in exon 17 of the KIT gene<br />

Interpretation: Results are reported as positive, negative, or failed. A negative result does not rule out<br />

the presence of a mutation.<br />

Reference Values:<br />

Negative<br />

Clinical References: 1. Robson ME, Blogowski E, Sommer G, et al: Pleomorphic characteristics of<br />

a germ-line KIT mutation in a large kindred with gastrointestinal stromal tumors, hyperpigmentation, and<br />

dysphagia. Clin Cancer Res 2004;10:1250-1254 2. Li FP, Fletcher JA, Heinrich MC, et al: Familial<br />

gastrointestinal stromal tumor syndrome: phenotypic and molecular features in a kindred. J Clin Oncol<br />

2005;23:2735-2743 3. Corless CL, Fletcher JA, Heinrich MC: Biology of gastrointestinal stromal tumors.<br />

J Clin Oncol 2004;22:3813-3825 4. Debiec-Rychter M, Raf Sciot R, Le Cesne A, et al: KIT mutations and<br />

dose selection for imatinib in patients with advanced gastrointestinal stromal tumors. Eur J Cancer<br />

2006;42:1093-1103 5. Heinrich MC, Corless CL, Demetri GD, et al: Kinase Mutations and imatinib<br />

response in patients with metastatic gastrointestinal stromal tumor. J Clin Onc 2003;21:4342-4349 6.<br />

Debiec-Rychter M, Dumez H, Judson I, et al: Use of c-KIT/PDGFRA mutational analysis to predict the<br />

clinical response to imatinib in patients with advanced gastrointestinal stromal tumors entered on phase I<br />

and II studies of the EORTC Soft Tissue and Bone Sarcoma Group. Eur J Cancer 2004;40:689-695 7.<br />

Schildhaus HU, Cavlar T, Binot E, et al: Inflammatory fibroid polyps harbour mutations in the<br />

platelet-derived growth factor receptor alpha (PDGFRA) gene. J Pathol 2008;216(2):176-182<br />

KIT, Mutation Analysis, Exon 8<br />

Clinical Information: Several tumors can harbor KIT mutations, including gastrointestinal stromal<br />

tumors (GIST), mast cell disease, melanoma, seminoma, acute myeloid leukemia, myeloproliferative<br />

neoplasms, and lymphomas. In addition, occasional cases of GIST can also harbor mutations in PDGFRA,<br />

a gene structurally related to KIT. The frequency and type of mutations vary among these tumors and<br />

portent distinct clinical implications. The ordering physician is responsible for the diagnosis and<br />

management of disease and decisions based on the data provided.<br />

Useful For: Diagnosis and management of patients with gastrointestinal stromal tumors or other<br />

related tumors Identification of a mutation in exon 8 of the KIT gene<br />

Interpretation: Results are reported as positive, negative, or failed. A negative result does not rule out<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 1074

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