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Sorted By Test Name - Mayo Medical Laboratories

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FMI2<br />

57186<br />

RMA<br />

81260<br />

been shown for glioblastomas and alkylating agents such as Temodar (R) (temozolomide). Approximately<br />

40% to 45% of glioblastoma multiforme (GBM) tumors exhibit MGMT gene methylation. Retrospective<br />

studies have shown that detection of MGMT promoter methylation in tumor samples is associated with an<br />

increased likelihood of a favorable response to temozolomide.<br />

Reference Values:<br />

Methylation Score:<br />

unmethylated =2.00<br />

Director Review:<br />

Li Cai, PhD, FACMG<br />

Director, Molecular Genetics<br />

LabCorp Center for Molecular Biology and Pathology<br />

Research Triangle Park, NC<br />

1-800-533-0567<br />

<strong>Test</strong> Performed <strong>By</strong>: LabCorp-Research Triangle Park<br />

1912 Alexander Drive<br />

P.O. Box 13973<br />

Research Triangle Park, NC 27709<br />

Clinical References: References: 1) Vlassenbroeck I. et al. Validation of Real-Time Methylation-<br />

Specific PCR to Determine O(6)-Methylguanine-DNA Methyl- transferase Gene Promoter Methylation in<br />

Glioma. J. Molecular Diagnostics 10; 4:332-337. 2008. 2) Hegi M. et al. MGMT Gene Silencing and<br />

Benefit from Temo- zolomide in Glioblastoma. New England J Medicine 352; 10:997-1003. 2005. 3)<br />

Brandes A. et al. MGMT Promoter Methylation Status Can Predict the Incidence and Outcome of<br />

Pseudoprogression After Concomitant Radiochemotheraphy in Newly Diagnosed Glioblastoma Patients.<br />

J. Clinical Oncology 26; 13:2192-2197. 2008. 4) Hau P. et al. MGMT Methylation Status: The Advent of<br />

Stratified Therapy in Glioblastoma. Disease Markers 23:97-104. 2007.<br />

MI-2<br />

Clinical Information: MI-2 is a Myositis specific Autoantibody and is seen in 5-10% of Myositis and<br />

in 5% of Juvenile Myositis cases. MI-2 is also positive in classic dermatomyositis, mild to moderate<br />

weakness with V and Shawl sign rashes, and cuticular overgrowth associated in adults; good response to<br />

therapy.<br />

Reference Values:<br />

Negative<br />

<strong>Test</strong> Performed by: RDL Reference Laboratory, Inc.<br />

10755 Venice Boulevard<br />

Los Angeles, CA 90034<br />

Microalbumin, Random, Urine<br />

Clinical Information: Diabetic nephropathy is a complication of diabetes and is characterized by<br />

proteinuria (normal urinary albumin excretion is 300 mg/day). Before<br />

overt proteinuria develops, albumin excretion increases in those diabetic patients who are destined to<br />

develop diabetic nephropathy. Therapeutic maneuvers (eg, aggressive blood pressure maintenance,<br />

particularly with angiotensin-converting enzyme inhibitors; aggressive blood sugar control; and possibly<br />

decreased protein intake) can significantly delay, or possibly prevent, development of nephropathy. Thus,<br />

there is a need to identify small, but abnormal, increases in the excretion of urinary albumin (in the range<br />

of 30-300 mg/day, ie, microalbuminuria). The National Kidney Foundation guidelines for the<br />

management of patients with diabetes and microalbuminuria recommend that all type 1 diabetic patients<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 1206

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