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Sorted By Test Name - Mayo Medical Laboratories

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SAAS<br />

89882<br />

SAAI<br />

89883<br />

questioned. This is especially true for paraffin-embedded material: labeling accuracy may be questioned<br />

or tissue from other sources may be included by mistake. Confirmation of the patient origin may be<br />

critical to the clinical work-up of that patient. Molecular methods are now available to extract DNA from<br />

various sources, including paraffin-embedded material, and to compare the molecular fingerprint<br />

(genotype) of one specimen source with another one. Matching genotypes on multiple specimens suggest<br />

that they are derived from the same patient, whereas differences in genotype suggest different patient<br />

sources.<br />

Useful For: Determining specimen origin when the patient identity of a specimen is in question<br />

Interpretation: An interpretive report will be provided.<br />

Clinical References: Sano K, Takayanagi K, Kaneko T, et al: Application of short tandem repeat of<br />

genomic DNA and mitochondrial DNA for identification of mixed-up tissue specimens. Pathol Int<br />

2000;50:1-6<br />

Sperm Antibody, Direct, Semen<br />

Clinical Information: Sperm antibodies are associated with some cases of infertility. For fertilization<br />

to occur, the sperm head must first attach to the zona pellucida of the egg. Sperm antibodies interfere with<br />

this binding. While there is consensus that these antibodies play a role in infertility, the percentage of<br />

sperm that must be bound by antibodies before fertility is adversely affected is less clear.<br />

Useful For: As the preferred test and specimen type (semen) for males suspected of sperm antibodies,<br />

this test is indicated in the investigation of male infertility: -As a follow-up test when sperm agglutination<br />

is noted in the ejaculate -In men with a history of testicular trauma, biopsy, vasectomy reversal, genital<br />

tract infection, or obstructive lesions of the reproductive ductal system<br />

Interpretation: Results are reported as: -Percentage of sperm with positive binding -Class of antibody<br />

involved (IgG and IgA) -Site of binding (head, midpiece, tail, and/or tail tip) Greater than 50% binding is<br />

usually required to significantly lower a patient's fertility. The significance of the percentage binding is<br />

inversely related to the patientâ€s sperm count.<br />

Reference Values:<br />

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