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FHER<br />

91518<br />

associated with infectivity. In acute cases, HBsAg usually disappears 1 to 2 months following the onset of<br />

symptoms. Persistence of HBsAg for more than 6 months indicates development of either a chronic<br />

carrier state or chronic liver disease. Hepatitis B core antibody (anti-HBc) IgM can be detected in serum<br />

shortly after the onset of symptoms and is usually present up to 6 months. Anti-HBc IgM may be the only<br />

serologic marker of a recent HBV infection and is detectable following the disappearance of HBsAg and<br />

prior to the appearance of hepatitis Bs antibody (anti-HBs) (ie, core window period). Hepatitis C virus<br />

(HCV) infection Anti-HCV is usually not detectable during the early months of infection with HCV. A<br />

negative chemiluminescence immunoassay (CIA) antibody test result does not exclude the possibility of<br />

exposure to or infection with HCV. Negative results in individuals with prior exposure to HVC may be<br />

due to antibody levels below the limit of detection of this assay or lack of reactivity to the HCV antigens<br />

used in this assay. Patients with recent infections with HCV may have false-negative results due to the<br />

time required for seroconversion (an average of 8 to 9 weeks). If HCV infection is suspected, qualitative<br />

HCV RNA testing is recommended. See Advances in the Laboratory Diagnosis of Hepatitis C (2002) in<br />

Publications. Also see HBV Infection-Diagnostic Approach and Management Algorithm, Recommended<br />

Approach to the Diagnosis and Monitoring of Patients with Hepatitis C Virus, and Viral Hepatitis<br />

Serologic Profile in Special Instructions. A positive CIA screen result suggests the presence of anti-HCV<br />

as a result of past or present HCV infection.<br />

Reference Values:<br />

HEPATITIS A ANTIBODY, IgG & IgM<br />

Negative<br />

HEPATITIS B SURFACE ANTIGEN<br />

Negative<br />

HEPATITIS B SURFACE ANTIBODY<br />

Unvaccinated: negative<br />

Vaccinated: positive<br />

HEPATITIS B SURFACE ANTIBODY, QUANTITATIVE<br />

Unvaccinated: or =12.0<br />

HEPATITIS B CORE TOTAL<br />

Negative<br />

HEPATITIS C VIRUS ANTIBODY SCREEN<br />

Negative<br />

Clinical References: 1. Ergun GA, Miskovitz PF: Viral hepatitis: the new ABC's. Postgrad Med<br />

1990 October;88(5):69-76 2. Sherlock S: Hepatitis B: the disease. Vaccine 1990;8 Suppl:S6-S9 3. Lemon<br />

SM: Type A viral hepatitis: epidemiology, diagnosis, and prevention. Clin Chem 1997 August;43:(8 pt<br />

2)1494-1499 4. Ciocca M: Clinical course and consequences of hepatitis A infection. Vaccine 2000;18<br />

Suppl 1: S71-74 5. Choo QL, Weiner AJ, Overby LR, et al: Hepatitis C virus: the major causative agent<br />

of viral non-A, non-B hepatitis. Brit Med Bull 1990 April;46(2):423-441<br />

HER-2/neu, Quantitative, ELISA<br />

Reference Values:<br />

Reference Range: 0.0 - 15.0 ng/mL<br />

<strong>Test</strong> Performed <strong>By</strong>: LabCorp Burlington<br />

1447 York Court<br />

Burlington, NC 27215-2230<br />

Clinical References: Fehm T, Malmonis P, Weltz S, et al., Influence of circulating c-erb-2 serum<br />

protein on response to adjuvant chemotherapy in node-positive breast cancer patients. Breast Cancer Res<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 909

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