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Sorted By Test Name - Mayo Medical Laboratories

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60483<br />

FHPL<br />

91178<br />

HTLVL<br />

83277<br />

Human Papillomavirus (HPV), High-Risk DNA Detection Only, In<br />

Situ DNA Hybridization<br />

Clinical Information: Many human papillomavirus (HPV)-induced lesions are benign, presenting as<br />

warts or condylomas. However, certain HPV types have been strongly associated with risk of<br />

development of cervical, vaginal, and vulvar malignancy. These types are: 16, 18, 31, 33, 35, 39, 45, 51,<br />

52, 56, 58, and 66.<br />

Useful For: The detection of specific high-risk human papillomavirus DNA types (16, 18, 31, 33, 35,<br />

39, 45, 51, 52, 56, 58, and 66) in paraffin-embedded human tissue<br />

Interpretation: Human papillomavirus (HPV) high-risk types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58,<br />

and 66 are frequently found in cervical intraepithelial neoplasia (CIN) III (severe dysplasias and<br />

carcinoma in situ) and cervical cancer. Recent studies have also shown that HPV high-risk types are<br />

associated with a subset of oropharyngeal carcinomas. If additional interpretation or analysis is needed,<br />

order #5439 Surgical Pathology Consultation along with this test.<br />

Reference Values:<br />

This test, when not accompanied by a pathology consultation request, will be answered as either positive<br />

or negative.<br />

If additional interpretation/analysis is needed, please request 5439 Surgical Pathology Consultation<br />

along with this test.<br />

Clinical References: 1. Singhi AD, Westra WH: Comparison of human papillomavirus in situ<br />

hybridization and p16 immunohistochemistry in the detection of human papillomavirus-associated head<br />

and neck cancer based on a prospective clinical experience. Cancer 2010 May;2166-2173 2. Lorincz AT,<br />

Lancaster WD, Kurman RJ, et al: Characterization of human papillomaviruses in cervical neoplasias and<br />

their detection in routine clinical screening. Banbury Rep 1986; 21:225-237 3. Faulkner-Jones BE, Tabrizi<br />

SN, Borg AJ, et al: Detection of human papillomavirus DNA and mRNA using synthetic, type-specific<br />

oligonucleotide probes. J Virol Methods 1993;41:277-296<br />

Human Placental Lactogen (HPL)<br />

Reference Values:<br />

Males and nonpregnant Woman: 0.00-0.10 mcg/mL<br />

1st Trimester of Pregnancy: 0.20-2.10 mcg/mL<br />

2nd Trimester of Pregnancy: 0.50-6.70 mcg/mL<br />

3rd Trimester of Pregnancy: 4.50-12.80 mcg/mL<br />

<strong>Test</strong> Performed by: Cambridge Biomedical Inc.<br />

1320 Soldiers Field Road<br />

Boston, MA 02135<br />

Human T-Cell Lymphotropic Virus Types I and II (HTLV-I/-II)<br />

Antibody Confirmation, Serum<br />

Clinical Information: Human T-cell lymphotropic virus types I and II (HTLV-I and HTLV-II) are<br />

closely related exogenous human retroviruses. HTLV-I was first isolated in 1980 from a patient with a<br />

cutaneous T-cell lymphoma, while HTLV-II was identified from a patient with hairy cell leukemia in<br />

1982. HTLV-I infection is endemic in southwestern Japan, Caribbean basin, Melanesia, and parts of<br />

Africa, where HTLV-I seroprevalence rates are as high as 15% in the general population. In the United<br />

States, the combined HTLV-I and HTLV-II seroprevalence rate is about 0.016% among voluntary blood<br />

donors. About half of these infected blood donors are infected with HTLV-I, with most of them reporting<br />

a history of birth in HTLV-I-endemic countries or sexual contact with persons from the Caribbean or<br />

Japan. Smaller percentages report a history of either injection drug use or blood transfusion. Transmission<br />

of HTLV-I occurs from mother to fetus, sexual contact, blood transfusion, and sharing of contaminated<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 981

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