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This document details the testing procedure for nucleophosmin mutations in acute myeloid leukemia (AML), including test codes, methodology, specimen requirements, clinical utility, and turnaround
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How to fill out Nucleophosmin Mutation Testing in Acute Myeloid Leukemia

01
Obtain a sample of the patient's bone marrow or peripheral blood.
02
Prepare the sample for molecular testing by isolating nucleic acids.
03
Use PCR (polymerase chain reaction) amplification to target the Nucleophosmin gene.
04
Sequence the amplified product to identify mutations within the NPM1 gene.
05
Analyze the sequencing results to determine the presence or absence of Nucleophosmin mutations.
06
Report the findings, including details of any identified mutations.

Who needs Nucleophosmin Mutation Testing in Acute Myeloid Leukemia?

01
Patients diagnosed with Acute Myeloid Leukemia (AML).
02
Patients with a specific clinical presentation suggesting NPM1 mutations.
03
Individuals guiding treatment decisions based on molecular profiling.
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A fluorescent-based PCR is used to detect ITD and D835 point mutations in Flt3 using DNA isolated from bone marrow or peripheral blood. Flt3/ITD is assessed by amplification of the JM domain using primers from exons 14 and 15.
Genetic tests (cytogenetic and molecular tests) Tests can be done on a sample of your blood or bone marrow, to look for any changes (mutations) in the chromosomes or DNA in the abnormal cells. Sometimes these results can confirm a diagnosis of AML.
Blood tests for acute myelogenous leukemia might include a test to count the number of blood cells in a sample of blood. This test is called a complete blood count. The results may show too many or too few white blood cells. Often the test finds that there are not enough red blood cells and not enough platelets.
AML is associated with poor outcome due to the lack of efficient therapies and early diagnostic tools. The current gold standard diagnostic tools are based on bone marrow biopsy.
Acute myeloid leukemia diagnosis often begins with an exam that checks for bruising, bleeding in the mouth or gums, infection, and swollen lymph nodes. Other tests include blood and lab tests, bone marrow biopsy, lumbar puncture, and imaging.
NPM1-mutated AMLs are globally chemosensitive, with complete remission (CR) rates nearing 90% but with heterogeneity in relapse rates. Across all ages, ∼50% of patients with an NPM1 mutation who are intensively treated will relapse.
A mutation in the gene encoding nucleophosmin (NPM1) is one of the most commonly detected genomic alterations in AML. It is found in 20–30% of newly diagnosed AML and in 50% of those with a normal karyotype [1,5,6]. NPM1 is a chaperone protein that shuttles between the nucleus and cytoplasm with numerous functions.
Blood Tests People with AML often have a high number of white blood cells, but most of these are leukemia (blast) cells that do not protect against infection. They may also have a low number of red blood cells and platelets.

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Nucleophosmin Mutation Testing in Acute Myeloid Leukemia (AML) is a diagnostic procedure that identifies mutations in the NPM1 gene, which are often associated with a specific subtype of AML. This testing is crucial for determining prognosis and guiding treatment decisions.
Healthcare providers such as hematologists and oncologists typically require Nucleophosmin Mutation Testing for patients diagnosed with Acute Myeloid Leukemia to assess the genetic profile and plan appropriate treatment strategies.
To fill out the Nucleophosmin Mutation Testing form, medical personnel should collect patient identification details, including name, age, and medical history, along with sample information. They must specify the reason for the testing and any relevant clinical history that may influence the results.
The purpose of Nucleophosmin Mutation Testing in Acute Myeloid Leukemia is to detect specific mutations in the NPM1 gene, which can provide insights into prognosis, inform treatment options, and help in monitoring disease progression or response to therapy.
The report for Nucleophosmin Mutation Testing should include the mutation status of the NPM1 gene, any relevant clinical annotations, the interpretation of results, and recommendations for potential treatment pathways based on the findings.
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