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SOMATIC MUTATION ANALYSIS REQUEST FORM Sarah Cannon UCLA Molecular Profiling First Floor, Shropshire House 1 Copper Street, London WC1E 6JA TEL: +44 ×0×207 679 9349 Web: www.uclad.com FOR LABORATORY

How to fill out somatic mutation analysis request

How to fill out somatic mutation analysis request:

1. Start by gathering all the necessary information and documents required for the analysis request. This may include the patient's medical history, tumor sample details, and any relevant genetic testing reports.
2. Begin the request form by providing the patient's personal information, such as their name, date of birth, and contact details. This helps in identifying the individual and ensuring accurate communication.
3. Next, include the details of the referring physician or healthcare provider who is requesting the somatic mutation analysis. This should include their name, institution, contact information, and any specific instructions they may have regarding the analysis.
4. Provide a concise clinical summary of the patient's condition, highlighting relevant information such as the type of cancer, stage, and previous treatments. This section allows the laboratory to gain a better understanding of the patient's medical background.
5. Include details about the tumor sample being submitted for analysis. This may involve specifying the type of tissue or cell source, the date of sample collection, and any specific requirements or preservation techniques.
6. Specify the specific somatic mutation analysis tests required for the analysis. This could include genetic panel testing, targeted sequencing, or other specialized techniques. If known, mention the specific genes or mutations of interest.
7. Indicate any additional testing or research requests, if applicable. For instance, if the analysis aims to identify potential therapeutic targets or resistance mechanisms, it should be clearly stated.
8. Provide any relevant clinical or experimental data that might assist in the interpretation of the results. This could include previous test results, radiology reports, or specific treatment details.
9. Lastly, it is vital to include the contact information of the individual responsible for following up on the analysis results. This could be the referring physician or any other designated healthcare professional.

Who needs somatic mutation analysis request:

1. Oncologists and other cancer specialists often require somatic mutation analysis requests to gain insights into the genetic makeup of a patient's tumor. This information helps in determining appropriate treatment strategies, prognosis, and personalized medicine options.
2. Pathologists who analyze tumor samples and provide diagnostic reports may request somatic mutation analysis to supplement their findings. It aids in identifying specific genetic alterations that could influence the tumor's behavior or response to therapy.
3. Researchers and scientists working in the field of cancer genetics and genomics may also require somatic mutation analysis requests. This helps in advancing scientific knowledge, identifying new biomarkers, and developing novel therapeutic approaches.

Overall, anyone involved in the diagnosis, treatment, or research of cancer can benefit from somatic mutation analysis requests to better understand the tumor's genetic profile and its clinical implications.

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What is somatic mutation analysis request?

Somatic mutation analysis request is a formal request for analyzing genetic mutations that occur in somatic cells, which are not passed down from parent to offspring.

Who is required to file somatic mutation analysis request?

Somatic mutation analysis request is usually filed by healthcare professionals or researchers studying genetic mutations.

How to fill out somatic mutation analysis request?

To fill out a somatic mutation analysis request, one must provide detailed information about the specific mutations to be analyzed and the purpose of the analysis.

What is the purpose of somatic mutation analysis request?

The purpose of somatic mutation analysis request is to identify and study genetic mutations that may be responsible for certain diseases or disorders.

What information must be reported on somatic mutation analysis request?

Information such as the type of mutation to be analyzed, the sample source, the patient's medical history, and any relevant clinical data must be reported on somatic mutation analysis request.