采用第II/III代的高精度测序(Automated capture-based next-generation sequencing)技术,美国CAP、CLIA认证检测中心,多学科专业人员分析解读数据(遗传学家、病理学家、肿瘤学临床专家等),为肿瘤患者医生提供详细的靶向用药选择方案以及临床试验选择方案。
肿瘤基因检测
1. Myeloid Molecular Profile 骨髓瘤基因检测 – 40 genes
(ASXL1, BCOR, BRAF, CALR, CEBPA, CBL, CSF3R, DNMT3A, ETV6, EZH2, GATA2, GNAS, IDH1, IDH2, JAK2, KIT, KRAS, MPL, NF1, NPM1, NRAS, PDGFRa, PDGFRb, PHF6, PTPN11, RAD21, RUNX1, SETBP1, SF3B1, SMC1A, SMC3, SRSF2, STAG2, STAT3, STAT5b, TET2, TP53, U2AF1, WT1, ZRSR2)
2. MDS Molecular Profile 骨髓增生异常综合征 – 5 genes
(ASXL1, ETV6, EZH2, RUNX1, TP53)
3. MPN Molecular Profile 恶性外周神经瘤 – 5 genes
(CALR, CSF3R, JAK2, MPL, SETBP1)
4. AML Molecular Profile 急性髓系白血病 – 21 genes
(ASXL1, BCOR, CEBPA, DNMT3A, EZH2, IDH1, IDH2, KIT, KRAS, NPM1, NRAS, PHF6, RUNX1, SF3B1, SRSF2, STAG2, TET2, TP53, U2AF1, WT1, ZRSR2)
5. Lymphoid Molecular Profile 淋巴瘤 – 75 genes
(ABL1, ALK, ATM, BCL2, BCL6, BCOR, BIRC3, BRAF, BTK, CARD11, CCND1, CD79A, CD79B, CDKN2A, CREBBP, CTCF, CXCR4, DDX3X, EP300, ETV6, EZH2, FAT1, FBXW7, FOXO1, GNA13, GNAI2, HIST1H1E, ID3, IKZF1, ITPKB, JAK1, JAK2, JAK3, KMT2A/MLL, KRAS, MAPK1, MED12, MEF2B, MYC, MYD88, NF1, NOTCH1, NOTCH2, NRAS, P2RY8, PDGFRb, PIK3CD, PIM1, PLCG2, POT1, PRDM1, PTEN, PTPN11, RB1, RHOA, RIPK1, S1PR2, SAMHD1, SF3B1, SGK1, SPEN, SRC, STAT3, STAT5B, SYK, TBL1XR1, TCF3, TNFAIP3, TNFRSF14, TP53, TRAF2, TRAF3, UBR5, XPO1, ZMYM3)
6. Lung Molecular Profile 肺癌 – 25 genes
(AKT1, ALK, ARAF, BCL2L11, BRAF, DDR2, EGFR, ERBB2, FGFR1, FGFR2, FGFR3, HRAS, IGF1R, KRAS, MAP2K1, MDM2, MET, NRAS, PDGFRá, PIK3CA, PTEN, RET, ROS1, STK11, TP53)
7. Melanoma Molecular Profile 黑色素瘤 – 15 genes
(AKT3, BRAF, CCND1, CDK4, ERBB4, GNA11, GNAQ, KIT, MAP2K1, MAP3K9, MITF, NF1, NRAS, PIK3CA, PTEN)
8. NexCourse? Solid 实体瘤全基因分析 – 110 genes
(ABL1, AKT1, AKT2, AKT3, ALK, APC, AR, ARAF, BAP1, BCL2L11, BRAF, BRCA1, BRCA2, BTK, CBL, CCND1, CCNE1, CDH1, CDK2, CDK4, CDK6, CDKN1B, CDKN2A, CSF1R, CTCF, CTNNB1, DDR2, DDX3X, EGFR, EPHA2, ERBB2, ERBB3, ERBB4, ESR1, ETV6, FBXW7, FGFR1, FGFR2, FGFR3, FGFR4, FLT1 (VEGFR1), FLT3, FOXO1, GATA3, GNA11, GNAQ, GNAS, HIF1A, HNF1A, HRAS, IDH1, IDH2, IGF1R, JAK1, JAK2, JAK3, KDR, KEAP1, KIT, KMT2A/MLL, KRAS, MAP2K1, MAP2K2, MAP2K4, MAP3K1, MAP3K9, MAPK1, MCL1, MDM2, MED12, MET, MITF, MTOR, MYC, NF1, NKX2-1, NOTCH1, NOTCH2, NRAS, NTRK1, PALB2, PBRM1, PDGFRa, PDGFRb, PIK3CA, PIK3CD, PIK3R1, PTCH1, PTEN, PTPN11, RB1, RET, RHEB, RHOA, RICTOR, RIT1, ROS1, RUNX1, SMAD4, SMARCB1, SMO, SPEN, SPOP, SRC, STK11, SYK, TP53, TSC1, TSC2, VHL)
9. NexCourse? Complete 实体瘤全基因分析 – 173 genes
(ABL1, AKT1, AKT2, AKT3, ALK, APC, AR, ARAF, ASXL1, ATM, BAP1, BCL2, BCL2L11, BCL6, BCOR, BIRC3, BRAF, BRCA1, BRCA2, BTK, CALR, CARD11, CBL, CCND1, CCNE1, CD79A, CD79B, CDH1, CDK2, CDK4, CDK6, CDKN1B, CDKN2A, CEBPA, CREBBP, CRLF2, CSF1R, CSF3R, CTCF, CTNNB1, CXCR4, DDR2, DDX3X, DNMT3A, EGFR, EP300, EPHA2, ERBB2, ERBB3, ERBB4, ESR1, ETV6, EZH2, FAT1, FBXW7, FGFR1, FGFR2, FGFR3, FGFR4, FLT1 (VEGFR1), FLT3, FOXO1, GATA2, GATA3, GNA11, GNA13, GNAI2, GNAQ, GNAS, HIF1A, HIST1H1E, HNF1A, HRAS, ID3, IDH1, IDH2, IGF1R, IKZF1, ITPKB, JAK1, JAK2, JAK3, KDR, KEAP1, KIT, KMT2A/MLL, KRAS, MAP2K1, MAP2K2, MAP2K4, MAP3K1, MAP3K9, MAPK1, MCL1, MDM2, MED12, MEF2B, MET, MITF, MPL, MTOR, MYC, MYD88, NF1, NKX2-1, NOTCH1, NOTCH2, NPM1, NRAS, NTRK1, PALB2, P2RY8, PBRM1, PDGFRA, PDGFRB, PHF6, PIK3CA, PIK3CD, PIK3R1, PIM1, PLCG2, POT1, PRDM1, PTCH1, PTEN, PTPN11, RAD21, RB1, RET, RHEB, RHOA, RICTOR, RIPK1, RIT1, ROS1, RUNX1, S1PR2, SAMHD1, SETBP1, SF3B1, SGK1, SMAD4, SMARCB1, SMC1A, SMC3, SMO, SOX2, SPEN, SPOP, SRC, SRSF2, STAG2, STAT3, STAT5B, STK11, SYK, TBL1XR1, TCF3, TET2, TNFAIP3, TNFRSF14, TP53, TRAF2, TRAF3, TSC1, TSC2, U2AF1, UBR5, VHL, WT1, XPO1, ZMYM3, ZRSR2)
10. MLL-PTD Mutation Analysis
FLT3 Mutation Analysis
病理分子诊断
特殊染色SPECIAL STAINS
Alcian Blue/PAS | Copper | Movat’sPentachrome |
Alcian Blue | Diff Quik | Mucicarmine |
Alcian Blue & Hyaluronidase | Elastic | Oil RedO |
Amyloid(crystalviolet) | FastRed | Reticulum |
Argyrophil(carcinoid) | Giemsa | PAS(-Diastase)PAS(+Diastase) |
Argentaffin | Iron | PTAH |
Basement membrane(Gomori) | Keratin(Ayoub-Shklar) | ToluidineBlue (mastcell) |
Bile | Melanin (Fontana-Masson) | Trichrome |
ColloidalIronwith/withouthyaluronidase | Melanin-Bleach | VictoriaBlue |
CongoRed | MethylGreenPyronine | WrightGiemsa |
特殊微生物染色 SPECIAL STAINS– MICROORGANISMS
AFB | Gridley |
Brown& Hopps (Bacteria)Fite | Steiner& Steiner(Spirochetes) |
GMS |
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免疫组化IMMUNOHISTOCHEMISTRY
34BE12 (CK903) | CD163 | MART-1 |
AACT | CDX-2 | MITF |
AAT | CEA (Monoclonal) | MLH1 |
ACTH | CEA (Polyclonal) | MOC-31 |
Actin | ChromograninA CK5 | MSH2 |
AE1/AE3 | CK7 | MSH6 |
AFP | CK20 | MUM-1 |
Alk-1Protein | CyclinD1 (Bcl-1) | MyelinBasic Protein |
Annexin | cMET | Myeloperoxidase |
Arginase-1 | CMV | Myogenin |
Bcl-2 oncoprotein | D2-40 | Myoglobin |
Bcl-6 | DBA 44 (HCL) | Napsin A |
Ber-EP4 | Desmin | Neurofilament |
Beta-Catenin | DOG-1 | NSE |
B723 | E-Cadherin | OCT 3/4 |
C4d | EBV(EBER)byISH | OSCAR– broadspectrum keratin |
Calcitonin | EBV-LMP | P504S P16 |
Caldesmon | EMA ER | P40 |
Calponin | ERCC1 | P53 |
Calretinin | FactorVIII | P57 |
CAM5 2 | Factor XIIIa | P63 |
Carbonic Anhydrase (CAIX) | Fascin | P120-Catenin |
CD1a | FSH | Pancreatic Polypeptide |
CD2 | Gastrin | Parvovirus |
CD3 | GATA-3 | Pax-2 |
CD4 | GCDFP (BRST-2) | Pax-5 |
CD5 | GFAP | Pax-8 |
CD7 | Glucagon | PTH Perforin PG-M1 |
CD8 | Glycophorin-A | PIN-4 (Prostate triple stain) |
CD10 | Glypican-3 | Placental Alkaline Phosphatase (PLAP) |
CD11c | Granzyme B | Placental Lactogen (PLAC) |
CD14 | Growth Hormone | PMS2 |
CD15 | HCG Beta | PR Prolactin PSA |
CD19 | Helicobacter pylori | Prostatic Acid Phosphatase (PAP) |
CD20 | Hepatitis B | PRLR |
CD21 | Core Ag | PTEN |
CD22 | Hepatitis B Surface Ag | RCC |
CD23 | Hep-Par1 (Hepat Sp Ag) | RRM1 |
CD25 | HER2 | S100P Serotonin |
CD30 | Herpes type 1 (HSV1) | Smooth Muscle Actin |
CD31 | Herpes type 2 (HSV2) | SMMHC (sm musc myosin heavy chain) |
CD33 | Hemoglobin A | Somatostatin |
CD34 | HHV8 | SV40 |
CD40 | HMB45 | Synaptophysin |
CD42b | Ig A | T-bet |
CD43 (Leu22) | Ig D | TdT |
CD45 (LCA) | Ig G | Thymidylate Synthase |
CD45RO (UCHL-1) | Ig M | Thyroglobulin |
CD56 | Inhibin-A | TSH |
CD57 (Leu7) | Insulin | TTF-1 |
CD61 | Kappa | TIA-1 |
CD68 (KP1) | Kappa by ISH | Toxoplasma gondii |
CD71 | Ki67 (MIB-1) | TRAP TTF-1 |
CD79a | Lambda | Tyrosinase |
CD99-MIC-2 | Lambda by ISH | Tryptase (Mast Cell) Villin |
CD103 | Laminin | Vimentin |
CD117, c-kit | LH | WT-1 |
CD123 | Lysozyme (Muramidase) | ZAP-70 |
CD138 | Mammaglobin |
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磷酸化免疫组化PHOSPHO IMMUNOHISTOCHEMISTRY
pAKT(Ser473) | p4EBP1(Thr37/46) | pMET(Tyr1234/1235) |
pS6(Ser235/236) | p44/42MAPK(pERK1/2)(Thr202/Tyr204) | pSTAT5(Tyr694) |
pS6(Ser240/244) | pMEK1/2(Ser221) | pRb(Ser780)andtotalRb |
病理报告PATHOLOGYREPORTS
? Compass? and Chart? Blood Evaluation (comprehensive analysis)
? Compass? and Chart? Bone Marrow Evaluation (comprehensive analysis)
? Blood/Bone Marrow Morphology
? Second Opinion Consultation/Central Review
? Hematopathology Consultation
FLOW CYTOMETRY (流式细胞仪检测)
FLOW CYTOMETRY MARKERS 流式细胞仪检测分子
CD1a | CD19 | CD45 | CD123 |
CD2 | CD20 | CD55 | CD138 |
CD3 | CD22 | CD56 | CD200 |
CD4 | CD23 | CD57 | Ep Cam |
CD5 | CD25 | CD59 | FLAER |
CD7 | CD26 | CD61 | FMC-7 |
CD8 | CD27 | CD64 | CD235a |
CD10 | CD28 | CD71 | Heavy Chains |
CD11b | CD33 | CD79a | HLA-DR |
CD11c | CD34 | CD79b | Kappa / Lambda |
CD13 | CD38 | CD81 | MPO |
CD14 | CD41a | CD103 | TCR a/b/g/d |
CD16 | CD43 | CD117 | TdT |
FLOW CYTOMETRY PROFILES
Intelligent Flow Profile
(Markers as needed)
Immunophenotyping(免疫分型)
Kappa, Lambda, 7-AAD, FMC7, HLA-DR, CD2, CD3, CD4, CD5, CD7, CD8, CD10, CD11b, CD11c, CD13, CD14, CD16, CD19, CD20, CD22, CD23, CD25, CD33, CD34, CD38, CD45, CD56, CD64, CD103, CD117
Large Granular Lymphocyte (LGL,大颗粒淋巴细胞)
CD3, CD4, CD5, CD8, CD16, CD45, CD56, CD57, Ta/b, Tg/d
Paroxysmal Nocturnal Hemoglobinuria (PNH) Evaluation (阵发性睡眠性血红蛋白)
CD14, CD33, CD45, CD55, CD59, FLAER, 7-AAD
Stem Cell (干细胞)
Ms, 7-AAD, CD34, CD45
Undifferentiated Acute Leukemia (未分化急性白血病)
cCD3, cCD22, CD34, CD41, CD45, CD61, cCD71a, cCD79a, cTdT, cMPO, Glycophorin
Chronic Lymphocytic Leukemia (CLL, 慢性淋巴细胞白血病) Minimal Residual Disease (MRD, 微小残留病) Profile
Kappa, Lambda, FMC-7, 7-AAD, CD3, CD5, CD10, CD19, CD20, CD22, CD23, CD43, CD79b
Mantle Cell Lymphoma (MCL, 套细胞淋巴瘤) Minimal Residual Disease (MRD) Profile
7-AAD, CD3, CD5, CD19, CD20, CD22, CD43, CD79b, CD81
Multiple Myeloma (多发性骨髓瘤) Monitoring/Minimal Residual Disease (MRD) Profile
Kappa, Lambda, CD19, CD20, CD27, CD28, CD38, CD56, CD81, CD138, CD200.
细胞遗传学检测
细胞遗传学报告CYTOGENETICS REPORTS
? Chromosome Analysis and Fluorescence in situ Hybridization (FISH)
? Chromosome Analysis Only
? Fluorescence in situ Hybridization (FISH) Only
FISH MARKERS
PROBE ABNORMALITY PROBE ABNORMALITY
ALK | t(2;5), inv(2)EML4-ALK | IGH | 14q32 rearrangements |
AP12/MALT1 | t(11;18) | IGH/BCL2 | t(14;18) |
ATM | Chromosome11q22 3 deletion | IGH/CCND1 | t(11;14) |
BCL6 | 3q27rearrangement | IGH/cMYC | t(8;14) |
BCR/ABL,9q34 (ASS1) | t(9;22) with 9q34 | IGH/FGFR3 | t(4;14) |
CBFb/MYH11 | inv(16) | IGH/MAF | t(14;16) |
CCND3,6q21, 6q23 | Chromosome6q deletions | MALT1 | 18q21 rearrangements |
CEP8 (8Cen) | Trisomy8 | cMET | cMET amplification |
CEP9 (9Cen) | Trisomy9 | MLL | 11q23 rearrangements |
CEP12 (12Cen) | Trisomy12 | cMYC | 8q24rearrangements |
CEP15 (15Cen) | Trisomy15 | PDGFRα | 4q12 rearrangements |
CKS1B(1p32 3/1q21) | Chromosome1 rearrangements | PDGFRβ | 5q32 rearrangements |
D13S319 (13q14, 13q34) | Chromosome 13q deletion | PI3K | PI3K amplification |
D20S108 | Chromosome20q deletion | PML/RARA | t(15;17) |
D5S23/D5S721(5p12) | Trisomy5 | RARA | t(15;17),t(11;17),t(5;17),iso(17q) |
D7S486 (7p11/7q31) | Chromosome7q deletion | RET | 10q11 rearrangements |
EGFR/CEP7 | EGFR amplification | ROS1 | 6q21 rearrangements |
EGR1 (5p15/5q31) | Chromosome5qdeletion&Trisomy 5 | RUNX1T1-RUNX1 (ETO/AML) | t(8;21) |
ETV6/RUNX1(TEL/AML) | t(12;21) | TCRalpha/delta | 14q11 rearrangements |
FGFR1 | 8p11 rearrangements | TP53(17p 13) | Chromosome17p deletion |
HER2 | HER2 amplification | X/Y Cen |
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