Test Overview
Test Methodology

Fluorescence in situ hybridization (FISH)

Test Usage

BRAF is as serine-threonine protein kinase involved in the mitogen-activated protein kinase (MAPK) signaling pathway. Constitutively activating mutations and rearrangements involving BRAF have been described in a range of neoplasms. BRAF rearrangements are particularly common in pilocytic astrocytoma, Spitz nevi and Spitzoid melanoma, pancreatic acinar cell carcinoma, papillary thyroid carcinoma and less common in prostate and gastric cancer. The detection of these rearrangements can be useful in the diagnosis of pilocytic astrocytoma since these rearrangements are uncommon in high-grade gliomas and other types of low-grade gliomas including grade II diffuse glioma, ganglioglioma and pleomorphic xanthoastrocytoma. In addition, the potential therapeutic utility of targeted therapies in neoplasms with BRAF rearrangements is currently being investigated in clinical trials. This test detects rearrangements involving BRAF (7q34) using fluorescence in situ hybridization and is expected to detect nearly all BRAF rearrangements. The partner gene for BRAF rearrangements is not identified by this study.

Reference Range *

Interpretive report provided.

* Reference ranges may change over time. Please refer to the original patient report when evaluating results.

Test Limitations

This test will detect rearrangements involving BRAF but will not identify the translocation partner. This test may not detect BRAF rearrangements in some cases due to the intrachromosomal proximity of some fusion partners.

Test Details
Days Set Up
Monday - Thursday
Analytic Time

3 - 10 days

Soft Order Code
MiChart Code
BRAF (7q34) Rearrangement by FISH
Molecular Diagnostics
Molecular Diagnostics
Specimen Requirements
Collection Instructions

A formalin-fixed, paraffin-embedded tissue block containing sufficient neoplastic cells is preferred. Unstained slides (3, 4-micron slides) with associated H&E stained slide are also acceptable. Decalcified tissue or other fixatives will be accepted and the assay attempted, however these may result in failed testing due to degraded nucleic acid. Both blocks and slides should be stored at room temperature.

Additional Information

By ordering this test the clinician acknowledges that informed consent has been obtained from the patient as required by applicable state or federal laws and the ordering clinician has authorization from the patient permitting MLabs to report the test results to the ordering clinician. Test includes pathologist interpretation of results billed as a separate additional charge. This test is not available without interpretation.

CPT Code
Fee Code
Pro Fee CPT