ARUP's Laboratory Test Directory

Estrogen/Progesterone Receptor Assay, Paraffin : 0049210
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Anatomic Pathology Test Request Form Recommended
  


Mnemonic: ERPR IP

Methodology: Immunohistochemistry
Performed: Mon-Fri
Reported: Within 4 days
Specimen Required: Collect: Tumor tissue.

Specimen Preparation: Formalin fix (10% neutral buffered formalin) and paraffin embed tissue no later than 1 hour after removal from patient. Protect from excessive heat. Fixative duration: 6-72 hours.
Transport tissue block.


Storage/Transport Temperature: Room temperature. Ship in cooled container during summer months.

Remarks: Document time from tissue acquisition to fixation, and fixation duration on submitting requisition or enter at time of order. Include surgical pathology report.

Unacceptable Conditions: Paraffin block with no tumor tissue remaining. Specimens where fixation was delayed for more than one hour. Specimens fixed in any fixative other than 10% neutral buffered formalin. Biopsies fixed for less than 6 hours and greater than 72 hours. Cytology specimens fixed in alcohol. Decalcified specimens.

Stability (collection to initiation of testing): Paraffin Block: Ambient: Indefinitely; Refrigerated: Indefinitely. Frozen: Unacceptable
Reference Interval:
ERA: PGRA:
Negative: less than 1% of nuclei staining
Positive: greater than or equal to 1% of nuclei staining
Negative: less than 1% of nuclei staining
Positive: greater than or equal to 1% of nuclei staining

Interpretive Data: Tumor cell nuclei demonstrating immunoreactivity of greater than or equal to 1 percent are considered positive and correlate with a favorable response to hormone therapy and an improved prognosis. Tumor cell nuclei demonstrating immunoreactivity of less than 1 percent are considered negative.

A measurement of weak, moderate, or strong is reported based on an estimate of the average staining intensity of positively-stained tumor cells in the entire tissue section relative to positive and internal (benign glands) controls.

Staining is performed on paraffin-embedded formalin-fixed tissue, utilizing Ventana clones and detection system. Antibody clone for ER is SP1, clone for PR is 1E2 and the detection system is SA-HRP. Clone 1E2 was validated at ARUP against the 1A6 clone. Results were found to be comparable. These clones are not currently FDA-approved.

Evaluation of positive and negative controls for appropriate reactivity is also performed.

For more information refer to ASCO/CAP guidelines found at http://www.jco.org.

Refer to Statement A under Testing Information at http://www.aruplab.com.
CPT Code(s): 88360 ER; 88360 PR
Cross References: ER/PgR (Estrogen/Progesterone Receptor Assay, Paraffin), ERA & PRA (Estrogen/Progesterone Receptor Assay, Paraffin), ERPR (Estrogen/Progesterone Receptor Assay, Paraffin), Steroid Receptor Assay (Estrogen/Progesterone Receptor Assay, Paraffin)
 
 

 

 

 
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