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Lab Test

IHC - Microsatellite Instability Panel for Colorectal Carcinoma

The Immunohistochemistry (IHC) - Microsatellite Instability Panel for Colorectal Carcinoma is a diagnostic test that uses tissue samples to identify changes in proteins produced by MLH1, MSH2, MSH6, and PMS2 genes. These genes are key components of the DNA mismatch repair (MMR) system, which works to fix mistakes that can occur when DNA is copied during cell division.


  • Profile Name IHC - Microsatellite Instability Panel for Colorectal Carcinoma
  • Sample Type Tissue
  • Preparations Required No specific instructions required. Continue with your normal diet and medications unless told otherwise by your doctor.
  • Report Time 4 days

Mutations in any of these genes can disrupt the normal functioning of the MMR system, causing a phenomenon known as microsatellite instability (MSI). This instability, characterized by changes in the length of DNA sequences called microsatellites, is a common feature of several types of cancer, including colorectal cancer.

The IHC - Microsatellite Instability Panel is a crucial test for the evaluation and management of colorectal cancer. It can aid in determining the likelihood of the disease, particularly in individuals with a family history of colorectal cancer or other risk factors. The results can also guide treatment options, as cancers with high microsatellite instability (MSI-H) often respond differently to certain therapies compared to cancers with low MSI (MSI-L) or those that are microsatellite stable (MSS).

Home Sample Collection Process

1
Book your convenient slot
Book your convenient slot
2
Sample Collection by Phlebotomist
Sample Collection by Phlebotomist
3
Reporting of the sample at lab
Reporting of the sample at lab
4
Download Reports
Download Reports

Note: Home Sample Collection is only for Pathology lab tests.

Frequently Asked Questions

The IHC - Microsatellite Instability Panel test is vital as it helps identify changes in proteins involved in DNA mismatch repair. These changes can lead to microsatellite instability, a characteristic feature of several types of cancers, including colorectal cancer.

A positive result indicates that one or more of the proteins are not functioning normally, suggesting the possibility of colorectal cancer.

A negative result suggests that the proteins are functioning normally, reducing the likelihood of colorectal cancer. However, it doesn't entirely rule out the presence of cancer.

This test is often recommended for individuals with a family history of colorectal cancer or other risk factors. It can also guide treatment decisions for individuals diagnosed with colorectal cancer.

The test is performed on a tissue sample, typically obtained through a biopsy. The sample is then stained with specific antibodies that bind to the proteins and analyzed under a microscope.

While this test is primarily used to identify colorectal cancer, changes in these proteins can also occur in other cancers, such as endometrial cancer. Therefore, the test may provide useful information in other contexts.

No, fasting is not required for this test.

The test itself doesn't pose any risks. However, obtaining the tissue sample for testing can involve some risks, depending on the biopsy method used.

The quality of the tissue sample and the specific method used for staining and observation can potentially affect the test results.

If your test results are abnormal, it's important to discuss the findings with your doctor, who can provide further guidance based on your overall health, symptoms, and other diagnostic tests.

The frequency of this test varies and will be determined by your healthcare provider, depending on your specific situation.

Coverage for this test will depend on your specific insurance plan. It is recommended to check with your insurance provider for coverage details.

There are other types of genetic testing that can provide information about the likelihood of colorectal cancer. However, the IHC - Microsatellite Instability Panel is unique in its ability to examine the function of multiple key proteins at once.

A normal result can't guarantee the absence of colorectal cancer. It only suggests that the proteins are functioning normally and there is no microsatellite instability. Other diagnostic tests may be necessary.

If your results are abnormal, it's best to consult an oncologist or a genetic counselor who can interpret the results and guide you about the next steps.

In conclusion, the IHC - Microsatellite Instability for Colorectal Carcinoma is a vital tool in the fight against colorectal cancer. It not only helps in the detection and management of the disease but also aids in understanding the genetic basis of cancer development, enabling a more personalized approach to patient care.

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