台灣病理學會主辦分子能力測試 EGFR 2020
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請填寫貴單位 ID *
請参閱寄給貴單位的填表說明，裡面有附上貴單位之 ID
Institute: *
Testing personnel: *
Lab directors: *
E-mail: *
請填寫聯絡人的 E-mail
1.Which patients are tested for EGFR mutations in your hospital/laboratory? (可複選) *
Required
2.In which time point patients are tested for EGFR mutations in your hospital/laboratory? (可複選) *
Required
3.Which of the following specimen types do you accept for the detection of EGFR mutations? (可複選) *
Required
4.For tumor tissue that is used for EGFR mutation analysis, what is the minimum neoplastic cell percentage that you would accept? *
若貴單位不考慮 minimum neoplastic cell percentage，則此項目請填「無」
5.What is the detection sensitivity of the assay you used for assessing EGFR mutations? *
______________%
6.What is the turnaround time of EGFR mutation analysis in your laboratory? (working days) *
7.Which method do you use for the detection of EGFR mutations? (可複選) *
Required
使用 Commercial kit or other methods 的種類 (若有使用請填寫)
8.Do you perform macrodissection or microdissection to enrich tumor cell populations before testing? *
9.Which EGFR mutations do you report? (可複選) *
Required
10. What is the average annual test volume (case number) of EGFR mutations in your laboratory? *
Result
1.Please record the slide no. you received for this test: *
Slide no. (EGFR01):
*
Slide no. (EGFR02):
2.In the tumor that you received in this specimen, estimate the percentage of tumor cells present within the area you selected for DNA mutation analysis? *
Percentage of tumor cells (EGFR01):
*
Percentage of tumor cells (EGFR02):
3.The results of this survey (EGFR01): *
Detected
Not Detected
Test Not Performed
Exon 18 point mutation [p.G719A or p.G719S or p.G719C or p.G719D]
Exon 19 deletion
Exon 20 point mutation [p.T790M]
Exon 20 insertion/duplication
Exon 21 point mutation [p.L858R]
Exon 21 point mutation [p.L861Q]
Other mutations in exons 18-21 (若有偵測到，請於以下空格說明是何種 mutation)
3.The results of this survey (EGFR02): *
Detected
Not Detected
Test Not Performed
Exon 18 point mutation [p.G719A or p.G719S or p.G719C or p.G719D]
Exon 19 deletion
Exon 20 point mutation [p.T790M]
Exon 20 insertion/duplication
Exon 21 point mutation [p.L858R]
Exon 21 point mutation [p.L861Q]
Other mutations in exons 18-21 (若有偵測到，請於以下空格說明是何種 mutation)
請問您對這次EGFR PT有無任何意見或建議? 歡迎您提供給學會參考，謝謝!
請注意：結果一旦送出即無法修改，請再次檢視您填寫的答案，確認無誤之後再按底下的「提交」按鈕。
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