Test Overview
Clinical Utility
Point mutation of the KIT oncogene at codon 816 (D816V) is seen in >90% of systemic mastocytosis (SM) cases. The presence of KIT D816V mutation is one of the minor criteria for diagnosis of SM and mutation testing can assist in diagnosis, particularly in limited specimens. KIT D816 mutations, including D816V, D816H and D816Y, are also the most common KIT mutations seen in the core-binding factor acute myeloid leukemia (AML). In both t(8;21) and inv(16)/t(16;16) AML, cases with KIT D816 mutation are associated with worse outcomes than unmutated cases.
This PCR-based DNA pyrosequencing assay sensitively detects the KIT D816V mutation down to 2%. If KIT mutation testing of gastrointestinal stromal tumor (GIST) or melanoma is needed, test code 19961 should be used instead, which tests for exons 8, 9, 11, 13 and 17 of the KIT gene by Sanger sequencing.
Method
Next-generation sequencing (NGS)
Result Included
Source; Block/Specimen ID; Clinical Indication; KIT D816 Mutation; Interpretation
Specimen
Specimen Type
Whole BloodContainers
Preferred Containers
Lavender top (EDTA)
Acceptable Containers
Green top (Sodium Heparin); Yellow top (ACD-B)
Volume
Sample Volume
5 mL
Minimum Volume
2 mL
Collection & Handling
Handling Information
Store and send cold. Due to limited stability, specimen must be received at ICL on Monday to Wednesday within three days of collection.
Stability
| Ambient | Refrigerated | Frozen |
|---|---|---|
| 7 days | 7 days | Unacceptable |
Rejection Criteria
| Criteria | Specification |
|---|---|
| Specimen | Frozen |
Performance & Interpretation
Turnaround Time
13 days
Results
-
KIT D816 MutationNot detected
Referral Location
Out-of-Country
Interface & Setup
HL7 Interface Codes
| Order Code | Result Name | Result Codes | Units |
|---|---|---|---|
| KITD816M WB | Source | 62268 | |
| Block Specimen ID | 64808 | ||
| Clinical Indication | 64806 | ||
| KIT D816 Mutation | 64809 | ||
| Interpretation | 64810 |
Test Version
Last Updated
2022-03-23