Test Code MAGE4 Melanoma-associated antigen-A4 (MAGE-A4), Semi-Quantitative Immunohistochemistry, Manual
Shipping Instructions
Attach the green "Attention Pathology" address label (T498) to the outside of the transport container before putting into the courier mailer.
Necessary Information
A pathology/diagnostic report and a brief history are required.
Specimen Required
Specimen Type: Tissue
Supplies: Pathology Packaging Kit (T554)
Submit:
Formalin-fixed, paraffin-embedded tissue block
OR
3 Unstained glass, positively charged slides with 4-microns formalin-fixed, paraffin-embedded tissue
Additional Information: One slide will be stained with hematoxylin and eosin and returned.
Useful For
Determining expression of melanoma-associated antigen-A4 (MAGE-A4) in synovial sarcoma and other neoplasms
As an aid in screening patients who may be eligible for TECELRA (afamitresgene autoleucel) therapy
Method Name
Immunohistochemistry (IHC)
Reporting Name
MAGE-A4, SemiQuant IHC, ManualSpecimen Type
SpecialSpecimen Minimum Volume
See Specimen Required
Specimen Stability Information
Specimen Type | Temperature | Time |
---|---|---|
Special | Ambient (preferred) | |
Refrigerated |
Reject Due To
Decalcified paraffin embedded tissue | Reject |
Wet/frozen tissue | Reject |
Cytology smears | Reject |
Nonformalin fixed tissue including alcohol-formalin-acetic acid (AFA), 95% ethanol, PREFER fixatives or Zinc formalin | Reject |
Nonparaffin embedded tissue | Reject |
Noncharged slides | Reject |
ProbeOn slides | Reject |
Snowcoat slides | Reject |
Clinical Information
Melanoma-associated antigen-A4 (MAGE-A4) is a cancer testis antigen (CTA). CTAs are targets for T-cell receptor immunotherapy. The MAGE-A4 immunohistochemical assay aids in identifying patients with synovial sarcoma and potentially other tumors for treatment with TECELRA (afamitresgene autoleucel), a MAGE-A4-directed genetically modified autologous T-cell immunotherapy.
Reference Values
An interpretive report will be provided.
Day(s) Performed
Monday through Friday
Report Available
5 to 7 daysSpecimen Retention Time
Until reportedPerforming Laboratory

Test Classification
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.CPT Code Information
88360
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
MAGE4 | MAGE-A4, SemiQuant IHC, Manual | In Process |
Result ID | Test Result Name | Result LOINC Value |
---|---|---|
622998 | Interpretation | 59465-5 |
622999 | Participated in the Interpretation | No LOINC Needed |
623000 | Report electronically signed by | 19139-5 |
623001 | Material Received | 81178-6 |
623002 | Disclaimer | 62364-5 |
623003 | Case Number | 80398-1 |