Test Code MTAP Methylthioadenosine Phosphorylase (MTAP), Diagnostic, Immunostain, Tech Only
Ordering Guidance
This test includes only technical performance of the stain (no pathologist interpretation is performed).
This test is for qualitative immunohistochemistry testing of methylthioadenosine phosphorylase for diagnostic purposes without interpretation.
For predictive immunostain detection of methylthioadenosine phosphorylase expression in solid tumors with interpretation, order MTAPS / Methylthioadenosine Phosphorylase, Solid Tumor, Immunohistochemistry.
For interpretation and diagnosis of submitted pathology specimens with appropriate additional stains and other ancillary testing, order PATHC / Pathology Consultation.
Additional material may be needed if alternative testing is requested. See the specific specimen requirements for any alternative requested testing.
Shipping Instructions
Attach the green "Attention Pathology" address label (T498) and the pink Immunostain Technical Only label included in the kit to the outside of the transport container.
Specimen Required
Specimen Type: Tissue
Supplies: Immunostain Technical Only Envelope (T693)
Container/Tube: Immunostain Technical Only Envelope
Submit:
Formalin-fixed, paraffin-embedded tissue block
OR
2 Unstained, positively charged glass slides (25- x 75- x 1-mm) per test ordered; sections 4-microns thick
Forms
If not ordering electronically, complete, print, and send an Immunohistochemical (IHC)/In Situ Hybridization (ISH) Stains Request (T763) with the specimen.
Useful For
Qualitative detection of methylthioadenosine phosphorylase (MTAP) in a diagnostic setting
Aiding in the diagnosis of mesothelioma
This test should not be used to predict response to treatment.
Reflex Tests
Test ID | Reporting Name | Available Separately | Always Performed |
---|---|---|---|
IHTOI | IHC Initial, Tech Only | No | No |
IHTOA | IHC Additional, Tech Only | No | No |
Method Name
Immunohistochemistry (IHC)
Reporting Name
MTAP IHC, Tech OnlySpecimen Type
TECHONLYSpecimen Stability Information
Specimen Type | Temperature | Time |
---|---|---|
TECHONLY | Ambient (preferred) | |
Refrigerated |
Reject Due To
Wet/frozen tissue | Reject |
Cytology smears | Reject |
Nonformalin fixed tissue | Reject |
Nonparaffin embedded tissue | Reject |
Noncharged slides | Reject |
ProbeOn slides | Reject |
Snowcoat slides | Reject |
Clinical Information
Methylthioadenosine phosphorylase (MTAP) is a chromosome 9p21.3 related protein involved in purine metabolism that plays a role in salvage of adenosine and methionine and is expressed in mesothelial cells. Loss of expression of MTAP protein is a reliable marker for malignancy in mesothelial proliferations and may also occur in a subset of carcinomas.
Day(s) Performed
Monday through Friday
Report Available
1 to 3 daysSpecimen Retention Time
Until staining is completedPerforming Laboratory

Test Classification
This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.CPT Code Information
88342-TC, primary
88341-TC, if additional IHC
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
MTAP | MTAP IHC, Tech Only | Order only;no result |
Result ID | Test Result Name | Result LOINC Value |
---|---|---|
605178 | MTAP IHC, Tech Only | Bill only; no result |
Testing Algorithm
For the initial technical component only immunohistochemical (IHC) stain performed, the appropriate bill-only test ID will be reflexed and charged (IHTOI). For each additional technical component only IHC stain performed, an additional bill-only test ID will be reflexed and charged (IHTOA).