Description
Why It’s Done:
This test is typically ordered when:
• A tumor appears undifferentiated or ambiguous on routine histopathology.
• There is a need to determine the tumor’s origin to guide further testing or treatment.
• The clinician or pathologist needs to narrow down a broad differential diagnosis for a suspected malignancy.
• It’s essential to choose appropriate therapies, especially when targeted treatments are available based on tumor type.
Preparation:
• Sample required: Tissue biopsy or surgical specimen from the tumor.
• No patient preparation such as fasting is necessary.
• The specimen is processed in the lab and stained with antibodies specific to the four markers.
• It is recommended to provide the pathologist with clinical history, imaging findings, and provisional diagnosis for accurate interpretation.


