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Test Code HCCGS Hepatocellular Carcinoma Risk Panel with GALAD Score, Serum


Ordering Guidance


GALAD (gender, age, alpha-fetoprotein [AFP]-L3, AFP, des-gamma-carboxy prothrombin [DCP]) score testing (this test) should not be performed for patients who are pregnant, as alpha-fetoprotein results are elevated during pregnancy.



Necessary Information


Sex and age are required.



Specimen Required


Supplies: Sarstedt Aliquot Tube, 5 mL (T914)

Collection Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 0.5 mL

Collection Instructions: Centrifuge and aliquot serum into a plastic vial.


Useful For

Risk assessment for development of hepatocellular carcinoma in patients with chronic liver disease

Profile Information

Test ID Reporting Name Available Separately Always Performed
L3AFP AFP-L3% and Total AFP, S Yes Yes
DCP Des-Gamma-Carboxy Prothrombin, S Yes Yes
GAL1 GALAD Model Score No Yes

Method Name

L3AFP and DCP: Isotachophoresis with Laser-Induced Fluorescence

GAL1: Calculation

Reporting Name

HCC Risk Panel with GALAD Score, S

Specimen Type

Serum

Specimen Minimum Volume

0.25 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Serum Frozen (preferred) 90 days
  Refrigerated  5 days

Reference Values

TOTAL ALPHA-FETOPROTEIN (AFP):

<4.7 ng/mL

 

AFP L3-PERCENT:

<10%

 

DES-GAMMA-CARBOXY PROTHROMBIN:

<7.5 ng/mL

 

GAL1:

Not applicable

Day(s) Performed

Monday through Friday

Report Available

1 to 4 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

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

82107

83951

LOINC Code Information

Test ID Test Order Name Order LOINC Value
HCCGS HCC Risk Panel with GALAD Score, S 96452-8

 

Result ID Test Result Name Result LOINC Value
TAFP Total AFP, S 1834-1
DCP Des-Gamma-Carboxy Prothrombin, S 34444-0
GAL1 GALAD Model Score 96450-2
L3 %L3 42332-7
INT67 Interpretation 69048-7

Forms

If not ordering electronically, complete, print, and send 1 of the following forms with the specimen:

-Gastroenterology and Hepatology Test Request (T728)

-Oncology Test Request (T729)