Paraneoplastic Autoantibody Evaluation, Serum (Sendout)

General Information

Lab Name

Paraneoplastic AutoAb Evaluation (Sendout)

Lab Code

RPNPEV

Epic Name

Paraneoplastic Autoantibody Evaluation (Sendout)

External Test Id

PAVAL

Description

Useful For:

  • Serological evaluation of patients who present with a subacute neurological disorder of undetermined etiology, especially those with known risk factors for cancer
  • Directing a focused search for cancer
  • Investigating neurological symptoms that appear in the course of, or after, cancer therapy, and are not explainable by metastasis
  • Differentiating autoimmune neuropathies from neurotoxic effects of chemotherapy
  • Monitoring the immune response of seropositive patients in the course of cancer therapy
  • Detecting early evidence of cancer recurrence in previously seropositive patients
  • For a complete list of tests and potential reflex tests included in this panel, refer to the Mayo Paraneoplastic Evaluation Algorithm - Serum

Ordering Notes:

Synonyms

PAVAL

Components

Code Name
RANN1 Anti Neuronal Nuclear Antibody 1
RANN2 Anti Neuronal Nuclear Antibody 2
RANN3 Anti Neuronal Nuclear Antibody 3
RAGNA1 Anti Glial Nuclear Antibody 1
RPCA1 Purkinje Cell Cytoplasmic Antibody 1
RPCA2 Purkinje Cell Cytoplasmic Antibody 2
RPCATR Purkinje Cell Cytoplasmic Antibody Tr
RAMPHS Amphiphysin Antibody
RCRMP CRMP 5 IgG
RPNINT Paraneoplastic Autoantibody Interpretation
RPNIFA IFA Notes

Interpretation

Method

Panel and reflex tests include the following methods: Immunofluorescence assay (IFA), Cell-binding assay (CBA), Western blot (WB), Radioimmunoassay (RIA), Immunoblot (IB)

Reference Range

See individual components

Ordering & Collection

Specimen Type

Blood

Collection

12 mL blood in RED TOP tubes or GOLD SST

Quantity

requested: 4 mL serum
minimum: 2 mL serum

Processing

Centrifuge samples and aliquot 4 mL serum (2 mL minimum) into a separate plastic vial. Refrigerate serum.

If individual antibodies are requested (with a previous positive result within the last 5 years at Mayo), refer to separate test guide #982 (Neuroimmunology Follow-up, PNEFS).

Sendouts:

  • Order Mayo Test: PAVAL
  • Interfaced: Yes [Interface: 601; Worksheet: MARF]

Stability: Refrigerated (preferred): 28 days; Frozen: 28 days; Ambient: 72 hours.

Reject Due To: Gross hemolysis, lipemia, icterus.

Performance

LIS Dept Code

Sendouts Mayo Lab (RF) (MARF)

Performing Location(s)

Sendout Mayo Clinic Laboratories
800-533-1710

200 First Street Southwest
Rochester, MN 55901

Frequency

Performed: Monday - Sunday. Reflex tests: Varies. Report Available: 10-17 days from sample receipt at the performing laboratory.

Available STAT?

No

Billing & Coding

CPT codes

86255x9

LOINC

43104-9

Interfaced Order Code

UOW2218