Comprehensive Test Menu December 2018

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Comprehensive Test Menu December 2018 Cancer brain tumors Brain tumors, hereditary BrainTumorNext: 27 genes 14-21 days 8847 Neurofibromatosis type 2 (NF2) NF2 14-21 days 9024 Schwannomatosis SMARCB1 14-21 days 7180 breast and gynecologic cancer Ataxia-telangiectasia ATM 14-21 days 9014 Breast cancer, hereditary BRCA1/BRCA2 6-10 days 8838 BRCA Ashkenazi Jewish 3-site mutation panel 6-10 days 5892 BRCAplus: 8 genes 7-10 days 8836 BreastNext: 17 genes 14-21 days 8820 CHEK2-related cancer CHEK2 14-21 days 9016 Li-Fraumeni syndrome TP53 14-21 days 2866 Ovarian and uterine cancer, hereditary GYNplus: 13 genes 14-21 days 8835 Ovarian, breast and uterine cancer, hereditary OvaNext: 25 genes 14-21 days 8830 Ovarian cancer, paired tumor/germline TumorNext-HRD 21-28 days 9811 TumorNext-BRCA 21-28 days 9810 PALB2-associated cancer PALB2 14-21 days 2366 PTEN-related disorders (Cowden syndrome, Proteus syndrome, macrocephaly and autism) PTEN 14-21 days 2106 comprehensive cancer Breast, ovarian, colorectal, uterine and other cancer CancerNext: 34 genes 14-21 days 8824 CancerNext-Expanded: 67 genes 14-21 days 8874 CustomNext-Cancer: choose up to 81 genes 14-21 days 9510 endocrine tumors Multiple endocrine neoplasia type 1 (MEN1) MEN1 14-21 days 2646 Multiple endocrine neoplasia type 2 (MEN2) and familial medullary thyroid cancer (FMTC) Paraganglioma (PGL) and pheochromocytoma (PCC), hereditary RET 14-21 days 2680 PGLNext: 12 genes 14-21 days 5504 1

gastrointestinal cancer Adenomatous polyposis APC, MUTYH 14-21 days 8726 Colorectal cancer, hereditary ColoNext: 17 genes 14-21 days 8822 Familial adenomatous polyposis (FAP) APC 14-21 days 3040 Gastric cancer, hereditary diffuse (HDGC) CDH1 10-21 days 4726 Juvenile polyposis syndrome (JPS) BMPR1A, SMAD4 14-21 days 8604 Lynch syndrome (formerly hereditary non-polyposis colorectal cancer or HNPCC) - germline only MLH1, MSH2, MSH6, PMS2, EPCAM 14-21 days 8517 Lynch syndrome, paired tumor/germline TumorNext-Lynch 21-28 days 8980 MUTYH-associated polyposis (MAP) MUTYH 14-21 days 4661 Pancreatic cancer, hereditary PancNext: 13 genes 14-21 days 8042 Peutz-Jeghers syndrome (PJS) STK11 14-21 days 2766 genitourinary cancer Birt-Hogg-Dubé syndrome (BHDS) FLCN 14-21 days 5921 Hereditary leiomyomatosis and renal cell carcinoma (HLRCC) FH 14-21 days 6301 Kidney cancer, hereditary RenalNext: 18 genes 14-21 days 5900 Prostate cancer, hereditary ProstateNext: 14 genes 14-21 days 8845 von Hippel-Lindau disease (VHL) VHL 14-21 days 2606 skin cancer/melanoma Malignant melanoma, hereditary CDKN2A, CDK4 14-21 days 4708 MelanomaNext: 8 genes 14-21 days 8849 Nevoid basal cell carcinoma syndrome (NBCCS)/ Gorlin syndrome PTCH1 14-21 days 5684 other individual hereditary cancer conditions Li-Fraumeni syndrome TP53 10-21 days 2866 Neurofibromatosis type 1 (NF1) NF1 14-21 days 5704 Pleuropulmonary blastoma and DICER1- related disorders DICER1 14-21 days 5260 PTEN-related disorders (Cowden syndrome, Proteus syndrome, macrocephaly and autism) PTEN 14-21 days 2106 Retinoblastoma, hereditary RB1 14-21 days 5426 Tuberous sclerosis complex (TSC) TSC1, TSC2 14-21 days 5904 2

Cardiology Arrhythmias and cardiomyopathy, inherited CardioNext: 92 genes 2-3 weeks 8911 CustomNext-Cardio: Choose up to 167 genes 2-3 weeks 9520 Arrhythmias, inherited (long QT syndrome, Brugada syndrome, and others) LongQTNext: 17 genes 2-3 weeks 8890 RhythmNext: 42 genes 2-3 weeks 8900 Arrhythmogenic right ventricular cardiomyopathy (ARVC) ARVCNext: 11 genes 2-3 weeks 8904 Cardiomyopathy, inherited CMNext: 56 genes 2-3 weeks 8887 Catecholaminergic polymorphic ventricular tachycardia (CPVT) CPVTNext: 4 genes 2-3 weeks 8902 Dilated cardiomyopathy (DCM) DCMNext: 7 genes 2-3 weeks 8884 Familial transthyretin amyloidosis TTR 2-3 weeks 1560 HCMNext: 30 genes 2-3 weeks 8936 HCMNext reflex 2-3 weeks 8883 Familial hypercholesterolemia (FH) and Other Lipid Disorders FHNext: APOB, LDLR, LDLRAP1, PCSK9 and SLC01B1 (c.521t>c) 2-3 weeks 8680 FCSNext: 5 genes 2-3 weeks 8920 connective tissue related disorders Sitosterolemia: ABCG5, ABCG8 2-3 weeks 8930 Noonan syndrome and other RASopathies NoonanNext: 18 genes 2-3 weeks 8402 FBN1 reflex TAADNext 2-3 weeks 8783 Marfan syndrome, thoracic aortic aneurysms/ dissections and related disorders TAADNext: 35 genes 2-3 weeks 8789 3

Clinical Genomics Karyotype High resolution 1-3 weeks 3660 High resolution, rule out mosaic 1-3 weeks 3662 Chromosomal microarray analysis SNP Array 2-3 weeks 5490 Familial Targeted Microarray 2-3 weeks 5495 Exome Sequencing ExomeNext-Proband 6-8 weeks 9993 ExomeNext-Proband plus mtdna 6-8 weeks 9994 ExomeNext-Trio 6-8 weeks 9995 ExomeNext-Trio plus mtdna 6-8 weeks 9996 ExomeNext-Select: Choose up to 500 genes 6-8 weeks 9500 ExomeNext-Rapid 8 days (verbal) 14 days (full report) 9999R Exome sequencing only - Raw data 4-6 weeks 9997 Exome sequencing only - Raw data + Filtered Variant List 4-6 weeks 9998 Endocrinology Hereditary leiomyomatosis and renal cell carcinoma FH 14-21 days 6301 Maturity-onset diabetes of the young (MODY) HNF1A, HNF4A, HNF1B, GCK, PDX1 4-5 weeks 8310 Multiple endocrine neoplasia type I (MEN1) MEN1 14-21 days 2646 Multiple endocrine neoplasia type 2 (MEN2) and familial medullary thyroid cancer (FMTC) RET 14-21 days 2680 Neurofibromatosis type 1 (NF1) NF1 14-21 days 5704 Paraganglioma (PGL) and pheochromocytoma (PCC), hereditary PGLNext: 12 genes 14-21 days 5504 von Hippel-Lindau disease (VHL) VHL 14-21 days 2606 4

Gastroenterology Cystic fibrosis 508 FIRST: deltaf508 mutation, reflex to Duplicaton Analysis Duplication Analysis (concurrent) 5-13 days 1002 5-13 days 1007 Hirschsprung disease (RET-related) RET 14-21 days 2680 Juvenile polyposis syndrome (JPS) BMPR1A, SMAD4 14-21 days 8604 Pancreatitis CASR, CFTR, CPA1, CTRC, PRSS1, SPINK1 14-28 days 8022 Peutz-Jeghers syndrome STK11 10-21 days 2766 Hematology/Oncology Diamond-Blackfan anemia DBANext: 11 genes 14-28 days 8550 Dyskeratosis congenita DCNext: 7 genes 14-28 days 8161 Shwachman-Diamond syndrome (SDS) SBDS 14-28 days 1440 Multiple Congenital Anomalies CHARGE syndrome CHD7 2-4 weeks 2380 Cornelia de Lange syndrome CdLSNext: NIPBL, SMC1A, HDAC8, RAD21, SMC3 2-3 weeks 7040 Noonan syndrome NoonanNext: 18 genes 2-3 weeks 8402 5

Neurology Comprehensive neurology testing CustomNext-Neuro: Choose up to 196 genes 2-3 weeks* 9540 *Orders with >140 genes will have a TAT of 4-6 weeks epilepsy Comprehensive epilepsy testing EpilepsyNext: 100 genes 2-3 weeks 7019 Rapid epilepsy testing EpiRapid: 16 genes 10-14 days 7033 EpiRapid reflex EpilepsyNext 2-3 weeks 7034 Familial Hemiplegic Migraine FHM: 4 genes 2-3 weeks 7035 Febrile seizures EpiFirst-Fever: 13 genes 2-3 weeks 7011 Infantile spasms EpiFirst-IS: 17 genes 2-3 weeks 7013 Tuberous sclerosis complex: TSC1, TSC2 2-3 weeks 5904 Non-lesional focal epilepsy EpiFirst-Focal: 11 genes 2-3 weeks 7017 hereditary neuropathy Familial transthyretin amyloidosis TTR 2-3 weeks 1560 neurocutaneous/neuro-oncology disorders Ataxia-telangiectasia ATM 2-3 weeks 9014 Brain tumors, hereditary BrainTumorNext: 27 genes 2-3 weeks 8847 Hereditary hemorrhagic telangiectasia (HHT) HHTNext: 6 genes 2-3 weeks 8672 Legius syndrome SPRED1 2-3 weeks 5724 Li-Fraumeni syndrome TP53 2-3 weeks 2866 Neurofibromatosis 1 (NF1) NF1 2-3 weeks 5704 Neurofibromatosis 2 (NF2) NF2 2-3 weeks 9024 Nevoid basal cell carcinoma syndrome (NBCCS)/Gorlin syndrome PTCH1 2-3 weeks 5684 Schwannamatosis SMARCB1 2-3 weeks 7180 Tuberous sclerosis complex (TSC) TSC1, TSC2 2-3 weeks 5904 von Hippel-Lindau disease (VHL) VHL 2-3 weeks 2606 6

neurodevelopmental disorders Autism spectrum disorders AutismNext: 48 genes 2-3 weeks 7024 Autism spectrum disorders, epilepsy, intellectual disability PTEN 1-3 weeks 2106 Neurodevelopment-Expanded: 196 genes 4-6 weeks 7028 Fragile X syndrome (Trinucleotide repeat analysis) FMR1 1-2 weeks 4544 Intellectual disability IDNext: 140 genes 2-3 weeks 7027 Rett syndrome MECP2 2-3 weeks 2026 Pulmonology Congenital central hypoventilation syndrome (CCHS) PHOX2B 2-4 weeks 1580 Cystic fibrosis 508 FIRST: deltaf508 mutation, reflex to Duplicaton Analysis Duplication Analysis (concurrent) 5-13 days 1002 5-13 days 1007 Primary ciliary dyskinesia (PCD) PCDNext: 21 genes 4-5 weeks 8122 Surfactant dysfunction (respiratory distress syndrome) ABCA3, SFTPB, SFTPC 5-14 days 8100 Telomere-related pulmonary fibrosis TERT, TERC 2-4 weeks 8140 Vascular Hereditary hemorrhagic telangiectasia (HHT) HHTNext: 6 genes 2-3 weeks 8672 FBN1 reflex TAADNext 2-3 weeks 8783 Thoracic aortic aneurysms/ dissections, Marfan syndrome, and related disorders TAADNext: 35 genes 2-3 weeks 8689 Other Test Name/Gene(s) Test Code MCC for amniotic fluid culture or CVS 1260 MCC reference for maternal blood sample 1262 Additional testing options like Gene Sequence Analysis, Deletion/Duplication Analysis, or Single Site Analysis may be available. Various reflex options between 50339.1498_v37 12.04.18 7 Argonaut, Aliso Viejo, CA 92656 USA Toll Free +1.866.262.7943 Fax +1.949.900.5501 ambrygen.com 7