Test Code NECT4 Nectin-4, Semi-Quantitative Immunohistochemistry, Manual
Shipping Instructions
Attach the green "Attention Pathology" address label (T498) to the outside of the transport container before putting into the courier mailer.
Necessary Information
A pathology/diagnostic report and a brief history are required.
Specimen Required
Specimen Type: Tissue
Supplies: Pathology Packaging Kit (T554)
Collection Instructions: Formalin-fixed, paraffin-embedded tissue block; or 3 unstained glass, positively-charged slides with 4-microns formalin-fixed, paraffin-embedded tissue
Additional Information: One slide will be stained with hematoxylin and eosin and returned.
Useful For
Identifying nectin-4 overexpression in bladder cancer and other cancers
Method Name
Immunohistochemistry (IHC)
Reporting Name
Nectin-4, SemiQuant IHC, ManualSpecimen Type
SpecialSpecimen Stability Information
Specimen Type | Temperature | Time |
---|---|---|
Special | Ambient (preferred) | |
Refrigerated |
Reject Due To
Wet/frozen tissue Decalcified paraffin embedded tissue Cytology smears Non-formalin fixed tissue Nonparaffin embedded tissue Noncharged slides ProbeOn slides Snowcoat slides |
Reject |
Clinical Information
Nectin-4, also known as poliovirus receptor-like 4 (PVRL4), is overexpressed in many cancers, in particular bladder cancer. An antibody drug conjugate, enfortumab vedotin, targets the cell surface protein nectin-4. Some studies suggest that tumors with high expression of nectin-4 are more likely responsive to drug therapy.
Reference Values
An interpretive report will be provided.
Day(s) Performed
Monday through Friday
Report Available
5 to 7 daysPerforming Laboratory

Test Classification
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.CPT Code Information
88360
Forms
If not ordering electronically, complete, print, and send a Immunohistochemical (IHC)/In Situ Hybridization (ISH) Stains Request (T763) with the specimen.