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The National Genomic Test Directories specify which genomic tests are commissioned by the NHS in England, to be delivered by Genomic Laboratory Hubs.

Clinical Indication ID & Name

R254

Familial melanoma

Test Group

Inherited cancer

Test code

R254.1

Test name

N/A

Target genes

Familial melanoma (522)

Test scope

n/a

Test method/ technology

Small panel

Optimal Family Structure

n/a

Eligibility Criteria

Testing of phenotypically affected individual (proband) where the individual +/- family history meets ONE of the following criteria. The proband has:
a. ≥2 melanomas and/or melanomas in situ age <30 years, OR b. ≥3 melanoma and/or melanomas in situ at any age, OR c. Melanoma and/or melanoma in situ AND ≥2 relatives (first / second / third degree relatives) with melanoma and/or melanoma in situ, OR d. Melanoma and/or melanoma in situ AND ≥1 first degree relative with melanoma and/or melanoma in situ; one individual has multiple melanomas and/or melanomas in situ, OR e. ≥1 Melanoma and/or melanoma in situ OR melanoma and/or melanoma in situ and atypical moles AND ≥1 first degree relative with pancreatic cancer aged <60, OR f. Atypical moles AND ≥2 relatives (first / second degree relatives) with melanoma and/or melanoma in situ, OR g. Deceased affected individual (proband) where (i) the individual +/- family history meets one of the above criteria, (ii) appropriate tissue is available (tumour or normal), and (iii) no living affected individual is available for genetic testing. Genetic testing may occasionally be appropriate outside these criteria following discussion at a specialist MDT with a cancer geneticist present

Test code

R254.2

Test name

N/A

Target genes

Familial melanoma (522)

Test scope

n/a

Test method/ technology

Exon level CNV detection by MLPA or equivalent

Optimal Family Structure

n/a

Eligibility Criteria

Testing of phenotypically affected individual (proband) where the individual +/- family history meets ONE of the following criteria. The proband has:
a. ≥2 melanomas and/or melanomas in situ age <30 years, OR b. ≥3 melanoma and/or melanomas in situ at any age, OR c. Melanoma and/or melanoma in situ AND ≥2 relatives (first / second / third degree relatives) with melanoma and/or melanoma in situ, OR d. Melanoma and/or melanoma in situ AND ≥1 first degree relative with melanoma and/or melanoma in situ; one individual has multiple melanomas and/or melanomas in situ, OR e. ≥1 Melanoma and/or melanoma in situ OR melanoma and/or melanoma in situ and atypical moles AND ≥1 first degree relative with pancreatic cancer aged <60, OR f. Atypical moles AND ≥2 relatives (first / second degree relatives) with melanoma and/or melanoma in situ, OR g. Deceased affected individual (proband) where (i) the individual +/- family history meets one of the above criteria, (ii) appropriate tissue is available (tumour or normal), and (iii) no living affected individual is available for genetic testing. Genetic testing may occasionally be appropriate outside these criteria following discussion at a specialist MDT with a cancer geneticist present

Commissioning group

Specialised

Overlapping idications

• M7 Melanoma (adult) and M187 Uveal melanoma should be used for somatic testing

Address for samples/request forms

Genetics Laboratory
5th Floor Tower Wing
Guy’s Hospital
London
SE1 9RT

Contact with queries

gst-tr.southeastglh@nhs.net

Supporting documents

n/a

Education resources

n/a

Turn around times

All our turnaround times are listed on our specific turn around page https://southeastgenomics.nhs.uk/professionals/service-turn-around-times/

Consent record

See consent guidance in test request form

Sample requirements

Samples may be rejected for the following reasons: 1.Samples and request form do not show at least three identical patient identifiers 2.The sample is in the incorrect collection media 3.The request form is not sufficiently completed 4.The sample is not of sufficient volume 5.The sample is too old