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2501 South State Highway 121, Suite 1100 Lewisville, TX 75067-8188

Tel: (972) 966-7300 Fax: (972) 966-7231

Patient Name: EXAMPLE, PATIENTMed. Rec. #: 000000 Client:

Accession #: NGS15 Taken: 1/15/2015

DOB: 4/17/1951 (Age: 63) Location:

med fusion

Received: 1/26/2015 Gender: F Billing #: Reported: 2/6/2015 Physician(s): UNIDENTIFIED PHYSICIAN Copy To:

Specimen(s) Received A: Rectum, resection for tumor: paraffin embedded tissue

Clinical History 63 year-old woman with adenocarcinoma of the rectum (pT3). Previous molecular studies-No EGFR mutation, No KRAS mutation, MSI stable.

Other Case Numbers 1234567

COLONSEQPlus

Summary of Findings

RECTUM, RESECTION (1234567): THE MAJOR GENETIC ALTERATIONS IDENTIFIED BY THE COLONSEQPlus ASSAY ARE:

BRAF (N581I; c.1742A>T)

The major finding from the COLONSEQPlus Assay is the identification of a BRAF mutation (N581I; c.1742A>T).

***Electronically Signed Out*** George J. Snipes, M.D.

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EXAMPLE, PATIENT NGS15

PARK,TE AGNES M

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