MLH1 Germline Mutation Detection by Next-Generation Sequencing (Whole Blood)
This test checks for inherited changes in the MLH1 gene, which plays a role in DNA repair. These changes may increase your risk of certain cancers.
["Knowing your MLH1 gene status can help guide cancer prevention and monitoring strategies."]
Key facts at a glance
- LOINC
- 79416-4
- Short code
- MLH1 gene Del+Dup Bld/T MLPA
- Synonyms
- MLH1 gene Del+Dup Bld/T MLPA
- Category
- chemistry
- Sample
- whole-blood
- Container
- Lavender-top (EDTA)
- Units
- N/A
- Ref low
- 1.5
- Ref high
- 9
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Method
- mlpa
- CPT
- 83002
- Specimen volume
- 3 mL
- Stability
- Room temperature: 4h, Refrigerated: 24h
- Hemolysis max
- 0
- Lipemia max
- 0
- Icterus max
- 0
- TAT
- 4–24 hours
- Order
- routine
Why This Test Is Done
Your doctor may recommend this test if you have a family history of hereditary nonpolyposis colorectal cancer (Lynch syndrome) or other related cancers, or if you have symptoms that suggest a genetic predisposition. It’s also used in genetic counseling and risk assessment for cancer surveillance programs.
What to Expect Before the Test
You’ll provide a blood sample, usually drawn from a vein in your arm. The process is quick and typically painless. No special preparation is needed, but inform your doctor about any medications or health conditions you have.
What the Test Results Mean
If a mutation is found, it means you’ve inherited a change in the MLH1 gene that may increase your risk of certain cancers, such as colorectal, endometrial, or ovarian cancer. If no mutation is detected, your risk may be lower, but further monitoring may still be advised depending on your family history.
Next Steps and Follow-Up
Results will be discussed with you by your healthcare provider, who may recommend additional testing, cancer screening, or lifestyle recommendations tailored to your risk profile. Genetic counseling can help clarify next steps and support.
Reference range
Follicular: 1.5-9.0 mIU/mLN/A
For females: inform if menstrual cycle status. For certain tests, timing within menstrual cycle may matter.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
Clinical Significance: MLH1 Gene Mutations and Cancer Risk
Short name
MLH1 Germline Mutation Test
Frequently asked questions
What does a positive result mean for my cancer risk?
Can this test be used to detect cancer in my body?
How often will I need follow-up tests if I have a mutation?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy