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MLH1 Germline Mutation Status (Full Analysis)

Published: August 9, 2026Updated: August 16, 2026

This test checks for mutations in the MLH1 gene, which is linked to inherited conditions that increase cancer risk. It helps determine if you may have a higher likelihood of developing certain cancers, such as colorectal or endometrial cancer.

Quick summary

["This test assesses genetic changes that could affect cancer risk and guide personalized healthcare decisions."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
92676-6
Short code
MLH1 gene Del+Dup + Full Mut Anl Bld/T
Synonyms
MLH1 gene Del+Dup + Full Mut Anl Bld/T
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
molgen
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 Might Be Ordered

Your doctor may recommend this test if you have a family history of certain cancers, such as colorectal, endometrial, or ovarian cancer. It may also be suggested if you’ve been diagnosed with a type of cancer that often runs in families or if you’re part of a genetic testing program for hereditary cancer syndromes.

What the Test Measures

The MLH1 gene helps repair errors in DNA during cell division. Mutations in this gene can prevent proper DNA repair, increasing the risk of cancer. This test identifies whether you carry a full mutation in the MLH1 gene, which could indicate a hereditary predisposition.

How the Test Works

A small sample of blood is taken to analyze DNA from your white blood cells. Advanced laboratory techniques detect any changes (mutations) in the MLH1 gene sequence. This is not a routine screening test but is part of targeted genetic evaluation.

What the Results Mean

If the test shows a full mutation in the MLH1 gene, it suggests you may have an increased risk of certain cancers. This finding may prompt further testing or monitoring, as well as recommendations for cancer prevention strategies.

Reference range

Follicular: 1.5-9.0 mIU/mLN/A

Specimen: whole-blood

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.

A positive result for a full MLH1 mutation means you may be at higher risk for Lynch syndrome-related cancers, such as colorectal, endometrial, or ovarian cancer. This genetic information can help guide screening, surveillance, or preventive measures, such as regular cancer screenings or medications to reduce risk. Discuss your results with your healthcare provider to understand next steps tailored to your health.

Short name

MLH1 Gene Mutation Test

Frequently asked questions

What Does a Positive Result Mean?
A positive result indicates you carry a full mutation in the MLH1 gene, which may increase your risk of certain cancers. This finding does not mean you will definitely get cancer, but it may lead to additional testing or monitoring to help manage your risk.
Will This Test Show All Types of Cancer Risk?
No, this test specifically checks for mutations in the MLH1 gene. While it can identify Lynch syndrome-related cancers, it does not assess other genetic factors or cancers not linked to MLH1 mutations. Other genetic tests may be needed for broader risk evaluation.
How Often Should I Get This Test Retested?
This test is typically performed once as part of initial genetic evaluation. If you have a positive result, your healthcare provider may recommend follow-up testing or monitoring based on your specific situation, rather than retesting the same gene.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

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