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Detection of Mismatch Repair Deficiency in Colorectal Cancers: Is It Really Time to Eliminate Immunohistochemistry?
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Thus, for patients undergoing either an IHC or NGS analysis of their tumors, decisions on charges, as opposed to costs, by either laboratories or payers may well dictate which manner of testing for MMR status is more cost effective. Duplication of effort, however, is always more costly, and for those patients whose tumors will as a matter of course undergo assessment via an NGS panel for RAS or BRAF or for other reasons, the additional performance of MMR IHC is likely to constitute an unnecessary expense that can and should be avoided.
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