| CPC C12Q 1/6886 (2013.01) [G16B 20/00 (2019.02); C12Q 2600/158 (2013.01)] | 14 Claims |
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1. A method for diagnosing and treating melanoma in a patient, the method comprising:
a) obtaining a tissue sample from the patient and measuring in the sample from the patient mRNA expression levels of a panel of genes comprising a three gene combination consisting of:
PRAME;
S100-related gene comprising S100A9, S100A7, S100A8, S100A12, or PI3; and immune gene comprising CXCL9, CCL5, CXCL10, IRF1, PTPN22, PTPRC, LCP2, SELL or CD38, wherein mRNA expression levels are normalized to one or more house-keeping genes;
b) calculating a combined score by weighting the measured mRNA expression levels of each gene from the panel of genes with a predefined coefficient, and combining the weighted expression levels of each gene from the panel of genes to provide the combined score;
c) classifying the sample as a malignant melanoma when the combined score exceeding a reference value;
d) diagnosing the patient with the combined score exceeding a reference value as having a malignant melanoma; and
e) administering to the patient diagnosed as having the malignant melanoma one or more treatments selected from excising the malignant melanoma, excising the malignant melanoma and a border of normal skin, reexcising the site of the sample to remove additional tissue, reexcising additional tissue surrounding a biopsy site, removal of a lymph node, lymph node dissection, chemotherapy, radiation therapy, biological therapy, immunotherapy, and targeted therapy.
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