Progesterone Receptor (PR)

Identifies a nuclear hormone receptor that is induced by estrogen receptor (ER) expression and serves as an indicator of an intact ER pathway. PR is expressed in about 60-70% of invasive breast cancers and is a weak prognostic factor but a modest predictive factor that adds to the predictive value of ER for response to endocrine therapies, both in adjuvant and metastatic settings. The primary indication to assess PR in breast cancer is to predict response to hormonal therapies, such as tamoxifen, other selective estrogen receptor modulators (SERMs), and aromatase inhibitors.

Synonyms
PgR
Turnaround Time
Global: 48 hours, Image Analysis (tech-only): 36 hours, Tech-Only (stain only): 24 hours
Methodology
IHC
Specimen Requirements

A formalin-fixed, paraffin-embedded (FFPE) tissue block is preferred specimen typeorOne (1) unbaked, unstained slide for H&E staining (required) and two to three (2-3) positively charged unstained slides (all cut at 4-5 microns) for each test/antibody orderedBlock and slide identifiers should be clearly written and match exactly with the specimen ID and specimen labeling as noted on the requisition.

Storage and Transportation

Use cold pack for transport. Make sure cold pack is not in direct contact with specimen.

CPT Codes
88342 x 1 or 88341 x 1 (qualitative IHC) or 88360 (quantitative/semi-quantitative – manual) or 88361 x 1 (quantitative/semi-quantitative – computer assisted)