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Metastases or new primary
Array CGH: Tumor DNA is differentially labeled to reference (wild
type) DNA, resulting in a gains and losses pattern for each tumor.
50 nanograms of DNA/sample is sufficient.
Different CGH patterns
prove
lack of clonality
; similar CGH
patterns denote clonality; up to 10% have inconclusive findings
Panel showing serial CT scans and array CGH in patient
Van Iersel M, Lung Cancer 2015