Clinical Cancer Genomics

Precision oncology, from block to report

Whole exome sequencing analysis services that identify cancer-associated variants, hereditary cancer risk and actionable, precision-oncology findings.


Download the Clinical Cancer Genomics brochure (PDF)

Genes covered include

BRCA1BRCA2TP53 PALB2ATMCHEK2 + many more

Deliverables: variant summary, clinical significance, ACMG classification, literature-supported findings, risk assessment and therapeutic implications.

Sample reports

De-identified real case output. Click to preview.

Click a test to see what it covers.

Comprehensive Genomic Profiling (CGP)FFPE / BloodRs. 97,000–115,000

Sequences and analyzes 562 genes associated with solid tumors — SNVs, indels, CNVs, select fusions and genomic signatures, reported against an ACMG-aligned classification framework.

HRD-50 AnalysisFFPE / BloodRs. 100,000–116,000

Not a fixed gene panel — HRD is a genome-wide scarring signature. The Genomic Instability Score (GIS) combines three components measured across the genome: LOH (loss of heterozygosity) + TAI (telomeric allelic imbalance) + LST (large-scale state transitions). A GIS ≥42 is reported HRD-positive, interpreted alongside BRCA1/BRCA2 mutation status to flag PARP-inhibitor and platinum-chemotherapy sensitivity.

BRCA1 & BRCA2 AnalysisFFPE / BloodRs. 98,000–114,000

Genes: BRCA1, BRCA2. Full coding-region and splice-site coverage for germline or somatic pathogenic variants informing hereditary breast/ovarian cancer risk and PARP-inhibitor eligibility.

Microsatellite Instability (MSI)FFPE / BloodRs. 112,000–130,000

Mismatch-repair genes assessed: MLH1, MSH2, MSH6, PMS2 (plus the EPCAM regulatory region). Identifies MSI-High / dMMR tumors eligible for checkpoint-inhibitor immunotherapy.

Tumor Mutational Burden (TMB)FFPE / BloodRs. 117,000–135,000

Computed genome-wide from the sequencing data (mutations per megabase) rather than a fixed gene list — high TMB is an independent biomarker for immune checkpoint inhibitor response.

Germline Hereditary Cancer PanelBloodRs. 120,000

Clinically actionable hereditary cancer genes selected per NCCN hereditary testing criteria, including BRCA1, BRCA2, TP53, PALB2, ATM, CHEK2, MLH1, MSH2, MSH6, PMS2, APC, MUTYH, PTEN, STK11, CDH1 and others.

Precision Oncology Clinical ReportFFPE TissueRs. 147,000

Not a standalone test — a synthesized clinical report integrating CGP, HRD and biomarker findings (MSI, TMB) into a single ACMG-classified, therapy-oriented summary for the treating oncologist.

Tumor-type genomic panels (lung, breast, ovarian, colorectal, pancreatic, prostate, gastric, melanoma) — Rs. 145,000 each, FFPE tissue, 5-week TAT.

Sample reports, in detail

Real NCRO case output, de-identified — all patient, physician and institution details removed. Shown to illustrate report depth and format; click a case to expand.

Case A — High-Grade Serous Carcinoma CGP + HRD · FFPE & Blood PIK3CA positive · HRD positive

PIK3CA pathogenic finding, HRD-positive (GIS 95/100). De-identified — patient, physician and institution details removed.

Case B — Peritoneal / Omental Deposit HRD only HRD positive

HRD-only analysis, HRD-positive (GIS 69/100). De-identified — patient, physician and institution details removed.

Case C — Serous Carcinoma CGP + HRD Two VUS findings · HRD positive

Clean CGP with two VUS findings, HRD-positive (GIS 51/100). De-identified — patient, physician and institution details removed.

01

Sample collection

Patient blood or tissue received

02

DNA extraction & QC

High-quality DNA extracted and evaluated

03

Whole exome sequencing

All protein-coding regions sequenced

04

Bioinformatics analysis

Computational variant identification

05

Clinical interpretation

Variant annotation, significance assessment

06

Comprehensive reporting

Customized report per client requirements

Whole blood (germline)

  • 3–5 mL peripheral blood
  • EDTA (purple-top) tube
  • Store at 2–8°C
  • Ship within 48 hours

FFPE tissue (block)

  • Submit clearly labeled block
  • Include pathology report if available
  • Somatic variant / solid tumor profiling

Fresh tissue

  • Sterile container
  • Keep chilled, 2–8°C
  • Ship immediately
  • Avoid freeze-thaw cycles

Purified DNA

  • ≥500 ng high-quality genomic DNA
  • A260/A280 ratio 1.8–2.0
  • Concentration ≥20 ng/µL
4,953 genes · 9 curated panels

Search the gene panel database

4,953 unique genes across NCRO's nine curated panels — PanCancer Pro, Hemato Pro, Fusion Pro, ClinEX Pro, Heva Pro, IVF Pro, HRD Pro, Cardio Pro, Neoscreen Pro — each with its clinical or research significance and, where one exists, the FDA-approved drug or NCCN-aligned clinical management implication. Want to build a custom Sanger, PCR or NGS order around specific genes or exons, or get an instant priced quote? Visit NCRO Biotools (login required).

Open the full gene panel database →
Clinical Data Analysis add-ons
NCRO-PATH-SIGN
Clinical Pathologist Sign-out
Sample
Rs. 2,000
A6060-H1070-16
Clinical data analysis for BRaCA panel (4eVAR CE-IVD approved)
Sample
Rs. 8,000
A6060-C3030-16
Clinical data analysis for ClinEX pro (4eVAR CE-IVD Approved)
Sample
Rs. 25,000
A6060-C3080-16
Clinical data analysis for HRD pro (4eVAR CE-IVD approved)
Sample
Rs. 15,000
A6060-RC3130-16
Clinical data analysis for WholEX pro (4eVAR CE-IVD Approved)
Sample
Rs. 28,000
A6060-C3200-16
Clinical data analysis for panCancer pro (4eVAR CE-IVD Apprved)
Sample
Rs. 16,000
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