{"id":74,"date":"2025-10-02T13:44:04","date_gmt":"2025-10-02T20:44:04","guid":{"rendered":"http:\/\/www.pcf.org\/somatic-and-germline-genetic-testing-guide\/?page_id=74"},"modified":"2025-11-12T10:13:11","modified_gmt":"2025-11-12T18:13:11","slug":"glossary-of-terms","status":"publish","type":"page","link":"https:\/\/www.pcf.org\/somatic-and-germline-genetic-testing-guide\/glossary-of-terms\/","title":{"rendered":"Glossary of terms"},"content":{"rendered":"<p>Most of the terms below appear in this online guide.<\/p>\n\n\n\n<figure class=\"wp-block-table glossary-table fullwidth-table\"><table><tbody><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Advanced prostate cancer<\/span><\/strong><\/td><td>Prostate cancer that has spread outside the prostate gland and pelvic lymph nodes to other places in the body like the bones, liver, or lungs. See <a href=\"javascript:glossaryGoTo(%22Metastasis%22)\"><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>metastasis<\/span><\/a>.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Ashkenazi Jewish<\/span><\/strong><\/td><td>Someone with Jewish ancestry from Eastern Europe. In some cases, <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Ashkenazi Jewish<\/span> ancestry is linked to with an increased risk for certain cancers and may be a reason for <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>germline genetic testing<\/span> in some situations.<\/td><\/tr><tr><td><strong><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Biomarker testing<\/span><\/strong><\/strong><\/td><td>Another term for tumor testing or <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>somatic testing<\/span> (these terms all mean the same thing).<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Biopsy<\/span><\/strong><\/td><td>A sample of tissue used to diagnose or understand features of certain diseases, including cancer.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>BRCA1<\/span> and <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>BRCA2<\/span><\/strong><\/td><td>See <a href=\"javascript:glossaryGoTo(%22Homologous%20recombination%20repair%20(HRR)%20genes%22)\">homologous recombination repair <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>(HRR) genes<\/span><\/a>.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>DNA<\/span><\/strong><\/td><td>The genetic code that tells your body how to grow, look, and work. Every cell in your body (except your red blood cells) has a copy of your <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>DNA<\/span>.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Circulating tumor DNA (ctDNA)<\/span><\/strong><\/td><td><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>DNA<\/span> released by tumor cells into the bloodstream. ctDNA testing uses a blood sample and does not require a <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>biopsy<\/span>.<\/td><\/tr><tr><td><strong>Gene<\/strong><\/td><td>A bundle of <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>DNA<\/span>. Your <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>genes<\/span> determine how you look and how your<br>body functions.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Gene alteration<\/span><\/strong><\/td><td>A change in the <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>DNA<\/span> sequence (code) of a gene. Some (not all) <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>gene alterations<\/span> cause or affect disease. <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Gene alterations<\/span> are also known as gene variants and used to be called mutations.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Genetic counselor<\/span><\/strong><\/td><td>A healthcare professional specially trained to help people understand genetic test results and decide whether to get tested.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Germline genetic testing<\/span><\/strong><\/td><td>A blood or saliva test that checks your healthy cells for specific inherited <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>gene alterations<\/span> that affect disease risk, progression, or treatment outcomes. Also known as <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>hereditary testing<\/span> or <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>inherited cancer risk gene<\/span> testing.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Genomic testing<\/span><\/strong><\/td><td>Another term for <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>somatic testing<\/span>. &lsquo;Genomic&rsquo; comes from &lsquo;genome,&rsquo; or the complete set of <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>DNA<\/span> in your body. Every person has a unique genome, and so does every tumor.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Hereditary<\/span><\/strong><\/td><td>Passed down from a parent to a child. In cancer medicine, &ldquo;<span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>hereditary<\/span>&rdquo; refers to inherited <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>gene alterations<\/span> that affect cancer risk, aggressiveness, and treatment response.<\/td><\/tr><tr><td><strong>Homologous recombination repair <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>(HRR) genes<\/span><\/strong><\/td><td><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Genes<\/span> that help repair specific types of <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>DNA<\/span> damage. HRR <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>genes<\/span> include <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>BRCA1<\/span>, <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>BRCA2<\/span>, ATM, CHEK2, PALB2, and others. Certain alterations in these <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>genes<\/span> increase cancer risk and aggressiveness but also predict a better response to <a href=\"javascript:glossaryGoTo(%22PARP%20inhibitor%22)\">PARP inhibitor<\/a> treatments. Some HRR alterations are inherited from your parents (present in all your cells), while others occur only in cancer cells.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Immunotherapy<\/span><\/strong><\/td><td>A treatment that helps your body&#x2019;s immune system locate and fight cancer cells.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Inherited cancer risk gene<\/span> alterations<\/strong><\/td><td><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Gene alterations<\/span> that can increase the risk of certain cancers. These alterations are inherited from a parent and can be passed down to a child. Found by testing blood or saliva.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Intraductal\/cribriform histology<\/span><\/strong><\/td><td>A form of prostate cancer in which the cancer cells grow in the ducts, or tiny tubes, inside the prostate gland.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Localized prostate cancer<\/span><\/strong><\/td><td>Prostate cancer that has not spread outside the prostate gland.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Metastasis<\/span><\/strong><\/td><td>The spread of cancer cells from where they first formed to another part of the body through the bloodstream or lymphatic system. After spreading, they form a new tumor. This means that if prostate cancer metastasizes to the bones, the cancer cells in the bones are prostate cancer cells, not bone cells.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Metastatic prostate cancer<\/span><\/strong><\/td><td>See <a href=\"javascript:glossaryGoTo(%22Advanced%20prostate%20cancer%22)\"><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>advanced prostate cancer<\/span><\/a>.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>High tumor mutational burden (TMB-H)<\/span><\/strong><\/td><td>A tumor that has many alterations in its <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>DNA<\/span>. These tumors often respond well to certain <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>immunotherapy<\/span> treatments.<\/td><\/tr><tr><td><strong>Microsatellite instability-high (MSI-H)<\/strong><\/td><td>A tumor that has a hard time repairing mistakes in its <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>DNA<\/span>. These tumors also often respond well to certain <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>immunotherapy<\/span> treatments.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Mismatch repair deficiency (dMMR)<\/span><\/strong><\/td><td>Alterations in certain <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>genes<\/span> that are responsible for repairing mistakes that can occur when <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>DNA<\/span> is copied. Often causes <a href=\"javascript:glossaryGoTo(%22Microsatellite%20instability-high%20(MSI-H)%22)\">MSI-H<\/a>.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Mutation<\/span><\/strong><\/td><td>See <a href=\"javascript:glossaryGoTo(%22Gene%20alteration%22)\"><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>gene alteration<\/span><\/a>.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Node-positive prostate cancer<\/span><\/strong><\/td><td>Prostate cancer that has spread from the prostate gland to nearby lymph nodes, but not to other parts of the body.<\/td><\/tr><tr><td><strong>PARP inhibitor<\/strong><\/td><td>Stands for poly (ADP-ribose) polymerase inhibitor, a type of targeted cancer drug. <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>PARP inhibitors<\/span> work by blocking a protein that tumor cells use to repair their <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>DNA<\/span>. Blocking this protein makes it harder for the cancer to survive and grow.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>PTEN<\/span><\/strong><\/td><td>Stands for phosphatase and tensin homolog, a gene that controls cell growth and division. If <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>PTEN<\/span> is lost or damaged, cancer may grow faster.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Somatic testing<\/span><\/strong><\/td><td>Looks for changes in your tumor <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>DNA<\/span> and proteins that help guide treatment selection. These changes occur in the tumor during your lifetime and are not inherited. Also known as biomarker or <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>genomic testing<\/span>.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Variant<\/span><\/strong><\/td><td>A gene <span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>variant<\/span> is another way to say <a href=\"javascript:glossaryGoTo(%22Gene%20alteration%22)\"><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>gene alteration<\/span><\/a>.<\/td><\/tr><tr><td><strong><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Very high-risk or high-risk localized prostate cancer<\/span><\/strong><\/td><td>Prostate cancer that has not spread outside the prostate gland but has characteristics that make spread much more likely.<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Most of the terms below appear in this online guide. <span class=\"\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\"><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Advanced prostate cancer<\/span><\/span> Prostate cancer that has spread outside the prostate gland and pelvic lymph nodes to other places in the body like the bones, liver, or lungs. See <span class=\"\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\"><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>metastasis<\/span><\/span>. <span class=\"\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\"><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Ashkenazi Jewish<\/span><\/span> Someone with Jewish ancestry from Eastern Europe. In some cases, <span class=\"\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\"><span class=\"\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>Ashkenazi Jewish<\/span><\/span> ancestry [&#x2026;]<\/p>\n","protected":false},"author":1,"featured_media":487,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-74","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Glossary of terms - Prostate Cancer Foundation<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.pcf.org\/somatic-and-germline-genetic-testing-guide\/glossary-of-terms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Glossary of terms - Prostate Cancer Foundation\" \/>\n<meta property=\"og:description\" content=\"Most of the terms below appear in this online guide. Advanced prostate cancer Prostate cancer that has spread outside the prostate gland and pelvic lymph nodes to other places in the body like the bones, liver, or lungs. See metastasis. Ashkenazi Jewish Someone with Jewish ancestry from Eastern Europe. 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Advanced prostate cancer Prostate cancer that has spread outside the prostate gland and pelvic lymph nodes to other places in the body like the bones, liver, or lungs. See metastasis. Ashkenazi Jewish Someone with Jewish ancestry from Eastern Europe. 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