I couldn't stand it anymore (that's just the kind of girl I am) <img src="i/expressions/face-icon-small-wink.gif" border="0"><img src=""> so I went to Genzyme's website and looked at their description of the "97 Mutation Analysis".
<a target=_blank class=ftalternatingbarlinklarge href="http://www.genzymegenetics.com/testmenu/tests/prerep/cf/molgen_cysticfib.asp
">http://www.genzymegenetics.com.../molgen_cysticfib.asp
</a>
You can see at the bottom of the page they list the 97 mutations they test for. Seems like a pretty exhaustive list. However, they go on to also offer the "Cystic Fibrosis Gene Sequencing" test, an excerpt from the page about this I have posted here:
<i>CF gene sequencing detects approximately 98% of the over 1,200 disease-causing mutations that have been identified in the CFTR gene. Genzyme's full CF gene sequencing test is direct sequence analysis of the CFTR gene, identifying every nucleotide of all 27 exons, their associated splice site regions and clinically-relevant regions of introns that contain disease-causing mutations. We also offer partial CF gene sequencing for families with known mutations not detectable in a general screening assay.
When mutation analysis test results are negative, or for known familial mutations not detectable by current mutation panels, indications for full or partial CFTR gene sequencing include: Patients affected with classic CF symptoms, patients with atypical CF symptoms, patients with idiopathic chronic pancreatitis, patients with congenital bilateral absence of the vas deferens (CBAVD), carrier identification for parents of an affected CF child, reproductive individuals with a family history of CF and prenatal testing for carrier couples with identified mutations.</i>
By their own definition, it seems a more extensive test might be called for in your situation ("patients with classic and/or atypical CF symptoms). This extensive test could be done through Genzyme, or Ambry, who I believe cathes more than the 98% claimed by Genzyme.
Does this clear it up for you at all? Let us know. BTW I wholeheartedly agree with Alyssa, except I would use the term "mutation" in place of "gene".