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Intermediate Technical IVT

TMB-H

Pronunciation: T-M-B-high

Also written as: TMB-H — Tumor Mutational Burden-High

Tumor Mutational Burden-High, indicating elevated mutation density that may predict immunotherapy response.

Full Definition

TMB-H (Tumor Mutational Burden-High) refers to tumors with a high number of somatic mutations per megabase of analyzed genomic sequence, typically defined as ≥10 mutations per megabase. High TMB is associated with increased neoantigen load and potential response to immune checkpoint inhibitors. TMB-H status is used as a biomarker for immunotherapy selection across multiple cancer types. Editors must understand that TMB-H thresholds may vary between assays and cancer types, and ensure consistent hyphenation and capitalization when this biomarker status appears in clinical reports and treatment recommendations.

Usage

Usage note: Always hyphenate (TMB-H, not TMB H or TMBH). Include specific mutation count per megabase when available.

In Context

  • "The patient's tumor was classified as TMB-H with 15.2 mutations per megabase." — immunotherapy biomarker report
  • "TMB-H status supported the recommendation for pembrolizumab therapy." — precision oncology treatment plan

Also known as

high tumor mutational burden

Contrasted with

TMB-L tumor mutational burden-low

Don't confuse with

MSI-H HRD

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