Assessment of HER-2/neu status in breast cancer using fluorescence in situ hybridizationimmunohistochemistry: Experience of a tertiary cancer referral centre in India

Autor: Poonam, Panjwani, Sridhar, Epari, Arti, Karpate, Hemlata, Shirsat, Preetha, Rajsekharan, Ranjan, Basak, Tanuja, Shet, Roshni, Chinoy, Roy, Chacko, Sampada, Gursale, Nayana, Baraskar, Sudeep, Gupta, Rohini, Hawaldar, Sangeeta, Desai
Rok vydání: 2010
Předmět:
Zdroj: The Indian journal of medical research. 132
ISSN: 0971-5916
Popis: Determination of HER2 status in breast cancer has become important to identify potential candidates for anti-HER2 therapy. In this study we compared fluorescence in situ hybridization (FISH) and immunohistochemistry (IHC) for the determination of HER2 status in breast cancer patients referred to a tertiary care referral centre.A total of 200 cases of invasive breast cancer were evaluated for HER2 status using IHC and FISH and results were compared.The IHC 3+ (93.9%) and IHC negative (85.9%) cases showed good concordance with the corresponding FISH results; while 66.6 per cent of IHC 2+ cases showed gene amplification by FISH. In addition, hormone receptor expression and HER2 gene status showed a statistically significant inverse association (P0.05).These findings reaffirm IHC as a prudent first-step to screen tissue samples for HER2 status and to determine suitability for technically demanding FISH test and the dual coloured FISH as a gold standard for determination of HER2/neu status in IHC equivocal cases of breast carcinoma.
Databáze: OpenAIRE