PMID- 10510669 OWN - NLM STAT- MEDLINE DCOM- 19991019 LR - 20190513 IS - 0002-9173 (Print) IS - 0002-9173 (Linking) VI - 112 IP - 4 DP - 1999 Oct TI - Prognostic significance of p34cdc2 cyclin-dependent kinase and MIB1 overexpression, and HER-2/neu gene amplification detected by fluorescence in situ hybridization in breast cancer. PG - 459-69 AB - The HER-2/neu oncogene, localized to chromosome 17q, shares substantial homology with the epidermal growth factor receptor. HER-2/neu gene amplification and protein overexpression have been associated with poor prognosis in breast cancer. Formalin-fixed paraffin-embedded primary invasive breast cancer tissues from 135 women were tested for HER-2/neu gene amplification by automated fluorescence in situ hybridization (FISH) using a sequence probe. The tumors also were evaluated by immunohistochemistry for proliferation markers Ki 67 (MIB1) and p34cdc2 cyclin-dependent kinase. Patients were followed up for a mean of 61 months. There were 70 node-negative and 65 node-positive cases. Ki 67 and p34cdc2 proliferation marker overexpression, HER-2/neu oncogene amplification, large tumor size, high tumor grade, advanced tumor stage, positive lymph node status, and distant metastasis at the time of diagnosis predicted disease-related death in combined node-negative and node-positive breast cancer. HER-2/neu gene amplification, tumor stage, lymph node metastasis, tumor grade, and distant metastasis at the time of diagnosis independently predicted disease outcome. HER-2/neu amplification detected by FISH also predicted disease-related death independent of lymph node status, tumor grade, and distant metastasis in breast cancer patients who received adjuvant therapy. FAU - Depowski, P L AU - Depowski PL AD - Department of Pathology, Albany Medical Center, NY 12208, USA. FAU - Brien, T P AU - Brien TP FAU - Sheehan, C E AU - Sheehan CE FAU - Stylos, S AU - Stylos S FAU - Johnson, R L AU - Johnson RL FAU - Ross, J S AU - Ross JS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - 0 (Antigens, Nuclear) RN - 0 (Ki-67 Antigen) RN - 0 (Nuclear Proteins) RN - 0 (Receptors, Estrogen) RN - 0 (Receptors, Progesterone) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 2.7.11.22 (CDC2 Protein Kinase) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antigens, Nuclear MH - Breast Neoplasms/*chemistry/genetics MH - CDC2 Protein Kinase/*analysis/genetics MH - Female MH - *Gene Amplification MH - Humans MH - In Situ Hybridization, Fluorescence MH - Ki-67 Antigen/*analysis/genetics MH - Lymph Nodes/pathology MH - Middle Aged MH - Nuclear Proteins/*chemistry/genetics MH - Prognosis MH - Receptor, ErbB-2/*analysis/genetics MH - Receptors, Estrogen/analysis MH - Receptors, Progesterone/analysis EDAT- 1999/10/08 00:00 MHDA- 1999/10/08 00:01 CRDT- 1999/10/08 00:00 PHST- 1999/10/08 00:00 [pubmed] PHST- 1999/10/08 00:01 [medline] PHST- 1999/10/08 00:00 [entrez] AID - 10.1093/ajcp/112.4.459 [doi] PST - ppublish SO - Am J Clin Pathol. 1999 Oct;112(4):459-69. doi: 10.1093/ajcp/112.4.459.