PMID- 11371225 OWN - NLM STAT- MEDLINE DCOM- 20010712 LR - 20210527 IS - 0003-9985 (Print) IS - 0003-9985 (Linking) VI - 125 IP - 6 DP - 2001 Jun TI - Fluorescence in situ hybridization and immunohistochemical assays for HER-2/neu status determination: application to node-negative breast cancer. PG - 746-50 AB - BACKGROUND: HER-2/neu (ERBB2) gene amplification and/or overexpression is a major event in human breast tumorigenesis. HER-2/neu gene alterations have been the most frequently assessed prognostic factors during the last 10 years in breast cancer and have recently emerged as a management decision tool and a therapeutic target. There is still controversy over the best method to determine whether a tumor is HER-2/neu positive. Because of the increasing demand for HER-2/neu gene status determination in clinical practice, we compared HER-2/neu gene alterations at the DNA level (gene amplification) and the protein level (overexpression) in a panel of patients with lymph node-negative breast cancer who had received local radiotherapy alone, with no adjuvant therapy. METHODS: We tested 100 excised lymph node-negative breast tumors, using fluorescence in situ hybridization (FISH) with a biotinylated HER-2/neu DNA probe and immunohistochemical assays (IHC) with 2 different antibodies. RESULTS: The FISH frequency of HER-2/neu gene amplification was 15%, and the IHC frequency of overexpression was 21%. CONCLUSION: Although HER-2/neu amplification by FISH and HER-2/neu overexpression by IHC correlated well in this panel of lymph node-negative breast carcinomas, there were a number of discordant cases, pointing to the important need for determining HER-2/neu alteration for the future management of HER-2/neu-based clinical applications. FAU - Onody, P AU - Onody P AD - E0017 INSERM/Laboratoire d'Oncogenetique, Centre Rene Huguenin, 35 rue Dailly, F-92211 St Cloud, France. FAU - Bertrand, F AU - Bertrand F FAU - Muzeau, F AU - Muzeau F FAU - Bieche, I AU - Bieche I FAU - Lidereau, R AU - Lidereau R LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Arch Pathol Lab Med JT - Archives of pathology & laboratory medicine JID - 7607091 RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Breast Neoplasms/*genetics/*metabolism/pathology MH - Female MH - Gene Amplification MH - Gene Expression MH - *Genes, erbB-2 MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Lymphatic Metastasis MH - Middle Aged MH - Neoplasm Recurrence, Local/genetics/metabolism/pathology MH - Prognosis MH - Receptor, ErbB-2/*metabolism EDAT- 2001/05/24 10:00 MHDA- 2001/07/13 10:01 CRDT- 2001/05/24 10:00 PHST- 2001/05/24 10:00 [pubmed] PHST- 2001/07/13 10:01 [medline] PHST- 2001/05/24 10:00 [entrez] AID - 10.5858/2001-125-0746-FISHAI [doi] PST - ppublish SO - Arch Pathol Lab Med. 2001 Jun;125(6):746-50. doi: 10.5858/2001-125-0746-FISHAI.