PMID- 11586103 OWN - NLM STAT- MEDLINE DCOM- 20011101 LR - 20190906 IS - 0277-3732 (Print) IS - 0277-3732 (Linking) VI - 24 IP - 5 DP - 2001 Oct TI - Overexpression of the HER-2/neu oncogene in pancreatic adenocarcinoma. PG - 496-9 AB - Novel systemic treatments are needed in pancreatic cancer. The authors sought to establish the frequency of overexpression of the HER-2/neu oncogene in patients with pancreatic adenocarcinoma to determine the potential role of trastuzumab (Herceptin) as a therapeutic agent in this disease. Tumor specimens from patients with pancreatic adenocarcinoma were analyzed by staining for p185HER2 protein using the DAKO immunohistochemical assay. Patients with and without HER-2/neu overexpression by immunohistochemistry were compared with respect to clinical and pathologic characteristics. HER-2/neu gene amplification was also evaluated by fluorescence in situ hybridization (FISH). Thirty-two of 154 patients (21%) had pancreatic adenocarcinoma that demonstrated HER-2/neu overexpression by immunohistochemistry. At initial diagnosis, 16% of resectable cancers, 17% of locally advanced cancers, and 26% of metastatic cancers were determined to have HER-2/neu overexpression. Three of 11 (27%) patients with HER-2/neu overexpression by immunohistochemistry had gene amplification by FISH. HER-2/neu overexpression occurs in a subset of pancreatic cancer. Evaluation of the efficacy of trastuzumab for patients with pancreatic cancer who overexpress HER-2/neu appears indicated. FAU - Safran, H AU - Safran H AD - Brown University Oncology Group, Providence, Rhode Island, USA. FAU - Steinhoff, M AU - Steinhoff M FAU - Mangray, S AU - Mangray S FAU - Rathore, R AU - Rathore R FAU - King, T C AU - King TC FAU - Chai, L AU - Chai L FAU - Berzein, K AU - Berzein K FAU - Moore, T AU - Moore T FAU - Iannitti, D AU - Iannitti D FAU - Reiss, P AU - Reiss P FAU - Pasquariello, T AU - Pasquariello T FAU - Akerman, P AU - Akerman P FAU - Quirk, D AU - Quirk D FAU - Mass, R AU - Mass R FAU - Goldstein, L AU - Goldstein L FAU - Tantravahi, U AU - Tantravahi U LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Clin Oncol JT - American journal of clinical oncology JID - 8207754 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - P188ANX8CK (Trastuzumab) SB - IM EIN - Am J Clin Oncol 2002 Apr;25(2):181 MH - Aged MH - Antibodies, Monoclonal/therapeutic use MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Agents/therapeutic use MH - Carcinoma, Pancreatic Ductal/drug therapy/genetics/*metabolism/pathology MH - Female MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Pancreatic Neoplasms/drug therapy/genetics/*metabolism/pathology MH - Receptor, ErbB-2/genetics/*metabolism MH - Trastuzumab EDAT- 2001/10/05 10:00 MHDA- 2001/11/03 10:01 CRDT- 2001/10/05 10:00 PHST- 2001/10/05 10:00 [pubmed] PHST- 2001/11/03 10:01 [medline] PHST- 2001/10/05 10:00 [entrez] AID - 10.1097/00000421-200110000-00016 [doi] PST - ppublish SO - Am J Clin Oncol. 2001 Oct;24(5):496-9. doi: 10.1097/00000421-200110000-00016.