PMID- 12446956 OWN - NLM STAT- MEDLINE DCOM- 20030515 LR - 20191106 IS - 0921-8912 (Print) IS - 1878-3651 (Electronic) IS - 0921-8912 (Linking) VI - 24 IP - 2-3 DP - 2002 TI - Genetic alterations in presumptive precursor lesions of breast carcinomas. PG - 69-76 AB - The hypothetical multistep model of breast carcinogenesis suggests a transition from normal epithelium to invasive carcinoma via intraductal hyperplasia (without and with atypia) and in situ carcinoma. These presumptive precursor lesions are currently defined by their histological features, and their prognosis is imprecisely estimated from indirect epidemiological evidence. Cytogenetic and molecular-genetic analysis of these lesions give evidence for an accumulation of various genetic alterations during breast tumorigenesis. Using immuno-histochemistry overexpression of the c-erbB-2 oncogene was found in ductal carcinoma in situ (DCIS), but not in atypical intraductal hyperplasia (AIDH) and intraductal hyperplasia (IDH). An expression of mutant p53 tumor suppressor gene as well as expression of cyclin D1 was identified in DCIS. In IDH lesions loss of heterozygosity (LOH) at various loci could be identified, and comparative genomic hybridization (CGH) and fluorescence in situ hybridization (FISH) studies delivered evidence for DNA amplification on chromosomal region 20q13 in the early stage of IDH.However, little is currently known about genetic alterations in those premalignant lesions, and the chronology of genetic alterations and histopathological changes during carcinogenesis is mainly undiscovered. FAU - Aubele, Michaela AU - Aubele M AD - GSF-National Research Center for Environment and Health, Institute of Pathology Neuherberg, Germany. auble@gsf.de FAU - Werner, Martin AU - Werner M FAU - Hofler, Heinz AU - Hofler H LA - eng PT - Comparative Study PT - Journal Article PT - Review PL - Netherlands TA - Anal Cell Pathol JT - Analytical cellular pathology : the journal of the European Society for Analytical Cellular Pathology JID - 8911016 SB - IM MH - Breast Neoplasms/*genetics MH - Cell Transformation, Neoplastic/*genetics MH - Female MH - Gene Expression Profiling/methods MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence/methods MH - Loss of Heterozygosity/genetics MH - Oncogenes/genetics/physiology PMC - PMC4618575 EDAT- 2002/11/26 04:00 MHDA- 2003/05/16 05:00 PMCR- 2002/01/01 CRDT- 2002/11/26 04:00 PHST- 2002/11/26 04:00 [pubmed] PHST- 2003/05/16 05:00 [medline] PHST- 2002/11/26 04:00 [entrez] PHST- 2002/01/01 00:00 [pmc-release] AID - 371680 [pii] AID - 10.1155/2002/371680 [doi] PST - ppublish SO - Anal Cell Pathol. 2002;24(2-3):69-76. doi: 10.1155/2002/371680.