PMID- 15085752 OWN - NLM STAT- MEDLINE DCOM- 20040519 LR - 20180217 IS - 0001-5547 (Print) IS - 0001-5547 (Linking) VI - 48 IP - 2 DP - 2004 Mar-Apr TI - Overexpression of HER2/neu oncoprotein in cytologic specimens. PG - 199-206 AB - OBJECTIVE: To assess the rate of HER2/neu overexpression in cytologic specimens by immunocytochemistry (ICC) and compare these results in matched surgical specimens by immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH), when available. STUDY DESIGN: All cytologic specimens processed for HER2/neu evaluation by ICC (72 cases) and available corresponding histologic specimens (16 cases) were retrieved from our files. ICC was applied to previously Papanicolaou stained, routine fine needle aspirations specimens (64 cases) and cytocentrifuged, alcohol-fixed, fluid specimens (8 cases). FISH was performed on 6 histologic specimens. RESULTS: Overexpression of HER2/neu was seen in 7/22 breast cancers (31.8%), 3/18 pulmonary adenocarcinomas (16.6%), 2/5 colorectal adenocarcinomas (40%), 1/2 adenocarcinomas of the biliary system (50%), 1/3 thyroid papillary carcinomas (33.3%) and 1/3 prostate adenocarcinomas (33.3%). Sixteen cases had IHC in matched histologic specimens: 14 (87.5%) cases were concordant (11 negative and 3 positive in both specimens), 1 case was negative in the cytologic specimen and positive in the histologic specimen (with no amplification by FISH), and 1 case was positive in the cytologic specimen and negative in the histologic specimen (not informative by FISH). CONCLUSION: Our data suggest that overexpression of HER2/neu oncoprotein can be successfully detected in routine cytologic specimens, providing a simple, fast and cost-effective method of selecting patients for specific treatment. FAU - Mitteldorf, Cristina A AU - Mitteldorf CA AD - Laboratory of Surgical and Molecular Pathology, Hospital Sirio Libanes, Sao Paulo, SP, Brazil. crismitteldorf@ig.com.br FAU - Leite, Katia R AU - Leite KR FAU - Meirelles, Maria Ines AU - Meirelles MI FAU - Gattas, Gilka J AU - Gattas GJ FAU - Camara-Lopes, L H AU - Camara-Lopes LH LA - eng PT - Comparative Study PT - Journal Article PL - Switzerland TA - Acta Cytol JT - Acta cytologica JID - 0370307 RN - 0 (Biomarkers, Tumor) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adenocarcinoma/metabolism/pathology MH - Biomarkers, Tumor/analysis/*biosynthesis MH - Carcinoma, Papillary/metabolism/pathology MH - Diagnosis, Differential MH - Female MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Male MH - Neoplasms/*metabolism/*pathology MH - Predictive Value of Tests MH - Receptor, ErbB-2/analysis/*biosynthesis MH - Reproducibility of Results MH - Up-Regulation/physiology EDAT- 2004/04/17 05:00 MHDA- 2004/05/20 05:00 CRDT- 2004/04/17 05:00 PHST- 2004/04/17 05:00 [pubmed] PHST- 2004/05/20 05:00 [medline] PHST- 2004/04/17 05:00 [entrez] AID - 10.1159/000326316 [doi] PST - ppublish SO - Acta Cytol. 2004 Mar-Apr;48(2):199-206. doi: 10.1159/000326316.