PMID- 15581967 OWN - NLM STAT- MEDLINE DCOM- 20050125 LR - 20141120 IS - 0090-8258 (Print) IS - 0090-8258 (Linking) VI - 95 IP - 3 DP - 2004 Dec TI - ERBB-2 gene overexpression and amplification in uterine sarcomas. PG - 583-7 AB - BACKGROUND: The aim of this study was to determine ERBB-2 (HER-2/neu) gene alterations in different subtypes of uterine sarcomas. METHODS: After central review, representative biopsies were immunohistochemically stained and semiquantitatively scored as negative, weakly (1+), moderately (2+), or strongly (3+) positive. Subsequently, fluorescence in situ hybridization (FISH) was performed on cases with 2+ and 3+ expression. RESULTS: Seventy tumors (52 primaries and 18 recurrent) were evaluated. All 10 adenosarcomas, 21 endometrial stromal sarcomas, and 10 leiomyosarcomas were negative both in the primary and recurrent setting. Twenty-two primary carcinosarcomas were scored. The epithelial component was negative/1+ in 16 (73%), 2+/3+ in five (22.5%) tumors, and could not be evaluated in one case (4.5%), whereas the sarcoma component stained negative/1+ in 21 cases (95.5%) and 3+ (4.5%) in one case. In two recurrent carcinosarcomas, the epithelial component stained 3+ in both cases, whereas the sarcoma component scored negative and 1+. Amplification of the ERBB-2 gene as determined by FISH was observed in 3/7 (43%) carcinosarcomas with 2+ or 3+ overexpression, resulting in an overall 3/22 (14%) amplification rate. One out of four undifferentiated uterine sarcomas stained 2+. ERBB-2 immunopositivity (3+) and ERBB-2 amplification by FISH were confirmed in the recurrent tumor, resulting in a gene amplification rate of 1/4 in undifferentiated uterine sarcomas. CONCLUSION: The current results suggest absence of ERBB-2 overexpression in uterine leiomyosarcoma, uterine adenosarcoma, and endometrial stromal sarcoma, whereas the ERBB-2 gene might have a biologic role in uterine carcinosarcoma and undifferentiated uterine sarcomas. FAU - Amant, Frederic AU - Amant F AD - Division of Gynecologic Oncology, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium. Frederic.amant@uz.kuleuven.ac.be FAU - Vloeberghs, Veerle AU - Vloeberghs V FAU - Woestenborghs, Heidi AU - Woestenborghs H FAU - Debiec-Rychter, Maria AU - Debiec-Rychter M FAU - Verbist, Lieve AU - Verbist L FAU - Moerman, Philippe AU - Moerman P FAU - Vergote, Ignace AU - Vergote I LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Gynecol Oncol JT - Gynecologic oncology JID - 0365304 RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adenosarcoma/genetics/metabolism MH - Carcinosarcoma/genetics/metabolism MH - Female MH - Gene Amplification MH - Genes, erbB-2/*genetics MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Interphase/genetics MH - Leiomyosarcoma/genetics/metabolism MH - Receptor, ErbB-2/biosynthesis/genetics MH - Sarcoma/*genetics/metabolism MH - Sarcoma, Endometrial Stromal/genetics/metabolism MH - Uterine Neoplasms/*genetics/metabolism EDAT- 2004/12/08 09:00 MHDA- 2005/01/26 09:00 CRDT- 2004/12/08 09:00 PHST- 2004/04/24 00:00 [received] PHST- 2004/12/08 09:00 [pubmed] PHST- 2005/01/26 09:00 [medline] PHST- 2004/12/08 09:00 [entrez] AID - S0090-8258(04)00561-X [pii] AID - 10.1016/j.ygyno.2004.07.041 [doi] PST - ppublish SO - Gynecol Oncol. 2004 Dec;95(3):583-7. doi: 10.1016/j.ygyno.2004.07.041.