PMID- 16158422 OWN - NLM STAT- MEDLINE DCOM- 20051227 LR - 20240104 IS - 1043-3074 (Print) IS - 1043-3074 (Linking) VI - 27 IP - 10 DP - 2005 Oct TI - C-erb-B2 (HER2/neu) expression in synovial sarcoma of the head and neck. PG - 883-92 AB - BACKGROUND: Synovial sarcoma is a malignant mesenchymal tumor composed of varying proportions of spindle and epithelial cell components. Because of the histologic and immunohistochemical similarity of synovial sarcoma to epithelial carcinomas, we hypothesized that the human epithelial growth factor receptor 2 (C-erb-B2, also termed HER2/neu) may contribute to the tumor phenotype and provide a new therapeutic target for this soft tissue tumor. METHODS: Three head and neck, one chest wall, and seven extremity synovial sarcomas were evaluated for C-erb-B2 (HER2/neu) expression by immunohistochemistry, Western immunoblotting, and fluorescence in situ hybridization (FISH). RESULTS: The head and neck cases demonstrated immunohistochemically strong positive staining, whereas tumors from other anatomic locations showed neither positive nor cytoplasmic restricted staining. Antigen-targeted antibody therapy (trastuzumab) was initiated in two patients. CONCLUSIONS: These results demonstrate that C-erb-B2 (HER2/neu) may play a role in the tumorigenesis of synovial sarcoma; and, therefore, antigrowth factor therapies may provide a previously unrecognized pharmaceutical approach to soft tissue tumors. The data also suggest that although synovial sarcoma of the head and neck and synovial sarcoma of the extremities have similar morphologic features, they may be clinically and mechanistically distinct entities. CI - (c) 2005 Wiley Periodicals, Inc. FAU - Olsen, Randall J AU - Olsen RJ AD - Department of Pathology and Laboratory Medicine, Baylor College of Medicine, Houston, Texas, USA. FAU - Lydiatt, William M AU - Lydiatt WM FAU - Koepsell, Scott A AU - Koepsell SA FAU - Lydiatt, Daniel AU - Lydiatt D FAU - Johansson, Sonny L AU - Johansson SL FAU - Naumann, Sabine AU - Naumann S FAU - Bridge, Julia A AU - Bridge JA FAU - Neff, James R AU - Neff JR FAU - Hinrichs, Steven H AU - Hinrichs SH FAU - Tarantolo, Stefano R AU - Tarantolo SR LA - eng GR - P30 CA36727/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Head Neck JT - Head & neck JID - 8902541 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 MH - Adult MH - Aged MH - Antibodies, Monoclonal/therapeutic use MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Agents/therapeutic use MH - Blotting, Western MH - Child MH - Female MH - Genes, erbB-2 MH - Head and Neck Neoplasms/drug therapy/genetics/*metabolism/pathology MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Receptor, ErbB-2/*metabolism MH - Sarcoma, Synovial/drug therapy/genetics/*metabolism/pathology MH - Trastuzumab EDAT- 2005/09/15 09:00 MHDA- 2005/12/28 09:00 CRDT- 2005/09/15 09:00 PHST- 2005/09/15 09:00 [pubmed] PHST- 2005/12/28 09:00 [medline] PHST- 2005/09/15 09:00 [entrez] AID - 10.1002/hed.20267 [doi] PST - ppublish SO - Head Neck. 2005 Oct;27(10):883-92. doi: 10.1002/hed.20267.