PMID- 16951391 OWN - NLM STAT- MEDLINE DCOM- 20061026 LR - 20151119 IS - 1083-7159 (Print) IS - 1083-7159 (Linking) VI - 11 IP - 8 DP - 2006 Sep TI - Chromogenic in situ hybridization to detect HER-2/neu gene amplification in histological and ThinPrep-processed breast cancer fine-needle aspirates: a sensitive and practical method in the trastuzumab era. PG - 878-86 AB - The increasing evidence of trastuzumab efficacy in breast cancer (BC) patients means that an accurate and reproducible evaluation of HER-2 statusis of paramount importance in histological and in cytological samples. Currently, the two main methods used to analyze HER-2 amplification or overexpression are fluorescence in situ hybridization (FISH) and immunohistochemistry (IHC). Although the two methods are strongly correlated for histological tissue, the evaluation of tumor morphology through FISH may be difficult and fluorescence fades quickly. These limitations can be overcome by chromogenic in situ hybridization (CISH), which can visualize the amplification product along with morphological features. In view of this, in the present study, we analyzed the usefulness of CISH on formalin-fixed, paraffin-embedded (FFPE) BC specimens and investigated whether CISH can be a valid technique in the determination of HER-2 status for fine-needle aspirates (FNAs) processed by liquid-based cytology. The results we obtained in a retrospective series of 111 FFPE BC specimens demonstrated good concordance between CISH and IHC and between CISH and FISH. The former concordance was comparable with that observed between FISH and IHC. When CISH was applied to a prospective series of 53 FNAs, from surgically removed BC, our data showed evidence of a higher concordance of results between liquid-based cytology and the companion FFPE tissues using CISH rather than HercepTesttrade mark. Therefore, CISH analysis, which is avaluable and reproducible alternative to FISH for selecting breast cancer patients for trastuzumab therapy, can lower false-positive immunocytochemistry findings in ThinPrep-processed FNAs. FAU - Vocaturo, Amina AU - Vocaturo A AD - Regina Elena Cancer Institute, Via Elio Chianesi 53, 00144 Rome, Italy. vocaturo@ifo.it FAU - Novelli, Flavia AU - Novelli F FAU - Benevolo, Maria AU - Benevolo M FAU - Piperno, Giulia AU - Piperno G FAU - Marandino, Ferdinando AU - Marandino F FAU - Cianciulli, Anna Maria AU - Cianciulli AM FAU - Merola, Roberta AU - Merola R FAU - Donnorso, Raffaele Perrone AU - Donnorso RP FAU - Sperduti, Isabella AU - Sperduti I FAU - Buglioni, Simonetta AU - Buglioni S FAU - Mottolese, Marcella AU - Mottolese M LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Oncologist JT - The oncologist JID - 9607837 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Chromogenic Compounds) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - P188ANX8CK (Trastuzumab) SB - IM MH - Antibodies, Monoclonal/*therapeutic use MH - Antibodies, Monoclonal, Humanized MH - Biopsy, Fine-Needle MH - Breast Neoplasms/*drug therapy/*genetics MH - *Chromogenic Compounds MH - Female MH - Gene Amplification MH - Histocytological Preparation Techniques MH - Humans MH - Immunoenzyme Techniques MH - *In Situ Hybridization MH - In Situ Hybridization, Fluorescence MH - Paraffin Embedding MH - Prospective Studies MH - Receptor, ErbB-2/*genetics MH - Retrospective Studies MH - Sensitivity and Specificity MH - Trastuzumab EDAT- 2006/09/05 09:00 MHDA- 2006/10/27 09:00 CRDT- 2006/09/05 09:00 PHST- 2006/09/05 09:00 [pubmed] PHST- 2006/10/27 09:00 [medline] PHST- 2006/09/05 09:00 [entrez] AID - 11/8/878 [pii] AID - 10.1634/theoncologist.11-8-878 [doi] PST - ppublish SO - Oncologist. 2006 Sep;11(8):878-86. doi: 10.1634/theoncologist.11-8-878.