PMID- 17292562 OWN - NLM STAT- MEDLINE DCOM- 20070504 LR - 20191210 IS - 0344-0338 (Print) IS - 0344-0338 (Linking) VI - 203 IP - 3 DP - 2007 TI - Tissue microarray technology in breast cancer HER2 diagnostics. PG - 169-77 AB - Tissue microarrays (TMAs) as current medical research tools significantly lower the costs of immunohistochemical examinations (IHC) and fluorescence in situ hybridization (FISH) while enabling high levels of standardization and reliability. Taking HER2 testing of breast cancer into consideration, we assessed the routine applicability of TMAs. A hundred and seventy-four consecutive samples of invasive breast cancer cases were selected. TMAs were constructed in order to conduct double HER2 immunohistochemical analysis and FISH abreast using the conventional slide by slide method. Comparing the immunohistochemical data obtained from TMAs with the routinely processed large sections, we found a 94.5%/92.7%, 85.7%/88.9% and 91.2%/90% concordance at immunohistochemically HER2-negative, HER2 2+ and 3+ cases using the CB11/HercepTest, respectively. FISH performed on TMAs helped to determine Herceptin therapy suitability in all cases, and when discordance was found, we controlled FISH on "large sections". Being able to conduct FISH examinations at a reasonable price with or without prior immunohistochemical analysis, departments confronted with a certain frequency of breast cancer cases might extensively use the type of TMAs applied in our study. This is a relieve not only with regard to diagnostic work using microarrays, but this also allows to take new directions in research by shedding light on certain unusual cases. FAU - Egervari, Kristof AU - Egervari K AD - Department Pathology, Medical and Health Science Center, University of Debrecen Nagyerdei krt, 98 H-4012 Debrecen, Hungary. FAU - Szollosi, Zoltan AU - Szollosi Z FAU - Nemes, Zoltan AU - Nemes Z LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article DEP - 20070209 PL - Germany TA - Pathol Res Pract JT - Pathology, research and practice JID - 7806109 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents) RN - 0 (DNA Probes) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - P188ANX8CK (Trastuzumab) SB - IM MH - Antibodies, Monoclonal/therapeutic use MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Agents/therapeutic use MH - Breast Neoplasms/chemistry/*diagnosis/drug therapy/genetics/pathology MH - DNA Probes MH - Female MH - Humans MH - Immunohistochemistry/instrumentation MH - In Situ Hybridization, Fluorescence/instrumentation MH - Molecular Diagnostic Techniques/*instrumentation/standards MH - Patient Selection MH - Predictive Value of Tests MH - Receptor, ErbB-2/*analysis/genetics/immunology MH - Reproducibility of Results MH - Tissue Array Analysis/*instrumentation/standards MH - Trastuzumab EDAT- 2007/02/13 09:00 MHDA- 2007/05/05 09:00 CRDT- 2007/02/13 09:00 PHST- 2006/07/04 00:00 [received] PHST- 2006/11/20 00:00 [revised] PHST- 2006/12/07 00:00 [accepted] PHST- 2007/02/13 09:00 [pubmed] PHST- 2007/05/05 09:00 [medline] PHST- 2007/02/13 09:00 [entrez] AID - S0344-0338(07)00003-9 [pii] AID - 10.1016/j.prp.2006.12.004 [doi] PST - ppublish SO - Pathol Res Pract. 2007;203(3):169-77. doi: 10.1016/j.prp.2006.12.004. Epub 2007 Feb 9.