PMID- 18397279 OWN - NLM STAT- MEDLINE DCOM- 20080708 LR - 20220409 IS - 1365-2559 (Electronic) IS - 0309-0167 (Linking) VI - 52 IP - 6 DP - 2008 May TI - EGFR in gastric carcinomas: prognostic significance of protein overexpression and high gene copy number. PG - 738-46 LID - 10.1111/j.1365-2559.2008.03021.x [doi] AB - AIMS: Epidermal growth factor receptor (EGFR) expression has been observed in a variety of solid tumours with the potential of new targeted therapeutic agents. The aim was to evaluate the EGFR status of gastric carcinoma (GC) using immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH). METHODS AND RESULTS: The EGFR status was evaluated in GC tissues from 511 patients using IHC and FISH. In addition, the clinicopathological characteristics were examined and the results were compared with the EGFR status. One hundred and forty cases (27.4%) showed EGFR overexpression by IHC. EGFR overexpression was associated with older age (P = 0.001), moderately or poorly differentiated histology (P = 0.001) and higher stage disease (P = 0.046). Sixteen cases (3.1%) showed high polysomy and 12 cases (2.3%) had gene amplification by FISH. The correlation between IHC and FISH results was statistically significant (P < 0.001). The patients with GC who had EGFR overexpression had an unfavourable prognosis and multivariate analysis showed that EGFR overexpression was a possible independent unfavourable prognostic factor. CONCLUSIONS: EGFR overexpression was observed in a subset of cases with GC and was associated with an unfavourable prognosis. It will be important to evaluate EGFR status to interpret future clinical trials properly using EGFR targeted agents. FAU - Kim, M A AU - Kim MA AD - Department of Pathology, Seoul National University College of Medicine, Seoul, Korea. FAU - Lee, H S AU - Lee HS FAU - Lee, H E AU - Lee HE FAU - Jeon, Y K AU - Jeon YK FAU - Yang, H K AU - Yang HK FAU - Kim, W H AU - Kim WH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080405 PL - England TA - Histopathology JT - Histopathology JID - 7704136 RN - EC 2.7.10.1 (ErbB Receptors) SB - IM MH - Aged MH - Carcinoma/*diagnosis/genetics/metabolism MH - ErbB Receptors/*genetics/metabolism MH - Female MH - *Gene Dosage MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Prognosis MH - Stomach Neoplasms/*diagnosis/genetics/metabolism MH - Survival Analysis EDAT- 2008/04/10 09:00 MHDA- 2008/07/09 09:00 CRDT- 2008/04/10 09:00 PHST- 2008/04/10 09:00 [pubmed] PHST- 2008/07/09 09:00 [medline] PHST- 2008/04/10 09:00 [entrez] AID - HIS3021 [pii] AID - 10.1111/j.1365-2559.2008.03021.x [doi] PST - ppublish SO - Histopathology. 2008 May;52(6):738-46. doi: 10.1111/j.1365-2559.2008.03021.x. Epub 2008 Apr 5.