PMID- 18583876 OWN - NLM STAT- MEDLINE DCOM- 20080918 LR - 20211020 IS - 1011-8934 (Print) IS - 1598-6357 (Electronic) IS - 1011-8934 (Linking) VI - 23 IP - 3 DP - 2008 Jun TI - Prognostic significance of HER2 gene amplification according to stage of breast cancer. PG - 414-20 LID - 10.3346/jkms.2008.23.3.414 [doi] AB - It is well known that the amplification of the HER2 gene is closely associated with poor prognosis of breast cancer. However, there is controversy about the clinical significance of HER2 according to lymph node status in breast cancer. The aim of this study was to identify the differences in the prognostic significance of HER2 gene amplification according to the stages of breast cancer. We prepared a tissue array for fluorescence in situ hybridization (FISH) with breast cancer specimens from the surgery in 1994 to 1999. Total 338 cases of breast cancer were enrolled and the median follow-up period was 6.3 yr. The detection rates of HER2 gene amplification were as follows: 10.3% in stage I, 22.3% in stage II, and 43.8% in stage III. On survival analyses HER2-positive groups showed worse prognosis in stage III of breast cancer, but not in stage I or II. Multivariate analyses with a Cox-regression model also revealed that HER2 amplification was an independent prognostic factor only in stage III breast cancer. Regarding HER2 gene amplification as a prognostic factor of breast cancer, the clinical significance of the gene was found to be confined to advanced breast cancer. FAU - Kim, Yong-Seok AU - Kim YS AD - Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Won, Yong Sung AU - Won YS FAU - Park, Kyung Shin AU - Park KS FAU - Song, Byung Joo AU - Song BJ FAU - Kim, Jeong Soo AU - Kim JS FAU - Oh, Se Jeong AU - Oh SJ FAU - Jeon, Hae Myung AU - Jeon HM FAU - Jung, Sang Seol AU - Jung SS FAU - Park, Woo-Chan AU - Park WC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Korea (South) TA - J Korean Med Sci JT - Journal of Korean medical science JID - 8703518 RN - 0 (Biomarkers, Tumor) SB - IM MH - Adult MH - Aged MH - Biomarkers, Tumor/genetics MH - Breast Neoplasms/*genetics/mortality/*pathology MH - Disease Progression MH - Female MH - Follow-Up Studies MH - Gene Amplification MH - Genes, erbB-2/*genetics MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Middle Aged MH - Multivariate Analysis MH - Neoplasm Staging MH - Prognosis MH - Proportional Hazards Models PMC - PMC2526508 EDAT- 2008/06/28 09:00 MHDA- 2008/09/19 09:00 PMCR- 2008/06/01 CRDT- 2008/06/28 09:00 PHST- 2008/06/28 09:00 [pubmed] PHST- 2008/09/19 09:00 [medline] PHST- 2008/06/28 09:00 [entrez] PHST- 2008/06/01 00:00 [pmc-release] AID - 200806414 [pii] AID - 10.3346/jkms.2008.23.3.414 [doi] PST - ppublish SO - J Korean Med Sci. 2008 Jun;23(3):414-20. doi: 10.3346/jkms.2008.23.3.414.