PMID- 19895711 OWN - NLM STAT- MEDLINE DCOM- 20100104 LR - 20211020 IS - 1477-7819 (Electronic) IS - 1477-7819 (Linking) VI - 7 DP - 2009 Nov 9 TI - Comparison of immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH) assessment for Her-2 status in breast cancer. PG - 83 LID - 10.1186/1477-7819-7-83 [doi] AB - BACKGROUND: The concordance rate between IHC and FISH according to clinical performance is still controversial. We report a prospective study to reflect the concordance between IHC and FISH in Guilin city, People's Republic of China. METHODS: Fifty cases of invasive ductal carcinoma of breast tested by IHC and scored as 0, 1+, 2+ and 3+ by pathologists were further analyzed by FISH using a commercially available double-color probe, and the FISH findings were compared with IHC test results. RESULTS: A total concordance of 82.0% was observed with a Kappa coefficient of 0.640 (P<0.001). A high discordance was observed in 30.0% of the patients with IHC 2+, 7.1% in IHC 3+, 19.2% overall in IHC 0 and 1+. CONCLUSION: The IHC can be used firstly to screen the HER-2 status, and FISH can be used as a supplementary role to IHC and 2+ and some negative cases. And only those cases with Her-2 status of IHC 3+ or FISH positive should be treated with Herceptin. FAU - Sui, Weiguo AU - Sui W AD - Laboratory Center of Guangzhou Military Area Command, 181st Hospital of People's Liberation Army, and College of Life Science, Guangxi Normal University, Guilin, Guangxi, PR China. suiwg@163.com FAU - Ou, Minglin AU - Ou M FAU - Chen, Jiejing AU - Chen J FAU - Wan, Youhua AU - Wan Y FAU - Peng, Hongbo AU - Peng H FAU - Qi, Minfang AU - Qi M FAU - Huang, He AU - Huang H FAU - Dai, Yong AU - Dai Y LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20091109 PL - England TA - World J Surg Oncol JT - World journal of surgical oncology JID - 101170544 RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Breast Neoplasms/genetics/*metabolism MH - Carcinoma, Ductal, Breast/genetics/metabolism MH - China MH - Female MH - Gene Amplification MH - Gene Expression Regulation, Neoplastic MH - Genes, erbB-2/*genetics MH - Humans MH - *Immunohistochemistry MH - *In Situ Hybridization, Fluorescence MH - Predictive Value of Tests MH - Prospective Studies MH - Receptor, ErbB-2/*metabolism MH - Reproducibility of Results MH - Tissue Fixation PMC - PMC2776594 EDAT- 2009/11/10 06:00 MHDA- 2010/01/05 06:00 PMCR- 2009/11/09 CRDT- 2009/11/10 06:00 PHST- 2009/08/30 00:00 [received] PHST- 2009/11/09 00:00 [accepted] PHST- 2009/11/10 06:00 [entrez] PHST- 2009/11/10 06:00 [pubmed] PHST- 2010/01/05 06:00 [medline] PHST- 2009/11/09 00:00 [pmc-release] AID - 1477-7819-7-83 [pii] AID - 10.1186/1477-7819-7-83 [doi] PST - epublish SO - World J Surg Oncol. 2009 Nov 9;7:83. doi: 10.1186/1477-7819-7-83.