PMID- 20450761 OWN - NLM STAT- MEDLINE DCOM- 20110404 LR - 20160818 IS - 0529-5807 (Print) IS - 0529-5807 (Linking) VI - 39 IP - 3 DP - 2010 Mar TI - [Comparison between analysis of HER2 gene and chromosome 17 in breast cancer by dual-probe chromogenic in situ hybridization and fluorescence in situ hybridization]. PG - 161-5 AB - OBJECTIVE: To evaluate the application of dual-probe chromogenic in situ hybridization (dual-probe CISH) in analysis of HER2 gene status of breast cancer patients by comparison with fluorescence in situ hybridization (FISH). The potential impact of chromosome 17 polysomy in the determination of HER2 status was also studied. METHODS: One hundred and forty-six cases of paraffin-embedded breast cancer tissues were retrieved. Analysis of HER2 gene and chromosome 17 copy numbers using CE-approved commercial kits of dual-probe FISH (for 146 cases) and dual-probe CISH (for 73 cases) were carried out. The results were interpreted according to ASCO/CAP, 2007 either HER2 gene copy number or the ratio of HER2/centromere 17 (CEN17). RESULTS: Of the 73 cases analyzed by both FISH and dual-probe CISH, the concordance rates for negative and positive results was 91.7% (33/36) and 97.4% (37/38) respectively, while the overall concordance rate between the two methods was 95.9% (70/73). Of the 146 cases analyzed by FISH, 13 cases were interpreted as equivocal if only HER2 copies were counted, compared with 8 equivocal cases by calculating the ratio of HER2/CEN 17. Moreover, 3 cases (4.8%) of the 63 HER2-positive cases determined by HER2 copies turned out to be HER2-negative when determined by the ratio of HER2/CEN 17; while using dual-probe CISH, 1 (3.0%) of the 33 positive cases turned out to be negative. In addition, when using FISH, there were more chromosome 17 polysomy cases (63.5%, 40/63) in the HER2-positive subgroup than HER2-negative subgroup (37.3%, 28/75) (P = 0.002). CONCLUSIONS: Dual-probe CISH can achieve similar results as compared to FISH, indicating that this technology is a reliable alternative to FISH in HER2 testing. The accuracy can further be improved when HER2 and chromosome 17 are simultaneously tested and counted. FAU - Bai, Yan-feng AU - Bai YF AD - Department of Pathology, the First Affiliated Hospital, College of Medicine of Zhejiang University, Hangzhou 310003, China. FAU - Ren, Guo-ping AU - Ren GP FAU - Wang, Bo AU - Wang B FAU - Teng, Li-song AU - Teng LS FAU - Liu, Xu AU - Liu X LA - chi PT - Comparative Study PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhonghua Bing Li Xue Za Zhi JT - Zhonghua bing li xue za zhi = Chinese journal of pathology JID - 0005331 SB - IM MH - Breast Neoplasms/*genetics MH - Carcinoma, Ductal, Breast/*genetics MH - Chromosomes, Human, Pair 17/*genetics MH - Gene Dosage MH - Genes, erbB-2/*genetics MH - Humans MH - In Situ Hybridization/*methods MH - In Situ Hybridization, Fluorescence MH - Paraffin Embedding MH - Polyploidy EDAT- 2010/05/11 06:00 MHDA- 2011/04/05 06:00 CRDT- 2010/05/11 06:00 PHST- 2010/05/11 06:00 [entrez] PHST- 2010/05/11 06:00 [pubmed] PHST- 2011/04/05 06:00 [medline] PST - ppublish SO - Zhonghua Bing Li Xue Za Zhi. 2010 Mar;39(3):161-5.