PMID- 21698407 OWN - NLM STAT- MEDLINE DCOM- 20120822 LR - 20171116 IS - 1573-7217 (Electronic) IS - 0167-6806 (Linking) VI - 132 IP - 3 DP - 2012 Apr TI - Co-amplification of the HER2 gene and chromosome 17 centromere: a potential diagnostic pitfall in HER2 testing in breast cancer. PG - 925-35 LID - 10.1007/s10549-011-1642-8 [doi] AB - Co-amplification of the centromere on chromosome 17 (CEP17) and HER2 can occur in breast cancer. Such aberrant patterns (clusters) on CEP17 can be misleading to calculate the HER2/CEP17 ratio, and thus underreporting of HER2 amplification. We identified 14 breast cancers retrospectively with HER2/CEP17 co-amplification and performed FISH (fluorescence in situ hybridization) with additional chromosome 17 probes (17p11.1-q11.1, 17p11.2-p12, TP53 on 17p13.1, RARA on 17q21.1-3 and TOP2 on 17q21.3-22) to characterize the spanning of the amplicon in these cases. Furthermore, the HER2 status was analyzed by means of HER2 silver in situ hybridization (SISH) and immunohistochemistry (IHC). The co-amplification of HER2/CEP17 was compared between the three institutions. TP53 was eusomic in all cases, 17p11.2-p12 in 79% (11/14), whereas 17p11.1-q11.1 showed chromosomal gain in all cases. RARA was amplified in 10/14 cases (71%) and TOP2 in 3/14 cases (21%). HER2 was amplified with FISH/SISH in all 14 cases. 9/14 tumors were 3+ IHC positive (64%) and 3 cases were 2+ IHC positive. In our cohort the CEP17 amplicon almost always involves the HER2 but not the TOP2 locus. Overall agreement on HER2/CEP17 ratio (when applying ASCO/CAP guidelines) was only 64% (9/14 cases) between the institutions. Discrepant ratios varied from 1.1 to 14.3. The HER2/CEP17 co-amplification is not defined in the ASCO/CAP guidelines, and may result in inaccurate HER2-FISH/SISH status, particularly if only the calculated HER2/CEP17 ratio is reported. It is recommended to report separate CEP17 and HER2 signals in complex HER2/CEP17 patterns. FAU - Varga, Zsuzsanna AU - Varga Z AD - Institute of Surgical Pathology, University Hospital Zurich, Schmelzbergstrasse 12, 8091 Zurich, Switzerland. zsuzsanna.varga@usz.ch FAU - Tubbs, Raymond R AU - Tubbs RR FAU - Wang, Zhen AU - Wang Z FAU - Sun, Yang AU - Sun Y FAU - Noske, Aurelia AU - Noske A FAU - Kradolfer, Doris AU - Kradolfer D FAU - Bosshard, Giovanna AU - Bosshard G FAU - Jochum, Wolfram AU - Jochum W FAU - Moch, Holger AU - Moch H FAU - Ohlschlegel, Christian AU - Ohlschlegel C LA - eng PT - Journal Article DEP - 20110623 PL - Netherlands TA - Breast Cancer Res Treat JT - Breast cancer research and treatment JID - 8111104 RN - 0 (Antigens, Neoplasm) RN - 0 (DNA-Binding Proteins) RN - 0 (Poly-ADP-Ribose Binding Proteins) RN - 0 (RARA protein, human) RN - 0 (Receptors, Retinoic Acid) RN - 0 (Retinoic Acid Receptor alpha) RN - 0 (TP53 protein, human) RN - 0 (Tumor Suppressor Protein p53) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 5.99.1.3 (DNA Topoisomerases, Type II) RN - EC 5.99.1.3 (TOP2A protein, human) SB - IM MH - Adult MH - Aged MH - Antigens, Neoplasm/genetics MH - Breast Neoplasms/diagnosis/*genetics MH - Carcinoma, Ductal, Breast/diagnosis/*genetics MH - Centromere/*genetics MH - Chromosomes, Human, Pair 17/*genetics MH - DNA Copy Number Variations MH - DNA Topoisomerases, Type II/genetics MH - DNA-Binding Proteins/genetics MH - Diagnostic Errors MH - Female MH - *Gene Amplification MH - Humans MH - In Situ Hybridization, Fluorescence MH - Middle Aged MH - Poly-ADP-Ribose Binding Proteins MH - Receptor, ErbB-2/*genetics MH - Receptors, Retinoic Acid/genetics MH - Retinoic Acid Receptor alpha MH - Retrospective Studies MH - Tumor Suppressor Protein p53/genetics EDAT- 2011/06/24 06:00 MHDA- 2012/08/23 06:00 CRDT- 2011/06/24 06:00 PHST- 2011/04/05 00:00 [received] PHST- 2011/06/13 00:00 [accepted] PHST- 2011/06/24 06:00 [entrez] PHST- 2011/06/24 06:00 [pubmed] PHST- 2012/08/23 06:00 [medline] AID - 10.1007/s10549-011-1642-8 [doi] PST - ppublish SO - Breast Cancer Res Treat. 2012 Apr;132(3):925-35. doi: 10.1007/s10549-011-1642-8. Epub 2011 Jun 23.