PMID- 22023243 OWN - NLM STAT- MEDLINE DCOM- 20120820 LR - 20211203 IS - 1945-0257 (Electronic) IS - 1945-0257 (Linking) VI - 16 IP - 4 DP - 2012 Apr TI - Evaluation of genetic status of HER-2/neu and aneusomy 17 by fluorescence in situ hybridization and comparison with immunohistochemistry assay from Indian breast cancer patients. PG - 239-45 LID - 10.1089/gtmb.2011.0125 [doi] AB - AIMS: The HER-2/neu proto-oncogene is amplified in 15%-25% of breast cancers. In the current study, we evaluated HER-2/neu status of 396 cases of breast cancer by fluorescence in situ hybridization (FISH), and the results were correlated with immunohistochemistry (IHC) for HER-2/neu protein expression. RESULTS: Overall, HER-2/neu amplification was observed in 38.4% of cases. Concordance between IHC and FISH was 90.4% considering only IHC score 0, 1 (negative), and 3 (positive). However, only 37.3% of the IHC score 2 (equivocal) cases showed HER-2/neu gene amplification. A majority of the discordant cases within the IHC negative (score 0 and 1) and IHC positive (score 3) were high-grade tumors. Polysomy 17 and monosomy 17 was seen in 7.3% of the total cases of each. Furthermore, a majority of FISH positive cases were noted in Intraductal Carcinoma grade III and cases with regional lymph nodal metastasis. Polysomy 17 was seen in 7.9% of the FISH positive cases and in 6.3% of the FISH negative cases. Monosomy 17, however was more preponderant in FISH negative cases. CONCLUSION: We believe that the FISH test should be considered as the gold standard in the estimation of the HER-2/neu status due to its increased sensitivity and better appreciation of aneusomy 17. FAU - Kokate, Prajakta AU - Kokate P AD - Cytogenetic Division, Super Religare Laboratories Ltd., Mumbai, India. FAU - Sawaimoon, Satyakam AU - Sawaimoon S FAU - Bhatia, Simi AU - Bhatia S FAU - Mandava, Swarna AU - Mandava S LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article DEP - 20111024 PL - United States TA - Genet Test Mol Biomarkers JT - Genetic testing and molecular biomarkers JID - 101494210 RN - 0 (MAS1 protein, human) RN - 0 (Proto-Oncogene Mas) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - *Aneuploidy MH - Breast Neoplasms/*genetics/metabolism/pathology MH - Carcinoma, Intraductal, Noninfiltrating/*genetics/metabolism/pathology MH - Chromosomes, Human, Pair 17/*genetics MH - Female MH - Genes, erbB-2 MH - Humans MH - Immunohistochemistry/methods MH - In Situ Hybridization, Fluorescence/*methods MH - India MH - Middle Aged MH - Proto-Oncogene Mas MH - Receptor, ErbB-2/*genetics/metabolism EDAT- 2011/10/26 06:00 MHDA- 2012/08/21 06:00 CRDT- 2011/10/26 06:00 PHST- 2011/10/26 06:00 [entrez] PHST- 2011/10/26 06:00 [pubmed] PHST- 2012/08/21 06:00 [medline] AID - 10.1089/gtmb.2011.0125 [doi] PST - ppublish SO - Genet Test Mol Biomarkers. 2012 Apr;16(4):239-45. doi: 10.1089/gtmb.2011.0125. Epub 2011 Oct 24.