PMID- 22475781 OWN - NLM STAT- MEDLINE DCOM- 20120829 LR - 20131121 IS - 1873-5487 (Electronic) IS - 0188-4409 (Linking) VI - 43 IP - 2 DP - 2012 Feb TI - Effectiveness of silver-enhanced in situ hybridization for evaluating HER2 gene status in invasive breast carcinoma: a comparative study. PG - 139-44 LID - 10.1016/j.arcmed.2012.03.010 [doi] AB - BACKGROUND AND AIMS: HER2 gene amplification occurs in breast cancers and has implications for treatment and prognosis. Recently, a new direct evaluation technique, silver enhanced in situ hybridization (SISH) was developed for evaluating HER2 gene status. This study was performed to evaluate the SISH technique for clinical use by comparing it to that of fluorescence in situ hybridization (FISH) and immunohistochemistry (IHC). METHODS: We studied 543 cases of excised breast specimens diagnosed as invasive ductal carcinoma by IHC, FISH, and SISH using a tissue microarray. IHC, FISH, and SISH results were interpreted according to the American Society of Clinical Oncology/College of American Pathologists guidelines. A total of seven English studies that reported the concordance rates of SISH and BDISH compared to FISH published before July 2011 were retrieved. RESULTS: The consensus concordance rate between SISH and FISH was 96.69% (kappa value = 0.9175). The pooled sensitivity was 0.94 [95% confidence interval (CI) = 0.91-0.97], and the pooled specificity was 0.98 (95% CI = 0.96-099) in a meta-analysis of the retrieved studies and this study. Area under the receiver operating characteristics curve was 0.9906. CONCLUSIONS: SISH technique is an effective modality and is comparable with FISH for evaluating HER2 gene amplification in patients with breast carcinoma. CI - Copyright (c) 2012 IMSS. All rights reserved. FAU - Lee, Youngseok AU - Lee Y AD - Department of Pathology, Korea University Guro Hospital, Guro-gu, Seoul, Korea. FAU - Ryu, Youngjoon AU - Ryu Y FAU - Jeong, Hoiseon AU - Jeong H FAU - Chang, Hyeyoon AU - Chang H FAU - Kim, Younghye AU - Kim Y FAU - Kim, Aeree AU - Kim A LA - eng PT - Comparative Study PT - Journal Article DEP - 20120401 PL - United States TA - Arch Med Res JT - Archives of medical research JID - 9312706 RN - 3M4G523W1G (Silver) SB - IM MH - Breast Neoplasms/*genetics/pathology MH - *Genes, erbB-2 MH - Humans MH - In Situ Hybridization/*methods MH - Neoplasm Invasiveness MH - Silver/*chemistry EDAT- 2012/04/06 06:00 MHDA- 2012/08/30 06:00 CRDT- 2012/04/06 06:00 PHST- 2012/01/02 00:00 [received] PHST- 2012/03/07 00:00 [accepted] PHST- 2012/04/06 06:00 [entrez] PHST- 2012/04/06 06:00 [pubmed] PHST- 2012/08/30 06:00 [medline] AID - S0188-4409(12)00080-X [pii] AID - 10.1016/j.arcmed.2012.03.010 [doi] PST - ppublish SO - Arch Med Res. 2012 Feb;43(2):139-44. doi: 10.1016/j.arcmed.2012.03.010. Epub 2012 Apr 1.