PMID- 22982892 OWN - NLM STAT- MEDLINE DCOM- 20121203 LR - 20191210 IS - 1532-0979 (Electronic) IS - 0147-5185 (Linking) VI - 36 IP - 10 DP - 2012 Oct TI - Evaluation of reliability of FISH versus brightfield dual-probe in situ hybridization (BDISH) for frontline assessment of HER2 status in breast cancer samples in a community setting: influence of poor tissue preservation. PG - 1489-96 LID - 10.1097/PAS.0b013e3182635987 [doi] AB - AIMS: To evaluate the reliability of novel brightfield microscopy-based dual in situ hybridization (BDISH) methods for frontline HER2 status analysis in selected suboptimally preserved breast cancer tissue samples reflecting of the worst scenario in a community. METHODS AND RESULTS: A total of 320 morphologically poorly preserved breast invasive ductal carcinomas from the archives of 2 tertiary institutions in Brazil were selected for a tissue microarray-based analysis. 4B5 antibody was used for immunohistochemistry. Fluorescence in situ hybridization (FISH), DuoCISH, ZytoDot CISH, and silver in situ hybridization (SISH) were performed and compared. The highest agreement was observed between SISH and FISH. In addition, SISH was easier to assess in both amplified and nonamplified cases when compared with the other chromogenic methods, due to the sharpness of its dots. DuoCISH produced false-positive results, associated with thicker ill-defined dots, causing poor distinction between nonamplification and low amplification. ZytoDot CISH showed lower sensitivity, with increased frequency of false-positive results. CONCLUSIONS: SISH is the most reliable of the BDISH methods, with sensitivity and specificity highly comparable with FISH. It is also less deleterious than other BDISH methods, producing signals that were more distinct and therefore more readily analyzable even in poorly preserved tissue. FAU - Schiavon, Beatriz N AU - Schiavon BN AD - Department of Anatomic Pathology, Hospital AC Camargo, Sao Paulo, SP, Brazil. beatriznschi@gmail.com FAU - Jasani, Bharat AU - Jasani B FAU - de Brot, Louise AU - de Brot L FAU - Vassallo, Jose AU - Vassallo J FAU - Damascena, Aline AU - Damascena A FAU - Cirullo-Neto, Julio AU - Cirullo-Neto J FAU - Ivanildo Neves, Jose AU - Ivanildo Neves J FAU - Augusto Soares, Fernando AU - Augusto Soares F FAU - Gobbi, Helenice AU - Gobbi H FAU - Malagoli Rocha, Rafael AU - Malagoli Rocha R LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article PL - United States TA - Am J Surg Pathol JT - The American journal of surgical pathology JID - 7707904 RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adult MH - Aged MH - Artifacts MH - Breast Neoplasms/diagnosis/*genetics MH - Carcinoma, Ductal, Breast/diagnosis/*genetics MH - Community Health Services MH - Female MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization/*methods MH - In Situ Hybridization, Fluorescence MH - Middle Aged MH - Neoplasm Staging MH - Receptor, ErbB-2/*genetics MH - Reproducibility of Results MH - Tertiary Care Centers MH - Tissue Array Analysis MH - Tissue Preservation/*methods EDAT- 2012/09/18 06:00 MHDA- 2012/12/10 06:00 CRDT- 2012/09/18 06:00 PHST- 2012/09/18 06:00 [entrez] PHST- 2012/09/18 06:00 [pubmed] PHST- 2012/12/10 06:00 [medline] AID - 00000478-201210000-00009 [pii] AID - 10.1097/PAS.0b013e3182635987 [doi] PST - ppublish SO - Am J Surg Pathol. 2012 Oct;36(10):1489-96. doi: 10.1097/PAS.0b013e3182635987.