PMID- 23355198 OWN - NLM STAT- MEDLINE DCOM- 20130319 LR - 20220318 IS - 1943-7722 (Electronic) IS - 0002-9173 (Linking) VI - 139 IP - 2 DP - 2013 Feb TI - Comparison of fluorescence in situ hybridization (FISH) and dual-ISH (DISH) in the determination of HER2 status in breast cancer. PG - 144-50 LID - 10.1309/AJCP13GJAOJAYJMW [doi] AB - The determination of HER2 amplification is critical to selecting appropriate patients for HER2 targeted therapy in breast cancer. Dual in situ hybridization (DISH), an alternative to fluorescence in situ hybridization (FISH) and immunohistochemistry, is now available. To compare the FISH and DISH methods, we tested 251 samples enriched for common or difficult-to-assess HER2 anomalies. Seven samples failed DISH testing. There was a 64% (156/244) concordance between FISH and DISH by anomaly (kappa = 0.58, 95% confidence interval, 0.51-0.65; P < .0001) and an 83% (203/244) concordance by amplification status (kappa = 0.58; 95% confidence interval, 0.47-0.69; P < .0001). DISH resulted in lower estimates of HER2/ centromere 17 ratios than FISH, and many cases that were equivocal with FISH were normal with DISH. DISH did not detect any case with coamplification of HER2 and centromere 17. Using a cohort of difficult specimens, we observed less than 95% concordance between FISH and DISH. DISH may underestimate the HER2/chromosome 17 ratio, or FISH may overestimate this ratio. FAU - Mansfield, Aaron S AU - Mansfield AS AD - Department of Oncology, Mayo Clinic, Rochester, MN 55905, USA. FAU - Sukov, William R AU - Sukov WR FAU - Eckel-Passow, Jeanette E AU - Eckel-Passow JE FAU - Sakai, Yuta AU - Sakai Y FAU - Walsh, Frank J AU - Walsh FJ FAU - Lonzo, Melissa AU - Lonzo M FAU - Wiktor, Anne E AU - Wiktor AE FAU - Dogan, Ahmet AU - Dogan A FAU - Jenkins, Robert B AU - Jenkins RB LA - eng PT - Comparative Study PT - Journal Article PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM CIN - Am J Clin Pathol. 2013 Feb;139(2):137-9. PMID: 23355196 MH - Breast Neoplasms/genetics/*metabolism MH - Carcinoma, Ductal, Breast/genetics/*metabolism MH - Centromere/genetics MH - Chromosomes, Human, Pair 17/genetics MH - Female MH - Gene Amplification MH - Humans MH - In Situ Hybridization/*methods MH - In Situ Hybridization, Fluorescence/*methods MH - Predictive Value of Tests MH - Receptor, ErbB-2/genetics/*metabolism MH - Reproducibility of Results EDAT- 2013/01/29 06:00 MHDA- 2013/03/21 06:00 CRDT- 2013/01/29 06:00 PHST- 2013/01/29 06:00 [entrez] PHST- 2013/01/29 06:00 [pubmed] PHST- 2013/03/21 06:00 [medline] AID - 139/2/144 [pii] AID - 10.1309/AJCP13GJAOJAYJMW [doi] PST - ppublish SO - Am J Clin Pathol. 2013 Feb;139(2):144-50. doi: 10.1309/AJCP13GJAOJAYJMW.