PMID- 23455182 OWN - NLM STAT- MEDLINE DCOM- 20140610 LR - 20161020 IS - 1533-4058 (Electronic) IS - 1533-4058 (Linking) VI - 21 IP - 6 DP - 2013 Dec TI - HER2 in situ hybridization in gastric and gastroesophageal adenocarcinoma: comparison of automated dual ISH to FISH. PG - 561-6 LID - 10.1097/PAI.0b013e3182849826 [doi] AB - Patients with gastric and gastroesophageal junction (GEJ) adenocarcinomas that are HER2 positive by immunohistochemistry (IHC) or in situ hybridization show a significant survival benefit with trastuzumab therapy. In situ hybridization is traditionally done by fluorescence in situ hybridization (FISH), despite some limitations. An alternative is the dual in situ hybridization (Dual ISH) technique that is fully automated and uses differentially labeled CEP17 and HER2 probes that can be read by light microscopy on 1 slide. The aim of this study was to assess the utility of Dual ISH in gastric/GEJ cancer and to compare the results with those obtained by IHC and FISH. Cases of gastric/GEJ adenocarcinoma were analyzed by IHC, FISH, and Dual ISH and the correlation between methods calculated. Results for 50 patients were available. There was a 98% (49/50) concordance rate between Dual ISH and FISH. One discrepant case was nonamplified by FISH but showed focal amplification by Dual ISH. Discrepancy was attributed to tumor heterogeneity, which was a frequent finding (78% of HER2-positive cases). There was excellent correlation between Dual ISH and FISH for assessment of HER2 amplification. Dual ISH was rapid, easy to interpret, and maintained cell morphology, which was valuable in identifying tumor heterogeneity. FAU - Grin, Andrea AU - Grin A AD - *Department of Medical Oncology, St. Michael's Hospital and University of Toronto, Toronto, ON, Canada daggerDepartment of Laboratory Medicine, the Li Ka Shing Knowledge Institute. FAU - Brezden-Masley, Christine AU - Brezden-Masley C FAU - Bauer, Sharon AU - Bauer S FAU - Streutker, Catherine J AU - Streutker CJ LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Appl Immunohistochem Mol Morphol JT - Applied immunohistochemistry & molecular morphology : AIMM JID - 100888796 RN - 0 (Biomarkers, Tumor) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - Adenocarcinoma Of Esophagus SB - IM MH - Adenocarcinoma/*diagnosis/genetics/pathology MH - Automation, Laboratory MH - Biomarkers, Tumor/*genetics MH - Centromere/chemistry MH - Chromosomes, Human, Pair 17 MH - Esophageal Neoplasms/*diagnosis/genetics/pathology MH - Esophagogastric Junction/metabolism/pathology MH - Humans MH - In Situ Hybridization/*methods MH - In Situ Hybridization, Fluorescence MH - Receptor, ErbB-2/*genetics MH - Stomach Neoplasms/*diagnosis/genetics/pathology EDAT- 2013/03/05 06:00 MHDA- 2014/06/11 06:00 CRDT- 2013/03/05 06:00 PHST- 2013/03/05 06:00 [entrez] PHST- 2013/03/05 06:00 [pubmed] PHST- 2014/06/11 06:00 [medline] AID - 10.1097/PAI.0b013e3182849826 [doi] PST - ppublish SO - Appl Immunohistochem Mol Morphol. 2013 Dec;21(6):561-6. doi: 10.1097/PAI.0b013e3182849826.