PMID- 23788757 OWN - NLM STAT- MEDLINE DCOM- 20140514 LR - 20200206 IS - 1569-8041 (Electronic) IS - 0923-7534 (Linking) VI - 24 IP - 9 DP - 2013 Sep TI - HER2 status in gastric cancers: a retrospective analysis from four Chinese representative clinical centers and assessment of its prognostic significance. PG - 2360-4 LID - 10.1093/annonc/mdt232 [doi] AB - BACKGROUND: HER2 has a predictive value in gastric cancer. However, its association with prognosis remains uncertain. The aim of our study was to estimate the HER2-positive rate in Chinese gastric cancers, compare the classical fluorescence in situ hybridization (FISH) method with the novel bright-field dual color silver-enhanced in situ hybridization (DSISH) detection system, and evaluate the relationship between the HER2 status and prognosis. PATIENTS AND METHODS: Seven hundred and twenty-six resected gastric cancers separately from four clinical centers in China were examined for HER2 by immunohistochemistry (IHC), FISH, and DSISH. RESULTS: The HER2-positive rate was 13%. The consistency between FISH and DSISH results was high (99%; kappa = 0.958; P < 0.001). Tumor heterogeneity and polysomy were the main reasons for inconsistency. There was no significant difference in the 3-year overall survival (OS) between HER2-positive and -negative patients (P = 0.959). Multivariate analysis showed that HER2 was not an independent prognostic factor. CONCLUSION(S): HER2 overexpression and amplification occur in a significant number of Chinese gastric cancer patients. Given the obvious advantages and high consistency with FISH, DSISH was superior for evaluating HER2 amplification in gastric cancer. HER2 was not a prognostic factor for gastric cancer in our study. FAU - Sheng, W Q AU - Sheng WQ AD - Department of Pathology, Fudan University Shanghai Cancer Center, Shanghai, China. FAU - Huang, D AU - Huang D FAU - Ying, J M AU - Ying JM FAU - Lu, N AU - Lu N FAU - Wu, H M AU - Wu HM FAU - Liu, Y H AU - Liu YH FAU - Liu, J P AU - Liu JP FAU - Bu, H AU - Bu H FAU - Zhou, X Y AU - Zhou XY FAU - Du, X AU - Du X LA - eng PT - Journal Article PT - Multicenter Study DEP - 20130619 PL - England TA - Ann Oncol JT - Annals of oncology : official journal of the European Society for Medical Oncology JID - 9007735 RN - 0 (Biomarkers, Tumor) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Biomarkers, Tumor/genetics/*metabolism MH - China MH - Gene Amplification MH - Gene Expression MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Receptor, ErbB-2/genetics/*metabolism MH - Retrospective Studies MH - Stomach Neoplasms/*metabolism/*mortality/pathology MH - Survival OTO - NOTNLM OT - FISH OT - HER2 OT - dual SISH OT - gastric cancer OT - immunohistochemistry OT - prognosis EDAT- 2013/06/22 06:00 MHDA- 2014/05/16 06:00 CRDT- 2013/06/22 06:00 PHST- 2013/06/22 06:00 [entrez] PHST- 2013/06/22 06:00 [pubmed] PHST- 2014/05/16 06:00 [medline] AID - S0923-7534(19)36956-X [pii] AID - 10.1093/annonc/mdt232 [doi] PST - ppublish SO - Ann Oncol. 2013 Sep;24(9):2360-4. doi: 10.1093/annonc/mdt232. Epub 2013 Jun 19.