PMID- 24045554 OWN - NLM STAT- MEDLINE DCOM- 20131114 LR - 20151119 IS - 1943-7722 (Electronic) IS - 0002-9173 (Linking) VI - 140 IP - 4 DP - 2013 Oct TI - Distinguishing score 0 from score 1+ in HER2 immunohistochemistry-negative breast cancer: clinical and pathobiological relevance. PG - 561-6 LID - 10.1309/AJCP4A7KTAYHZSOE [doi] AB - OBJECTIVES: To investigate the clinical and pathobiological significance of distinguishing score 0 and score 1+ within the group of immunohistochemistry (IHC)-negative invasive breast cancers. METHODS: We studied HER2 status using both IHC and fluorescence in situ hybridization (FISH) in 150 consecutive breast tumors submitted to our laboratory after a negative IHC result in local testing centers. RESULTS: We were able to discern a group of score 0 tumors that had a lower HER2 copy number than the group consisting of score 1+ tumors. In contrast with the group of score 1+ tumors, HER2 FISH was consistently negative for both copy number-based and ratio-based tumors without equivocal results. CONCLUSIONS: In a setting with stringent quality assurance, score 0 and score 1+ tumors emerge as distinct and clinically important subgroups within the HER2 IHC-negative population. FAU - Lambein, Kathleen AU - Lambein K AD - Dept of Pathology, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium; e-mail: kathleen.lambein@ugent.be. FAU - Van Bockstal, Mieke AU - Van Bockstal M FAU - Vandemaele, Lies AU - Vandemaele L FAU - Geenen, Sofie AU - Geenen S FAU - Rottiers, Isabelle AU - Rottiers I FAU - Nuyts, Ann AU - Nuyts A FAU - Matthys, Bart AU - Matthys B FAU - Praet, Marleen AU - Praet M FAU - Denys, Hannelore AU - Denys H FAU - Libbrecht, Louis AU - Libbrecht L LA - eng PT - Journal Article PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 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 - Breast Neoplasms/classification/*diagnosis/genetics/metabolism MH - Carcinoma, Ductal, Breast/classification/*diagnosis/genetics/metabolism MH - Female MH - Gene Dosage MH - Humans MH - Immunohistochemistry/*methods/standards MH - In Situ Hybridization, Fluorescence MH - Mastectomy MH - Quality Assurance, Health Care MH - Receptor, ErbB-2/genetics/*metabolism OTO - NOTNLM OT - Breast cancer OT - FISH OT - HER2 OT - Immunohistochemistry OT - Score 0 OT - Score 1+ EDAT- 2013/09/21 06:00 MHDA- 2013/11/15 06:00 CRDT- 2013/09/19 06:00 PHST- 2013/09/19 06:00 [entrez] PHST- 2013/09/21 06:00 [pubmed] PHST- 2013/11/15 06:00 [medline] AID - 140/4/561 [pii] AID - 10.1309/AJCP4A7KTAYHZSOE [doi] PST - ppublish SO - Am J Clin Pathol. 2013 Oct;140(4):561-6. doi: 10.1309/AJCP4A7KTAYHZSOE.