PMID- 25133707 OWN - NLM STAT- MEDLINE DCOM- 20141009 LR - 20221207 IS - 1532-0979 (Electronic) IS - 0147-5185 (Linking) VI - 38 IP - 9 DP - 2014 Sep TI - Assessing the HER2 status in mucinous epithelial ovarian cancer on the basis of the 2013 ASCO/CAP guideline update. PG - 1227-34 LID - 10.1097/PAS.0000000000000268 [doi] AB - Her2 gene amplification and protein overexpression are important factors in predicting clinical sensitivity to anti-HER2 monoclonal antibody therapy in breast, gastric, or gastro-esophageal junction cancer patients. The purpose of this study was to evaluate the HER2 status in the mucinous epithelial ovarian cancer (EOC). Adopting the 2013 American Society for Clinical Oncology and the College of American Pathologists guideline update for HER2 testing, 49 tissue microarray samples of mucinous EOC were analyzed by immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH) tests. The prevalence of HER2 positivity in Asian mucinous EOC was 9 of 49 Asian women (18.37%). The overall concordance was 100% between IHC and FISH results. Her2 gene copies before chromosome-17 correction increased significantly in a stepwise order through the negative, equivocal, and positive IHC result categories (P<0.001), as did the Her2 gene copies after chromosome-17 correction (P<0.001). Of the Taiwanese cohort (n=21), HER2 heterogeneity was 4.76% (1/21) in all but 14.26% (1/7) in HER2-positive cancer. In conclusion, we demonstrated that the prevalence of HER2 positivity in both Asian and white women was comparable; complete HER2 concordance existed between IHC and FISH tests for the Her2 gene copies per tumor cell either before or after correction of chromosome-17, and this can be applied as a potentially valuable tool to analyze the HER2 status. Polysomy-17 was absent under the CEP17 cutoff >/=3. The existence of HER2 heterogeneity can be discerned in certain HER2-expressed primary mucinous EOC in Taiwanese women. FAU - Chao, Wan-Ru AU - Chao WR AD - *Institute of Medicine, Chung-Shan Medical University Departments of daggerPathology parallelObstetrics and Gynecology, School of Medicine, Chung-Shan Medical University and Chung-Shan Medical University Hospital paragraph signPathology, School of Medicine, Chung-Shan Medical University and Chung-Shan Medical University Hospital double daggerDepartment of Statistics and Informatics Science, Providence University section signDepartment of Pathology, Tungs' Taichung MetroHarbor Hospital, Taichung, Taiwan. FAU - Lee, Ming-Yung AU - Lee MY FAU - Lin, Wea-Lung AU - Lin WL FAU - Koo, Chiew-Loon AU - Koo CL FAU - Sheu, Gwo-Tarng AU - Sheu GT FAU - Han, Chih-Ping AU - Han CP LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Surg Pathol JT - The American journal of surgical pathology JID - 7707904 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 - Asian People MH - *Biomarkers, Tumor/analysis/genetics MH - Biopsy MH - Carcinoma, Ovarian Epithelial MH - Chromosomes, Human, Pair 17 MH - Female MH - *Gene Amplification MH - Genetic Predisposition to Disease MH - Guideline Adherence MH - Humans MH - Immunohistochemistry/*standards MH - In Situ Hybridization, Fluorescence/*standards MH - *Neoplasms, Cystic, Mucinous, and Serous/chemistry/ethnology/genetics/pathology MH - *Neoplasms, Glandular and Epithelial/chemistry/ethnology/genetics/pathology MH - *Ovarian Neoplasms/chemistry/ethnology/genetics/pathology MH - Phenotype MH - Practice Guidelines as Topic MH - Predictive Value of Tests MH - Prognosis MH - *Receptor, ErbB-2/analysis/genetics MH - Societies, Medical MH - Taiwan/epidemiology MH - White People EDAT- 2014/08/19 06:00 MHDA- 2014/10/10 06:00 CRDT- 2014/08/19 06:00 PHST- 2014/08/19 06:00 [entrez] PHST- 2014/08/19 06:00 [pubmed] PHST- 2014/10/10 06:00 [medline] AID - 00000478-201409000-00008 [pii] AID - 10.1097/PAS.0000000000000268 [doi] PST - ppublish SO - Am J Surg Pathol. 2014 Sep;38(9):1227-34. doi: 10.1097/PAS.0000000000000268.