PMID- 25972329 OWN - NLM STAT- MEDLINE DCOM- 20150728 LR - 20220408 IS - 1943-7722 (Electronic) IS - 0002-9173 (Linking) VI - 143 IP - 6 DP - 2015 Jun TI - FGFR2 Assessment in Gastric Cancer Using Quantitative Real-Time Polymerase Chain Reaction, Fluorescent In Situ Hybridization, and Immunohistochemistry. PG - 865-72 LID - 10.1309/AJCPNFLSMWWPP8DR [doi] AB - OBJECTIVES: Fibroblast growth factor receptor 2 (FGFR2) amplification has been reported to be a target for treatment in gastric cancer. However, an optimal tissue source and method for evaluating FGFR2 have yet to be established. METHODS: Copy numbers were compared by quantitative polymerase chain reaction (qPCR) using frozen vs formalin-fixed, paraffin-embedded (FFPE) tissue and biopsy vs surgical specimens. We correlated the results of qPCR and immunohistochemistry (IHC) with fluorescence in situ hybridization (FISH) using stage IV gastric cancer biopsy specimens and validated the results in surgical specimens. RESULTS: FFPE tissues were suitable for qPCR, and biopsy specimens were equivalent to or better than surgical specimens. qPCR and IHC results exhibited an excellent correlation with FISH at eight or more copies by qPCR in any kind of tissue, 5% or more by IHC in biopsy specimens, and 10% or more by IHC in surgical specimens. FGFR2 amplification was 6.6% in stage IV gastric cancers, and 42% of these showed heterogeneous amplification and overexpression. IHC indicated a good correlation with FISH even in the heterogeneous cases. CONCLUSIONS: FFPE biopsy tissues are an adequate source for FGFR2 evaluation in gastric carcinomas, and a qPCR-based copy number assay can be used for screening. IHC is also a valid and practical method for evaluating FGFR2, considering frequent heterogeneity. CI - Copyright(c) by the American Society for Clinical Pathology. FAU - Park, Young Soo AU - Park YS AD - From the Department of Pathology. FAU - Na, Young-Soon AU - Na YS AD - Asan Institute for Life Science, and. FAU - Ryu, Min-Hee AU - Ryu MH AD - Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Republic of Korea. FAU - Lee, Chae-Won AU - Lee CW AD - Asan Institute for Life Science, and. FAU - Park, Hye Jin AU - Park HJ AD - From the Department of Pathology. FAU - Lee, Ju-Kyung AU - Lee JK AD - Asan Institute for Life Science, and. FAU - Park, Sook Ryun AU - Park SR AD - Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Republic of Korea. FAU - Ryoo, Baek-Yeol AU - Ryoo BY AD - Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Republic of Korea. FAU - Kang, Yoon-Koo AU - Kang YK AD - Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Republic of Korea. ykkang@amc.seoul.kr. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - EC 2.7.10.1 (FGFR2 protein, human) RN - EC 2.7.10.1 (Receptor, Fibroblast Growth Factor, Type 2) SB - IM MH - Adenocarcinoma/*genetics MH - Aged MH - Female MH - Gene Dosage MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Real-Time Polymerase Chain Reaction MH - Receptor, Fibroblast Growth Factor, Type 2/*analysis/*genetics MH - Stomach Neoplasms/*genetics OTO - NOTNLM OT - FGFR2 OT - Fluorescence in situ hybridization OT - Gastric carcinoma OT - Immunohistochemistry OT - Quantitative real-time polymerase chain reaction EDAT- 2015/05/15 06:00 MHDA- 2015/07/29 06:00 CRDT- 2015/05/15 06:00 PHST- 2015/05/15 06:00 [entrez] PHST- 2015/05/15 06:00 [pubmed] PHST- 2015/07/29 06:00 [medline] AID - 143/6/865 [pii] AID - 10.1309/AJCPNFLSMWWPP8DR [doi] PST - ppublish SO - Am J Clin Pathol. 2015 Jun;143(6):865-72. doi: 10.1309/AJCPNFLSMWWPP8DR.