PMID- 26349667 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20171206 IS - 1724-6008 (Electronic) IS - 0393-6155 (Linking) VI - 31 IP - 1 DP - 2016 Feb 28 TI - Evaluation of HER2 by automated FISH and IHC in gastric carcinoma biopsies. PG - e38-43 LID - 18F87BC0-A6C6-4171-BF28-BC9106468B77 [pii] LID - 10.5301/jbm.5000169 [doi] AB - PURPOSE: The use of trastuzumab (Herceptin) to target HER2 has been applied in breast carcinoma and gastric carcinoma (GC). Previous studies have tested trastuzumab's effectiveness by assessing HER2 expression or HER2 amplification by means of immunohistochemistry (IHC) or fluorescence in situ hybridization (FISH). In this work we aimed to evaluate automated FISH and IHC technologies for HER2 detection in GC biopsies to be used in routine pathology practice. METHODS: The study used an Oracle HER2 IHC System and an LSI HER2/CEP17 Dual Probe on an automated Bond system (Leica Microsystems). One hundred GC biopsies were evaluated including 44 intestinal type, 38 diffuse type and 18 indeterminate type according to Lauren's classification. RESULTS: The overall concordance rate between the automated FISH and IHC methods was 94% (kappa = 0.87), as 6 samples were scored as equivocal (4 in IHC and 2 in FISH). Moreover, HER2 positivity was significantly different between the 3 types of GC (p<0.05), being more frequent in intestinal-type GC (23%) than in the other 2 histological types (5% and 0%). Finally, the HER2/CEP17 FISH ratio was significantly different (p<0.01) between disomic and polysomic samples, being higher in polysomic samples (mean 1.633 +/- 0.509) than in disomic samples (mean 1.231 +/- 0.675). CONCLUSIONS: Automated HER2 testing of GC biopsies using the Leica Bond system was useful and efficient. This method allowed us to improve normal routine procedures, minimizing time and costs as well as handling and observation errors. FAU - Silva, Maria R AU - Silva MR AD - Anatomical Pathology Institute, Faculty of Medicine of the University of Coimbra, Coimbra - Portugal. FAU - Alarcao, Ana AU - Alarcao A AD - Anatomical Pathology Institute, Faculty of Medicine of the University of Coimbra, Coimbra - Portugal. FAU - Ferreira, Teresa AU - Ferreira T AD - Anatomical Pathology Institute, Faculty of Medicine of the University of Coimbra, Coimbra - Portugal. FAU - d'Aguiar, Maria AU - d'Aguiar M AD - Anatomical Pathology Institute, Faculty of Medicine of the University of Coimbra, Coimbra - Portugal. FAU - Ladeirinha, Ana AU - Ladeirinha A AD - Anatomical Pathology Institute, Faculty of Medicine of the University of Coimbra, Coimbra - Portugal. FAU - Balseiro, Sandra AU - Balseiro S AD - Anatomical Pathology Institute, Faculty of Medicine of the University of Coimbra, Coimbra - Portugal. AD - Polytechnic Institute of Castelo Branco, Superior Health School Dr. Lopes Dias, Castelo Branco - Portugal. FAU - Carvalho, Lina AU - Carvalho L AD - Anatomical Pathology Institute, Faculty of Medicine of the University of Coimbra, Coimbra - Portugal. LA - eng PT - Journal Article DEP - 20160228 PL - United States TA - Int J Biol Markers JT - The International journal of biological markers JID - 8712411 RN - 0 (Biomarkers, Tumor) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - P188ANX8CK (Trastuzumab) SB - IM MH - Biomarkers, Tumor/*biosynthesis/genetics MH - Biopsy MH - Carcinoma/*diagnosis/genetics/pathology MH - Gene Expression Regulation, Neoplastic/drug effects MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Receptor, ErbB-2/*biosynthesis/genetics MH - Stomach Neoplasms/*diagnosis/genetics/pathology MH - Trastuzumab/therapeutic use EDAT- 2015/09/10 06:00 MHDA- 2016/12/15 06:00 CRDT- 2015/09/10 06:00 PHST- 2015/07/22 00:00 [accepted] PHST- 2015/09/10 06:00 [entrez] PHST- 2015/09/10 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - 18F87BC0-A6C6-4171-BF28-BC9106468B77 [pii] AID - 10.5301/jbm.5000169 [doi] PST - epublish SO - Int J Biol Markers. 2016 Feb 28;31(1):e38-43. doi: 10.5301/jbm.5000169.