PMID- 27184764 OWN - NLM STAT- MEDLINE DCOM- 20171116 LR - 20220316 IS - 2045-7634 (Electronic) IS - 2045-7634 (Linking) VI - 5 IP - 8 DP - 2016 Aug TI - Fascin-1 as a novel diagnostic marker of triple-negative breast cancer. PG - 1983-8 LID - 10.1002/cam4.746 [doi] AB - In some cases of breast cancer, diagnosis of triple-negative breast cancer (TNBC) requires further fluorescence in situ hybridization (FISH) for determining human epidermal growth factor receptor 2 (HER2) status. However, few cases undergo FISH in China, leading to difficulty regarding subsequent treatment decisions. Here, we used immunohistochemical analysis to explore expression of fascin-1, an actin-bundling protein, as a diagnostic marker of TNBC. A total of 457 cases of breast cancer were divided into four molecular subtypes, including 82 cases (17.9%) of TNBC, 81 (17.7%) of HER2-enriched, 185 (40.5%) of luminal A, and 109 (23.9%) of luminal B. Positive fascin-1 expression was seen in 144 cases (31.5%), including 77 (16.8%) strong positive cases. Rates of positive and strong positive expression of fascin-1 were significantly higher in cases of TNBC than in the other molecular subtypes. In all cases of breast cancer, the sensitivities and specificities of positive and strong positive fascin-1 expression for predicting TNBC were 87.8% and 80.8%, and 78.0% and 96.5%, respectively. In cases of hormone receptor-negative breast cancer, the sensitivities and specificities of positive and strong positive fascin-1 expression for predicting TNBC were 87.8% and 61.7%, and 78.0% and 92.6%, respectively. In 24 cases with estrogen receptor (ER)-, PR-, and HER2 2 + equivocal status who underwent FISH, the sensitivity and specificity of strong positive fascin-1 expression for predicting TNBC were 71.4% and 90.0%. These results suggest that strong positive fascin-1 expression can be used as a diagnostic marker of TNBC. CI - (c) 2016 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. FAU - Wang, Chao-Qun AU - Wang CQ AD - Department of Pathology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Zhejiang, China. FAU - Tang, Chih-Hsin AU - Tang CH AD - Graduate Institute of Basic Medical Science, China Medical University, Taichung, Taiwan. AD - Department of Pharmacology, School of Medicine, China Medical University, Taichung, Taiwan. AD - Department of Biotechnology, College of Health Science, Asia University, Taichung, Taiwan. FAU - Chang, Hao-Teng AU - Chang HT AD - Graduate Institute of Basic Medical Science, China Medical University, Taichung, Taiwan. FAU - Li, Xiao-Ni AU - Li XN AD - Hefei National Laboratory for Physical Sciences at Microscale and School of Life Sciences, University of Science and Technology of China, Hefei, Anhui, China. FAU - Zhao, Yong-Ming AU - Zhao YM AD - Department of Surgical Oncology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Zhejiang, China. FAU - Su, Chen-Ming AU - Su CM AD - Laboratory of Biomedicine, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Zhejiang, China. FAU - Hu, Gui-Nv AU - Hu GN AD - Department of Surgical Oncology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Zhejiang, China. FAU - Zhang, Tao AU - Zhang T AD - Department of Control and Prevention of Endemic & Parasitic Diseases, Anhui Provincial Center for Disease Control and Prevention, Hefei, Anhui, China. FAU - Sun, Xin-Xin AU - Sun XX AD - Department of Pathology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Zhejiang, China. FAU - Zeng, Yue AU - Zeng Y AD - Department of Pathology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Zhejiang, China. FAU - Du, Zhang AU - Du Z AD - Department of Surgical Oncology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Zhejiang, China. FAU - Wang, Yan AU - Wang Y AD - Department of Medical Oncology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Zhejiang, China. FAU - Huang, Bi-Fei AU - Huang BF AD - Department of Pathology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Zhejiang, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160517 PL - United States TA - Cancer Med JT - Cancer medicine JID - 101595310 RN - 0 (Biomarkers, Tumor) RN - 0 (Carrier Proteins) RN - 0 (FSCN1 protein, human) RN - 0 (Microfilament Proteins) SB - IM MH - Adult MH - Aged MH - *Biomarkers, Tumor MH - Carrier Proteins/genetics/*metabolism MH - Female MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Microfilament Proteins/genetics/*metabolism MH - Middle Aged MH - Neoplasm Grading MH - Neoplasm Metastasis MH - Neoplasm Staging MH - Sensitivity and Specificity MH - Triple Negative Breast Neoplasms/*diagnosis/*metabolism MH - Tumor Burden PMC - PMC4971926 OTO - NOTNLM OT - Breast cancer OT - fascin-1 OT - immunohistochemistry OT - triple-negative breast cancer EDAT- 2016/05/18 06:00 MHDA- 2017/11/29 06:00 PMCR- 2016/05/17 CRDT- 2016/05/18 06:00 PHST- 2016/02/24 00:00 [received] PHST- 2016/02/26 00:00 [revised] PHST- 2016/04/02 00:00 [accepted] PHST- 2016/05/18 06:00 [entrez] PHST- 2016/05/18 06:00 [pubmed] PHST- 2017/11/29 06:00 [medline] PHST- 2016/05/17 00:00 [pmc-release] AID - CAM4746 [pii] AID - 10.1002/cam4.746 [doi] PST - ppublish SO - Cancer Med. 2016 Aug;5(8):1983-8. doi: 10.1002/cam4.746. Epub 2016 May 17.