PMID- 27363700 OWN - NLM STAT- MEDLINE DCOM- 20170322 LR - 20181113 IS - 1532-2807 (Electronic) IS - 1219-4956 (Linking) VI - 23 IP - 1 DP - 2017 Jan TI - HER2 Status in Gastric Cancer: Comparison between Primary and Distant Metastatic Disease. PG - 55-61 LID - 10.1007/s12253-016-0082-5 [doi] AB - HER2 (human epidermal growth factor receptor-2) assessment in histological samples of gastric cancer is essential to determine which patients might benefit from trastuzumab therapy. HER2 is often evaluated in primary tumor even if trastuzumab therapy is used to treat metastatic disease. However, the exact relationship in terms of HER2 status between primary and metastatic tumors has not been fully clarified. We aimed to evaluate the HER2 status concordance between primary gastric cancer and corresponding distant metastasis. HER2 status was evaluated by IHC (immunohistochemistry) and/or FISH ( fluorescence in situ hybridization) in 41 patients in primary gastric cancer and in paired metastasis. HER2 was assessed according scoring criteria applied in clinical approach. HER2 positivity was found in 14,6 % primary tumors and in 24,4%corresponding metastasis. HER2 concordance rate between primary and metastasis was 80,5 % (K-value = 0,388). Eight/41 (19,5 %)cases resulted discordant: 6 patients with metastatic HER2 positive lesions were found HER2 negative in primary cancers while 2 patient HER2 positive in primary lesion showed a negative conversion in metastasis. Our results showed a good concordance in terms of HER2 status between primary and metastatic lesions, as well as in biopsy and surgical removed specimens. However, the higher rate of HER2 positive status found in metastatic lesions underlined the importance of HER2 assessment in all samples obtained from different sites of gastric cancer disease. FAU - Amato, Michelina AU - Amato M AD - Department of Pathology, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, Rome, Italy. FAU - Perrone, Giuseppe AU - Perrone G AD - Department of Pathology, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, Rome, Italy. g.perrone@unicampus.it. FAU - Righi, Daniela AU - Righi D AD - Department of Pathology, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, Rome, Italy. FAU - Pellegrini, Claudio AU - Pellegrini C AD - Department of Pathology, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, Rome, Italy. FAU - Rabitti, Carla AU - Rabitti C AD - Department of Pathology, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, Rome, Italy. FAU - Di Matteo, Francesco AU - Di Matteo F AD - Endoscopic Unit, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, Rome, Italy. FAU - Crucitti, Pierfilippo AU - Crucitti P AD - Department of Surgery, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, Rome, Italy. FAU - Caputo, Damiano AU - Caputo D AD - Department of Surgery, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, Rome, Italy. FAU - Coppola, Roberto AU - Coppola R AD - Department of Surgery, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, Rome, Italy. FAU - Tonini, Giuseppe AU - Tonini G AD - Oncology Unit, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, Rome, Italy. FAU - Santini, Daniele AU - Santini D AD - Oncology Unit, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, Rome, Italy. FAU - Onetti Muda, Andrea AU - Onetti Muda A AD - Department of Pathology, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, Rome, Italy. LA - eng PT - Comparative Study PT - Journal Article DEP - 20160630 PL - Switzerland TA - Pathol Oncol Res JT - Pathology oncology research : POR JID - 9706087 RN - 0 (Antineoplastic Agents) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - P188ANX8CK (Trastuzumab) SB - IM CIN - Pathol Oncol Res. 2018 Jul;24(3):695-696. PMID: 28664475 MH - Antineoplastic Agents/therapeutic use MH - Biopsy MH - Female MH - Humans MH - Male MH - Middle Aged MH - Neoplasm Metastasis/drug therapy/*genetics/pathology MH - Receptor, ErbB-2/*genetics MH - Stomach Neoplasms/drug therapy/*genetics/pathology MH - Trastuzumab/therapeutic use OTO - NOTNLM OT - FISH OT - Gastric cancer OT - HER2 OT - Immunoistochemistry OT - Metastatic disease EDAT- 2016/07/02 06:00 MHDA- 2017/03/23 06:00 CRDT- 2016/07/02 06:00 PHST- 2016/01/04 00:00 [received] PHST- 2016/06/14 00:00 [accepted] PHST- 2016/07/02 06:00 [pubmed] PHST- 2017/03/23 06:00 [medline] PHST- 2016/07/02 06:00 [entrez] AID - 10.1007/s12253-016-0082-5 [pii] AID - 10.1007/s12253-016-0082-5 [doi] PST - ppublish SO - Pathol Oncol Res. 2017 Jan;23(1):55-61. doi: 10.1007/s12253-016-0082-5. Epub 2016 Jun 30.