PMID- 28567637 OWN - NLM STAT- MEDLINE DCOM- 20171113 LR - 20181113 IS - 1432-2307 (Electronic) IS - 0945-6317 (Linking) VI - 471 IP - 5 DP - 2017 Nov TI - Comparison of HER2 amplification status among breast cancer subgroups offers new insights in pathways of breast cancer progression. PG - 575-587 LID - 10.1007/s00428-017-2161-8 [doi] AB - Although the prognostic and predictive significance of human epidermal growth factor receptor 2 (HER2) in invasive breast cancer is well established, its role in ductal carcinoma in situ (DCIS) remains unclear. Reports on combined evaluation of both HER2 protein expression and HER2 amplification status in pure DCIS and DCIS adjacent to invasive ductal carcinoma (i.e., admixed DCIS) are scarce. In this study, immunohistochemistry and fluorescence in situ hybridization (FISH) were used to assess HER2 status in 72 cases of pure DCIS, 73 cases of DCIS admixed with invasive ductal carcinoma (IDC), and 60 cases of pure IDC. HER2 copy number-based amplification was present in 49% of pure DCIS, 16% of admixed DCIS, 18% of admixed IDC, and 8% of pure IDC. Amplified pure DCIS with clusters of HER2 signals showed a significantly lower HER2 copy number than amplified admixed DCIS with clusters. Whereas pure DCIS and admixed DCIS presented significant differences, the in situ and invasive component of admixed tumors showed striking similarities regarding mean HER2 and chromosome 17 centromere (CEP17) copy number, grade, and estrogen and progesterone receptor expression. The discrepant prevalence of HER2 amplification among breast cancer subgroups indirectly suggests that HER2 may not play a crucial role in the transition of in situ to invasive breast cancer. The similarities in HER2 amplification status between the in situ and invasive component of admixed tumors hint at a common biological pathway for both components. Our data support the theory that pure DCIS, pure IDC, and admixed lesions have a common progenitor, but can progress as separate lineages. FAU - Lambein, Kathleen AU - Lambein K AD - Department of Pathology, AZ St Lucas Hospital, Groenebriel 1, 9000, Ghent, Belgium. AD - Department of Oncology, KU Leuven, Surgical Oncology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium. FAU - Van Bockstal, Mieke AU - Van Bockstal M AD - Department of Medical and Forensic Pathology, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium. AD - Cancer Research Institute Ghent (CRIG), Ghent, Belgium. FAU - Vandemaele, Lies AU - Vandemaele L AD - Department of Medical and Forensic Pathology, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium. FAU - Van den Broecke, Rudy AU - Van den Broecke R AD - Department of Gynaecology, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium. FAU - Cocquyt, Veronique AU - Cocquyt V AD - Department of Medical Oncology, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium. FAU - Geenen, Sofie AU - Geenen S AD - Department of Medical and Forensic Pathology, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium. FAU - Denys, Hannelore AU - Denys H AD - Department of Medical Oncology, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium. FAU - Libbrecht, Louis AU - Libbrecht L AD - Department of Medical and Forensic Pathology, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium. Louis.libbrecht@uclouvain.be. AD - Department of Pathology, University Clinics St Luc, Hippokrateslaan 10, 1200, Sint-Lambrechts-Woluwe, Belgium. Louis.libbrecht@uclouvain.be. LA - eng PT - Comparative Study PT - Journal Article DEP - 20170531 PL - Germany TA - Virchows Arch JT - Virchows Archiv : an international journal of pathology JID - 9423843 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 - Adult MH - Aged MH - Biomarkers, Tumor/analysis/*genetics MH - Breast Neoplasms/*genetics/pathology MH - Carcinoma, Ductal, Breast/*genetics/pathology MH - Carcinoma, Intraductal, Noninfiltrating/*genetics/pathology MH - Disease Progression MH - Female MH - Gene Amplification MH - Humans MH - Middle Aged MH - Receptor, ErbB-2/*genetics OTO - NOTNLM OT - Breast cancer progression OT - Clusters OT - Ductal carcinoma in situ (DCIS) OT - HER2 amplification OT - HER2 protein overexpression EDAT- 2017/06/02 06:00 MHDA- 2017/11/14 06:00 CRDT- 2017/06/02 06:00 PHST- 2017/03/28 00:00 [received] PHST- 2017/05/22 00:00 [accepted] PHST- 2017/05/09 00:00 [revised] PHST- 2017/06/02 06:00 [pubmed] PHST- 2017/11/14 06:00 [medline] PHST- 2017/06/02 06:00 [entrez] AID - 10.1007/s00428-017-2161-8 [pii] AID - 10.1007/s00428-017-2161-8 [doi] PST - ppublish SO - Virchows Arch. 2017 Nov;471(5):575-587. doi: 10.1007/s00428-017-2161-8. Epub 2017 May 31.