PMID- 28595742 OWN - NLM STAT- MEDLINE DCOM- 20170815 LR - 20220317 IS - 1769-6917 (Electronic) IS - 0007-4551 (Linking) VI - 104 IP - 7-8 DP - 2017 Jul-Aug TI - [Internal quality control on HER2 status determination in breast cancers: Experience of a cancer center]. PG - 608-617 LID - S0007-4551(17)30128-5 [pii] LID - 10.1016/j.bulcan.2017.05.002 [doi] AB - INTRODUCTION: The implementation of an internal quality control is mandatory to guarantee the accuracy of HER2 status in invasive breast cancers. OBJECTIVES: To evaluate the impact of our quality control assurance on HER2 status results in invasive breast carcinomas from 2008 to 2014. METHODS: HER2 status was determined by immunohistochemistry as the first-line indication, completed by fluorescence in situ hybridization (FISH) for scores 2+ by immunohistochemistry. Internal quality control of HER2 status relied on the standardization of pre-analytical phases, the use of external controls with a known number of HER2 gene copies determined by FISH and continued monitoring of concordance between immunohistochemistry and FISH. RESULTS: The proportion of HER2-positive cases corresponding to scores 3+ by immunohistochemistry and 2+ amplified by FISH varied from 10.6% to 13.8% (median of 11.3%). The proportion of scores 2+ amplified by FISH varied from 13.3% to 32.7% during period of study. The rate of concordance between FISH and immunohistochemistry for score 0/1+ and 3+ cases were>/=97%. Eight among 12 discordant cases were false positive resulting from errors in interpretation of immunohistochemistry (score 2+ instead of 3+). DISCUSSION: Calibration of immunohistochemistry on FISH for HER2 status contributes to limit variability of immunohistochemistry results due to technical issues or interpretation. The implementation of an external control of score 3+ on each slide enables accurate interpretation of score 2+ and 3+ by immunohistochemistry. CI - Copyright (c) 2017 Societe Francaise du Cancer. Published by Elsevier Masson SAS. All rights reserved. FAU - Ngo, Carine AU - Ngo C AD - Institut Curie, service d'anatomie et de cytologie pathologiques, 26, rue d'Ulm, 75005 Paris, France. Electronic address: carine2708@gmail.com. FAU - Lae, Marick AU - Lae M AD - Institut Curie, service d'anatomie et de cytologie pathologiques, 26, rue d'Ulm, 75005 Paris, France. FAU - Ratour, Julia AU - Ratour J AD - Institut Curie, service d'anatomie et de cytologie pathologiques, 26, rue d'Ulm, 75005 Paris, France. FAU - Hamel, Frederique AU - Hamel F AD - Institut Curie, service d'anatomie et de cytologie pathologiques, 26, rue d'Ulm, 75005 Paris, France. FAU - Taris, Corinne AU - Taris C AD - Institut Curie, service d'anatomie et de cytologie pathologiques, 26, rue d'Ulm, 75005 Paris, France. FAU - Caly, Martial AU - Caly M AD - Institut Curie, service d'anatomie et de cytologie pathologiques, 26, rue d'Ulm, 75005 Paris, France. FAU - Le Cunff, Annie AU - Le Cunff A AD - Institut Curie, service d'anatomie et de cytologie pathologiques, 26, rue d'Ulm, 75005 Paris, France. FAU - Reyal, Fabien AU - Reyal F AD - Institut Curie, service de chirurgie oncologique, 26, rue d'Ulm, 75005 Paris, France. FAU - Kirova, Youlia AU - Kirova Y AD - Institut Curie, service d'oncologie radiotherapie, 26, rue d'Ulm, 75005 Paris, France. FAU - Pierga, Jean-Yves AU - Pierga JY AD - Institut Curie, service d'oncologie medicale, 26, rue d'Ulm, 75005 Paris, France. FAU - Vincent-Salomon, Anne AU - Vincent-Salomon A AD - Institut Curie, service d'anatomie et de cytologie pathologiques, 26, rue d'Ulm, 75005 Paris, France. LA - fre PT - Comparative Study PT - Journal Article TT - Controle de qualite interne de la determination du statut HER2 dans les cancers du sein : experience d'un centre de lutte contre le cancer. DEP - 20170607 PL - France TA - Bull Cancer JT - Bulletin du cancer JID - 0072416 RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - *Algorithms MH - Breast Neoplasms/chemistry/*genetics MH - Carcinoma, Ductal, Breast/chemistry/*genetics MH - Decision Support Systems, Clinical MH - Female MH - *Gene Amplification MH - *Genes, erbB-2 MH - Humans MH - Immunohistochemistry/methods/standards/statistics & numerical data MH - In Situ Hybridization, Fluorescence/methods/standards/statistics & numerical data MH - *Quality Control MH - Receptor, ErbB-2/*analysis/metabolism OTO - NOTNLM OT - Breast cancers OT - Cancers du sein OT - Controle qualite OT - Fluorescence in situ hybridization OT - HER2 OT - Hybridation in situ en fluorescence OT - Immunohistochemistry OT - Immunohistochimie OT - Quality control EDAT- 2017/06/10 06:00 MHDA- 2017/08/16 06:00 CRDT- 2017/06/10 06:00 PHST- 2017/02/26 00:00 [received] PHST- 2017/04/30 00:00 [revised] PHST- 2017/05/02 00:00 [accepted] PHST- 2017/06/10 06:00 [pubmed] PHST- 2017/08/16 06:00 [medline] PHST- 2017/06/10 06:00 [entrez] AID - S0007-4551(17)30128-5 [pii] AID - 10.1016/j.bulcan.2017.05.002 [doi] PST - ppublish SO - Bull Cancer. 2017 Jul-Aug;104(7-8):608-617. doi: 10.1016/j.bulcan.2017.05.002. Epub 2017 Jun 7.