PMID- 28967951 OWN - NLM STAT- MEDLINE DCOM- 20171020 LR - 20220316 IS - 1943-7722 (Electronic) IS - 0002-9173 (Linking) VI - 148 IP - 4 DP - 2017 Oct 1 TI - Impact of 2013 American Society of Clinical Oncology/College of American Pathologists Guidelines on HER2 Fluorescent In Situ Hybridization Testing in Breast Cancers : Experience From a National Reference Laboratory. PG - 308-313 LID - 10.1093/ajcp/aqx079 [doi] AB - OBJECTIVES: We compared the impact of 2013 American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) guidelines on human epidermal growth factor receptor 2 (HER2) fluorescence in situ hybridization (FISH) testing results on breast cancers. METHODS: HER2 FISH testing performed between May 2015 and April 2016 following 2013 ASCO/CAP guidelines was included. HER2 to control probe ratios, mean HER2, and control probe copy numbers were used to reassign HER2 status using 2007 ASCO/CAP and US Food and Drug Administration (FDA) guidelines. RESULTS: HER2 FISH results were available in 2,017 cases. A total of 342 (17.0%) cases were amplified, 301 (14.9%) were equivocal, and 1,374 (68.1%) were nonamplified. After additional testing with the alternate probe, amplified cases increased to 21.6%. HER2 positivity rates following the 2013 ASCO/CAP guidelines were significantly higher compared with the 2007 ASCO/CAP and FDA guidelines. CONCLUSIONS: The 2013 ASCO/CAP guidelines lead to a higher number of HER2 FISH positive and equivocal cases. In a reference laboratory setting where an alternative control probe was used to resolve equivocal FISH cases, 31.2% of patients with initial equivocal results became HER2 positive. CI - (c) American Society for Clinical Pathology, 2017. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com FAU - Gulbahce, H Evin AU - Gulbahce HE AD - Department of Pathology, University of Utah, Huntsman Cancer Hospital, Salt Lake City. LA - eng PT - Journal Article PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 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 - Biomarkers, Tumor/*analysis MH - Breast Neoplasms/*classification MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Medical Oncology/*standards MH - Pathology, Clinical/*standards MH - Practice Guidelines as Topic MH - Receptor, ErbB-2/*analysis/biosynthesis MH - United States OTO - NOTNLM OT - Breast cancer OT - FISH OT - HER2 EDAT- 2017/10/03 06:00 MHDA- 2017/10/21 06:00 CRDT- 2017/10/03 06:00 PHST- 2017/10/03 06:00 [entrez] PHST- 2017/10/03 06:00 [pubmed] PHST- 2017/10/21 06:00 [medline] AID - 4108065 [pii] AID - 10.1093/ajcp/aqx079 [doi] PST - ppublish SO - Am J Clin Pathol. 2017 Oct 1;148(4):308-313. doi: 10.1093/ajcp/aqx079.