PMID- 30653031 OWN - NLM STAT- MEDLINE DCOM- 20210601 LR - 20210601 IS - 1533-4058 (Electronic) IS - 1533-4058 (Linking) VI - 28 IP - 3 DP - 2020 Mar TI - Transferred-tissue Microarray for Fluorescence In Situ Hybridization Test for Human Epidermal Growth Factor Receptor 2 in Breast Cancer. PG - 187-193 LID - 10.1097/PAI.0000000000000742 [doi] AB - CONTEXT: Human epidermal growth factor receptor 2 (HER2) status of breast carcinomas is usually determined by immunohistochemical (IHC) staining and, if the IHC results are equivocal, in situ hybridization (ISH). Multiple ISH tests are sometimes required for multiple primary or metastatic tumors. A method for multiplex ISH test on tissues from multiple blocks is helpful in these situations. OBJECT: To evaluate the clinical application of transferred-tissue microarray (TTM) followed by a dual-probe HER2 fluorescence in situ hybridization (FISH). DESIGN: A 3x3 TTM technique was successfully established using 152 invasive mammary carcinoma tissue fragments. To evaluate detection of HER2 positive tumors, this cohort was enriched with tumors with IHC scores of 2 and 3. RESULTS: The HER2 FISH analyses revealed that all transferred-tissue fragments were adequate for determining HER2 amplification. Tissue loss was minimal and had no major adverse effects on interpretation of the test results. Of the 81 tumors with IHC scores of 3, 72 (88.8%) were positive for HER2 FISH. The remaining tumors were negative for HER2 FISH in both TTM and reflex whole tissue section. Finally, FISH results for tumors with IHC scores of 2 were compared between TTM and whole tissue section. Concordance was high in overall positivity/negativity (100%), HER2 copy number (97.5%), and HER2/CEP17 ratio (100%). CONCLUSIONS: This novel technique is a reliable option for performing multiple HER2 FISH tests simultaneously in clinical and research-oriented settings with less tissue damage compared with conventional tissue microarray techniques. FAU - Lin, Chih-Hung AU - Lin CH AD - Department of Pathology, Kaohsiung Medical University Hospital. AD - Department of Pathology, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. FAU - Wen, Chien-Hui AU - Wen CH AD - Department of Pathology, Kaohsiung Medical University Hospital. FAU - Liu, Chia-Hsing AU - Liu CH AD - Department of Pathology, Kaohsiung Medical University Hospital. FAU - Yang, Ching-Hsiu AU - Yang CH AD - Department of Pathology, Kaohsiung Medical University Hospital. LA - eng PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Appl Immunohistochem Mol Morphol JT - Applied immunohistochemistry & molecular morphology : AIMM JID - 100888796 RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - *Breast Neoplasms/genetics/metabolism/pathology MH - Female MH - Humans MH - *In Situ Hybridization, Fluorescence MH - *Receptor, ErbB-2/genetics/metabolism MH - Retrospective Studies MH - *Tissue Array Analysis EDAT- 2019/01/18 06:00 MHDA- 2021/06/02 06:00 CRDT- 2019/01/18 06:00 PHST- 2019/01/18 06:00 [pubmed] PHST- 2021/06/02 06:00 [medline] PHST- 2019/01/18 06:00 [entrez] AID - 00129039-202003000-00002 [pii] AID - 10.1097/PAI.0000000000000742 [doi] PST - ppublish SO - Appl Immunohistochem Mol Morphol. 2020 Mar;28(3):187-193. doi: 10.1097/PAI.0000000000000742.