PMID- 33077919 OWN - NLM STAT- MEDLINE DCOM- 20211103 LR - 20230210 IS - 1530-0285 (Electronic) IS - 0893-3952 (Linking) VI - 34 IP - 3 DP - 2021 Mar TI - Detection of ERBB2 amplification in uterine serous carcinoma by next-generation sequencing: an approach highly concordant with standard assays. PG - 603-612 LID - 10.1038/s41379-020-00695-5 [doi] AB - Uterine serous carcinoma is an aggressive subtype of endometrial cancer that accounts for fewer than 10% of endometrial carcinomas but is responsible for about half of deaths. A subset of cases has HER2 overexpression secondary to ERBB2 gene amplification, and these patients may benefit from anti-HER2 therapies, such as trastuzumab. HER2 protein overexpression is currently assessed by immunohistochemistry (IHC) and ERBB2 gene amplification by fluorescence in situ hybridization (FISH). Targeted next-generation sequencing (NGS) is increasingly used to routinely identify predictive and prognostic molecular abnormalities in endometrial carcinoma. To investigate the ability of a targeted NGS panel to detect ERBB2 amplification, we identified cases of uterine serous carcinoma (n = 93) and compared HER2 expression by IHC and copy number assessed by FISH with copy number status assessed by NGS. ERBB2 copy number status using a combination of IHC and FISH was interpreted using the 2018 ASCO/CAP guidelines for breast carcinoma. ERBB2 amplification by NGS was determined by the relative number of reads mapping to ERBB2 in tumor DNA compared to control nonneoplastic DNA. Cases with copy number >/=6 were considered amplified and copy number <6 were non-amplified. By IHC, 70 specimens were classified as negative (0 or 1+), 19 were classified as equivocal (2+), and 4 were classified as positive (3+). Using combined IHC/FISH, ERBB2 amplification was observed in 8 of 93 cases (9%). NGS identified the same 8 cases with copy number >/=6; all 85 others had copy number <6. In this series, NGS had 100% concordance with combined IHC/FISH in identifying ERBB2 amplification. NGS is highly accurate in detecting ERBB2 amplification in uterine serous carcinoma and provides an alternative to measurement by IHC and FISH. FAU - Robinson, Carrie L AU - Robinson CL AD - Naval Medical Center San Diego, San Diego, CA, USA. FAU - Harrison, Beth T AU - Harrison BT AUID- ORCID: 0000-0002-8341-2961 AD - Department of Pathology, Division of Women's and Perinatal Pathology, Brigham and Women's Hospital, Boston, MA, USA. FAU - Ligon, Azra H AU - Ligon AH AD - Department of Pathology, Division of Clinical Cytogenetics, Brigham and Women's Hospital, Boston, MA, USA. FAU - Dong, Fei AU - Dong F AUID- ORCID: 0000-0003-3769-0247 AD - Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA. FAU - Maffeis, Valeria AU - Maffeis V AD - Department of Medicine (DIMED), Surgical Pathology and Cytopathology Unit, University of Padova, Padova, Italy. FAU - Matulonis, Ursula AU - Matulonis U AD - Dana-Farber Cancer Institute, Boston, MA, USA. FAU - Nucci, Marisa R AU - Nucci MR AD - Department of Pathology, Division of Women's and Perinatal Pathology, Brigham and Women's Hospital, Boston, MA, USA. FAU - Kolin, David L AU - Kolin DL AUID- ORCID: 0000-0002-7631-6525 AD - Department of Pathology, Division of Women's and Perinatal Pathology, Brigham and Women's Hospital, Boston, MA, USA. dkolin@bwh.harvard.edu. LA - eng GR - UL1 TR002541/TR/NCATS NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20201019 PL - United States TA - Mod Pathol JT - Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc JID - 8806605 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/*genetics MH - Carcinoma/*genetics/pathology MH - DNA Copy Number Variations MH - Endometrial Neoplasms/*genetics/pathology MH - Female MH - *Gene Amplification MH - Gene Dosage MH - *High-Throughput Nucleotide Sequencing MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Neoplasms, Cystic, Mucinous, and Serous/*genetics/pathology MH - Predictive Value of Tests MH - Receptor, ErbB-2/*genetics MH - Reproducibility of Results MH - Retrospective Studies EDAT- 2020/10/21 06:00 MHDA- 2021/11/04 06:00 CRDT- 2020/10/20 06:23 PHST- 2020/05/08 00:00 [received] PHST- 2020/09/23 00:00 [accepted] PHST- 2020/09/23 00:00 [revised] PHST- 2020/10/21 06:00 [pubmed] PHST- 2021/11/04 06:00 [medline] PHST- 2020/10/20 06:23 [entrez] AID - S0893-3952(22)00660-3 [pii] AID - 10.1038/s41379-020-00695-5 [doi] PST - ppublish SO - Mod Pathol. 2021 Mar;34(3):603-612. doi: 10.1038/s41379-020-00695-5. Epub 2020 Oct 19.