PMID- 33870112 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220422 IS - 2587-0831 (Print) IS - 2587-0831 (Electronic) VI - 17 IP - 2 DP - 2021 Apr TI - Clinicopathological Features of Breast Cancer with Polysomy 17 and Its Response to Neoadjuvant Chemotherapy. PG - 128-136 LID - 10.4274/ejbh.galenos.2021.2021-2-9 [doi] AB - OBJECTIVE: The interpretation of human epidermal growth factor receptor 2 (HER2) fluorescence in situ hybridization (FISH) results may be challenging in tumors with polysomy 17, which is defined as increased signals of chromosome enumeration probe 17 (CEP17). The effect of polysomy 17 on HER2 protein expression and tumor treatment response has not been established. In this retrospective study, we investigated the clinicopathological features of breast cancer with polysomy 17 and determined the tumors' response to neoadjuvant chemotherapy (NACT). MATERIALS AND METHODS: The study included 366 patients with primary breast cancer whose tumors had a CEP17 count of >/= three/nucleus based on HER2 FISH studies. These cases were categorized according to HER2/CEP17 ratio and HER2 signals/nucleus using the American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) guidelines. We compared the clinicopathological characteristics and tumor response to NACT among different groups. RESULTS: There was a statistically significant difference in patients' age at diagnosis, tumor pathological grade, estrogen and progesterone receptor status, and NACT response among different HER2 FISH groups. Polysomy 17 tumors in group 1 had a higher rate of response (pathological complete response and residual cancer burden class I) to NACT containing anti-HER2 reagent than did those in other groups (p = 0.004), whereas polysomy 17 tumors in group 3 did not show a significant response to anti-HER2 treatment. CONCLUSION: Polysomy 17 tumors in different HER2 FISH groups have different pathological features and respond to NACT differently. These results may help us identify patients who will benefit from anti-HER2 therapy. CI - (c)Copyright 2021 by Turkish Federation of Breast Diseases Associations. FAU - Sun, Hongxia AU - Sun H AUID- ORCID: 0000-0003-3229-4173 AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - Chen, Hui AU - Chen H AUID- ORCID: 0000-0002-5847-0561 AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - Crespo, James AU - Crespo J AUID- ORCID: 0000-0003-4891-6133 AD - Department of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - Tang, Guilin AU - Tang G AUID- ORCID: 0000-0002-9482-4806 AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - Robinson, Melissa AU - Robinson M AUID- ORCID: 0000-0001-9134-8632 AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - Lim, Bora AU - Lim B AUID- ORCID: 0000-0002-4182-6058 AD - Department of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - Sahin, Aysegul A AU - Sahin AA AUID- ORCID: 0000-0001-8259-9624 AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas. LA - eng PT - Journal Article DEP - 20210331 PL - Turkey TA - Eur J Breast Health JT - European journal of breast health JID - 101709357 PMC - PMC8025723 OTO - NOTNLM OT - HER2 FISH study OT - Polysomy 17 OT - breast cancer OT - neoadjuvant chemotherapy COIS- Conflict of Interest: No conflict of interest was declared by the authors. EDAT- 2021/04/20 06:00 MHDA- 2021/04/20 06:01 PMCR- 2021/03/31 CRDT- 2021/04/19 06:40 PHST- 2021/01/21 00:00 [received] PHST- 2021/02/25 00:00 [accepted] PHST- 2021/04/19 06:40 [entrez] PHST- 2021/04/20 06:00 [pubmed] PHST- 2021/04/20 06:01 [medline] PHST- 2021/03/31 00:00 [pmc-release] AID - 47122 [pii] AID - 10.4274/ejbh.galenos.2021.2021-2-9 [doi] PST - epublish SO - Eur J Breast Health. 2021 Mar 31;17(2):128-136. doi: 10.4274/ejbh.galenos.2021.2021-2-9. eCollection 2021 Apr.