PMID- 35150441 OWN - NLM STAT- MEDLINE DCOM- 20220412 LR - 20220412 IS - 1096-9098 (Electronic) IS - 0022-4790 (Linking) VI - 125 IP - 6 DP - 2022 May TI - Clinicopathological and prognostic significance of HER2 status in surgically resected colorectal liver metastases. PG - 991-1001 LID - 10.1002/jso.26815 [doi] AB - BACKGROUND: The clinicopathological and prognostic significance of human epidermal growth factor receptor 2 (HER2) status in surgically resected colorectal liver metastases (CRLM) remains uncertain. METHODS: HER2 expression was evaluated by immunohistochemical (IHC) in two CRLM tissue microarrays (TMAs). For samples with an IHC score of 2+ or 3+, fluorescence in situ hybridization (FISH) was performed to assess HER2 amplification. The association of HER2 amplification with clinicopathological parameters and prognosis was assessed using Fisher's exact test and Kaplan-Meier method, respectively. RESULTS: HER2 expression was consistent between primary tumor and liver metastases in 66.9% (85/127) cases (r = 0.643, p = 0.001). After FISH validation, HER2 amplification was identified in 6.25% (13/208) patients. HER2 amplification was significantly associated with age (p = 0.017), bilobar involvement (p = 0.005) and left-sided RAS/RAF wild-type status (p = 0.002). In the overall cohort, HER2 amplification was correlated with significantly worse relapse-free survival (RFS). Further stratification revealed that among left-sided RAS/RAF wild-type cases, HER2 amplification was significantly associated with worse overall survival (OS) (30.2 vs. 50.9 months, p = 0.040) and RFS (5.77 vs. 19.97 months, p = 0.017). CONCLUSION: HER2 amplification is more enriched in CRLMs with younger age, left-sided RAS/RAF wild-type, and bilobar involvement. Moreover, HER2 amplification predicts a poorer prognosis especially in left-sided RAS/RAF wild-type CRLMs. CI - (c) 2022 Wiley Periodicals LLC. FAU - Han, Jiahao AU - Han J AD - Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China. FAU - Wang, Xiangyu AU - Wang X AD - Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China. FAU - Zhang, Chong AU - Zhang C AD - Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China. FAU - Wu, Qian AU - Wu Q AD - Department of Pathology, Huashan Hospital, Fudan University, Shanghai, China. FAU - Ma, Xiaochen AU - Ma X AD - Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China. FAU - Li, Yitong AU - Li Y AD - Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China. FAU - Chen, Zhenmei AU - Chen Z AD - Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China. FAU - Zhang, Rui AU - Zhang R AD - Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China. FAU - Zhang, Guo AU - Zhang G AD - Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China. FAU - Lin, Jing AU - Lin J AD - Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China. FAU - Lu, Lu AU - Lu L AD - Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China. FAU - Zhu, Wenwei AU - Zhu W AD - Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China. FAU - Jia, Huliang AU - Jia H AD - Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China. FAU - Zhang, Jubo AU - Zhang J AD - Department of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai, China. FAU - Fan, Jie AU - Fan J AD - Department of Pathology, Huashan Hospital, Fudan University, Shanghai, China. FAU - Chen, Jinhong AU - Chen J AD - Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China. LA - eng GR - 2017ZX10203207/National Natural Science and Technology Major Project of the thirteenth Five Year Plan/ GR - 81472677/National Natural Science Foundation of China/ GR - 82070655/National Natural Science Foundation of China/ PT - Journal Article DEP - 20220212 PL - United States TA - J Surg Oncol JT - Journal of surgical oncology JID - 0222643 RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - *Colorectal Neoplasms/genetics/surgery MH - Gene Amplification MH - Humans MH - In Situ Hybridization, Fluorescence MH - *Liver Neoplasms/genetics/secondary/surgery MH - Prognosis MH - Receptor, ErbB-2/metabolism OTO - NOTNLM OT - HER2 OT - colorectal cancer OT - liver metastases OT - prognosis EDAT- 2022/02/13 06:00 MHDA- 2022/04/13 06:00 CRDT- 2022/02/12 12:08 PHST- 2022/01/11 00:00 [revised] PHST- 2021/11/27 00:00 [received] PHST- 2022/01/31 00:00 [accepted] PHST- 2022/02/13 06:00 [pubmed] PHST- 2022/04/13 06:00 [medline] PHST- 2022/02/12 12:08 [entrez] AID - 10.1002/jso.26815 [doi] PST - ppublish SO - J Surg Oncol. 2022 May;125(6):991-1001. doi: 10.1002/jso.26815. Epub 2022 Feb 12.