PMID- 37406458 OWN - NLM STAT- MEDLINE DCOM- 20240209 LR - 20240222 IS - 1538-7151 (Electronic) IS - 0277-1691 (Linking) VI - 43 IP - 2 DP - 2024 Mar 1 TI - HER2/ ERBB2 Immunohistochemical Expression and Copy Number Status in Ovarian Mucinous Tumors. PG - 134-139 LID - 10.1097/PGP.0000000000000966 [doi] AB - Primary mucinous ovarian carcinoma (MOC) is a rare ovarian epithelial cancer, which is often refractory to chemotherapy. HER2-targeting therapy is being increasingly considered in gynecologic malignancies. Although there have been limited studies examining the HER2 status of such tumors, the criteria for HER2 expression scoring have not been standardized for MOC as it has for other sites. This study aimed to survey immunohistochemical HER2 expression patterns in MOC and its precursor, mucinous borderline tumor in correlation with fluorescence in situ hybridization (FISH). Immunohistochemistry (IHC) for HER2 was performed on 12 cases of MOC and 15 mucinous borderline tumors, including 7 with intraepithelial carcinoma. HER2 expression was quantified using the gastric/gastroesophageal carcinoma protocol. Cases were considered 3+ if the tumor cells displayed strong complete or basolateral/lateral membranous staining in >/=10% of tumor cells. Cases (2+) had weak to moderate staining in >/=10% of tumor cells. Cases (1+) had faint staining in >/=10% of tumor cells. Cases considered 0 had no staining or faint staining in <10% of tumor cells. HER2 expression was also quantified with the endometrial serous carcinoma protocol, which uses a 30% tumor cell positivity cutoff. FISH for HER2 was performed on all 3+ and 2+ and a subset of 1+ cases. Of the MOC cases, 25% were 3+ and 1 mucinous borderline tumor with intraepithelial carcinoma had 3+ staining. All 3+ IHC MOC cases had >30% basolateral membranous staining. HER2 amplification was confirmed by FISH on all 3+ IHC cases and in one 2+ IHC case of MOC. Up to 25% of mucinous ovarian tumors showed HER2 IHC overexpression with an excellent correlation between IHC and FISH using the HER2 scoring protocol for either gastric/gastroesophageal carcinoma or uterine serous carcinoma. CI - Copyright (c) 2023 by the International Society of Gynecological Pathologists. FAU - Smithgall, Marie C AU - Smithgall MC AUID- ORCID: 0000-0001-6706-0700 FAU - Yemelyanova, Anna AU - Yemelyanova A FAU - Mathew, Susan AU - Mathew S FAU - Gogineni, Swarna AU - Gogineni S FAU - He, Bing AU - He B FAU - Zhang, Taotao AU - Zhang T FAU - Robinson, Brian D AU - Robinson BD FAU - Tu, Jiangling J AU - Tu JJ LA - eng PT - Journal Article DEP - 20230630 PL - United States TA - Int J Gynecol Pathol JT - International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists JID - 8214845 RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - 0 (Biomarkers, Tumor) RN - EC 2.7.10.1 (ERBB2 protein, human) SB - IM MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - DNA Copy Number Variations MH - Gene Amplification MH - Receptor, ErbB-2/genetics/metabolism MH - *Ovarian Neoplasms/genetics/pathology MH - Carcinoma, Ovarian Epithelial MH - *Neoplasms, Cystic, Mucinous, and Serous MH - *Adenocarcinoma, Mucinous/genetics MH - *Endometrial Neoplasms MH - *Cystadenocarcinoma, Serous MH - *Carcinoma in Situ MH - Biomarkers, Tumor/genetics COIS- The authors declare no conflict of interest. EDAT- 2023/07/06 01:08 MHDA- 2024/02/09 06:42 CRDT- 2023/07/05 18:04 PHST- 2024/02/09 06:42 [medline] PHST- 2023/07/06 01:08 [pubmed] PHST- 2023/07/05 18:04 [entrez] AID - 00004347-202403000-00004 [pii] AID - 10.1097/PGP.0000000000000966 [doi] PST - ppublish SO - Int J Gynecol Pathol. 2024 Mar 1;43(2):134-139. doi: 10.1097/PGP.0000000000000966. Epub 2023 Jun 30.