PMID- 38364692 OWN - NLM STAT- Publisher LR - 20240216 IS - 1095-6859 (Electronic) IS - 0090-8258 (Linking) VI - 185 DP - 2024 Feb 15 TI - Human epidermal growth factor receptor-2 (HER2) expression in FIGO3 high-grade endometrial endometrioid carcinoma: Clinicopathologic characteristics and future directions. PG - 25-32 LID - S0090-8258(24)00074-X [pii] LID - 10.1016/j.ygyno.2024.01.048 [doi] AB - OBJECTIVES: To study the expression of HER2 in high-grade FIGO3 endometrial endometroid carcinoma (EEC) and to correlate our findings with the clinicopathologic characteristics of this tumor. METHODS: HER2 expression by immunohistochemistry (IHC) was performed on 10% formalin-fixed paraffin embedded tissue on cases diagnosed as FIGO3 EEC. HER2 expression was interpreted as negative (0), low (1+ and 2+) or positive (3+) using similar criteria as in the breast. HER2 amplification by Fluorescence in situ hybridization (FISH) was performed on cases interpreted as 2+ and 3+ by IHC. RESULTS: One hundred and forty-three FIGO3 EEC were identified. Of these, 70 (49%) cases were HER2 negative (IHC 0), and 73 (51%) cases expressed/amplified HER2 by IHC and/or FISH. Of the 73 cases expressing or amplifying HER2, 59 cases were IHC 1+, 12 cases were IHC 2+, and 2 cases were IHC 3+. FISH testing was performed in 12 cases. Only one of the two HER2 IHC 3+ cases showed HER2 gene amplification by FISH and the other 11 cases were not amplified. The 5-year overall survival (OS) rate for HER2 IHC 1+ cases was 92.20% (95% CI: 83.97-100.00), and the 5-year OS rate for HER2 IHC 2+/3+ cases was 89.50% (95% CI: 56.41-100.00). CONCLUSION: Our findings indicate that about one half of FIGO3 EEC variably expresses HER2 and with the emerging concept of "HER2 low", anti-HER2 agents may be explored as potential therapeutic options in these patients, for possible survival benefits. CI - Copyright (c) 2024 Elsevier Inc. All rights reserved. FAU - Abada, Evi AU - Abada E AD - Department of Pathology and Laboratory Medicine, Women and Infants Hospital, & The Warren Alpert Medical School of Brown University, 101 Dudley Street, Providence, RI 02905, USA. Electronic address: gs5839@wayne.edu. FAU - Kim, Seongho AU - Kim S AD - Biostatistics and Bioinformatics Core, Karmanos Cancer Institute, Department of Oncology, Wayne State University School of Medicine, 4100 John R. Road, Detroit, MI 48201, USA. FAU - Jang, Hyejeong AU - Jang H AD - Biostatistics and Bioinformatics Core, Karmanos Cancer Institute, Department of Oncology, Wayne State University School of Medicine, 4100 John R. Road, Detroit, MI 48201, USA. FAU - Kheil, Mira AU - Kheil M AD - Department of Pathology, Wayne State University School of Medicine/Detroit Medical Center, 3990 John R Road, Detroit, MI 48201, USA. FAU - Singh, Kamaljeet AU - Singh K AD - Department of Pathology and Laboratory Medicine, Women and Infants Hospital, & The Warren Alpert Medical School of Brown University, 101 Dudley Street, Providence, RI 02905, USA. FAU - Bandyopadhyay, Sudeshna AU - Bandyopadhyay S AD - Department of Pathology, Wayne State University School of Medicine/Detroit Medical Center, 3990 John R Road, Detroit, MI 48201, USA. FAU - Ali-Fehmi, Rouba AU - Ali-Fehmi R AD - Department of Pathology, Wayne State University School of Medicine/Detroit Medical Center, 3990 John R Road, Detroit, MI 48201, USA. FAU - Quddus, M Ruhul AU - Quddus MR AD - Department of Pathology and Laboratory Medicine, Women and Infants Hospital, & The Warren Alpert Medical School of Brown University, 101 Dudley Street, Providence, RI 02905, USA. LA - eng PT - Journal Article DEP - 20240215 PL - United States TA - Gynecol Oncol JT - Gynecologic oncology JID - 0365304 SB - IM OTO - NOTNLM OT - Anti-HER2 therapy in FIGO3 endometrial Endometrioid carcinoma OT - FIGO 3 endometrial Endometrioid carcinoma OT - HER2 expression in FIGO3 endometrial Endometrioid carcinoma OT - HER2 low in FIGO3 endometrial Endometrioid carcinoma COIS- Declaration of competing interest All authors declare that they have no conflicts of interest related to this manuscript. EDAT- 2024/02/17 10:42 MHDA- 2024/02/17 10:42 CRDT- 2024/02/16 18:14 PHST- 2023/10/24 00:00 [received] PHST- 2024/01/12 00:00 [revised] PHST- 2024/01/29 00:00 [accepted] PHST- 2024/02/17 10:42 [medline] PHST- 2024/02/17 10:42 [pubmed] PHST- 2024/02/16 18:14 [entrez] AID - S0090-8258(24)00074-X [pii] AID - 10.1016/j.ygyno.2024.01.048 [doi] PST - aheadofprint SO - Gynecol Oncol. 2024 Feb 15;185:25-32. doi: 10.1016/j.ygyno.2024.01.048.