PMID- 18208807 OWN - NLM STAT- MEDLINE DCOM- 20080311 LR - 20151119 IS - 0002-9173 (Print) IS - 0002-9173 (Linking) VI - 129 IP - 2 DP - 2008 Feb TI - HER2+ breast cancer: review of biologic relevance and optimal use of diagnostic tools. PG - 263-73 LID - 10.1309/99AE032R9FM8WND1 [doi] AB - Clinical laboratory testing for human epidermal growth factor receptor 2 (HER2) status in newly diagnosed breast cancer is critically important for therapeutic decision making. Unlike most pathologic testing, which serves as an adjunct to establishing a diagnosis, the results of HER2 testing stand alone in determining which patients are likely to respond to trastuzumab, a monoclonal antibody against HER2. Given the significant clinical impact of the testing results on subsequent patient management, the accuracy, precision, and reproducibility of HER2 testing are critical. At present, several preanalytic factors, including the time from tissue removal to tissue fixation, are underappreciated as important variables that have the potential to negatively impact the consistency and reliability of HER2 testing. Rigorous quality control and standardization of the testing process, from the handling of tissue samples to interpretation and reporting of results, are essential for achieving accurate and reproducible assay results. FAU - Hicks, David G AU - Hicks DG AD - Department of Pathology and Laboratory Medicine, Roswell Park Cancer Institute, Buffalo, NY 14263, USA. FAU - Kulkarni, Swati AU - Kulkarni S LA - eng PT - Journal Article PT - Review PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents) RN - P188ANX8CK (Trastuzumab) SB - IM CIN - Am J Clin Pathol. 2009 Jun;131(6):897-8; author reply 898-900. PMID: 19461099 MH - Adenocarcinoma/*diagnosis/*genetics MH - Algorithms MH - Antibodies, Monoclonal/therapeutic use MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Agents/therapeutic use MH - Breast Neoplasms/*diagnosis/*genetics MH - Clinical Trials as Topic MH - *Genes, erbB-2 MH - Guidelines as Topic MH - Humans MH - Immunohistochemistry/standards MH - In Situ Hybridization, Fluorescence/standards MH - Laboratories/standards MH - Quality Control MH - Sensitivity and Specificity MH - Trastuzumab RF - 62 EDAT- 2008/01/23 09:00 MHDA- 2008/03/12 09:00 CRDT- 2008/01/23 09:00 PHST- 2008/01/23 09:00 [pubmed] PHST- 2008/03/12 09:00 [medline] PHST- 2008/01/23 09:00 [entrez] AID - 77H4611LN62414P0 [pii] AID - 10.1309/99AE032R9FM8WND1 [doi] PST - ppublish SO - Am J Clin Pathol. 2008 Feb;129(2):263-73. doi: 10.1309/99AE032R9FM8WND1.