Comparison of the 2007 and 2013 ASCO/CAP evaluation systems for HER2 amplification in breast cancer

It has been proven that chromosome 17 centromere (CEP17) amplification causes misleading human epidermal growth factor receptor 2 (HER2) gene fluorescence in situ hybridization (FISH) results, precluding anti-HER2-based therapy in some patients with breast carcinoma. We used the 2013 American Societ...

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Veröffentlicht in:Pathology, research and practice research and practice, 2015-06, Vol.211 (6), p.421-425
Hauptverfasser: Pu, Xiaohong, Shi, Jiong, Li, Zhiwen, Feng, Anning, Ye, Qing
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container_end_page 425
container_issue 6
container_start_page 421
container_title Pathology, research and practice
container_volume 211
creator Pu, Xiaohong
Shi, Jiong
Li, Zhiwen
Feng, Anning
Ye, Qing
description It has been proven that chromosome 17 centromere (CEP17) amplification causes misleading human epidermal growth factor receptor 2 (HER2) gene fluorescence in situ hybridization (FISH) results, precluding anti-HER2-based therapy in some patients with breast carcinoma. We used the 2013 American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) scoring criteria to evaluate HER2 amplification status in 175 cases of breast carcinoma with chromosome 17 polysomy. We used immunohistochemistry (IHC) to determine the HER2 amplification status, and 2-color FISH to detect CEP17, and reviewed the results of initial evaluation using the 2007 ASCO/CAP criteria. Of the 175 cases, 17, 95, and 63 were IHC 0/1+, 2+, and 3+, respectively. Evaluation of IHC HER2 status according to the 2013 ASCO/CAP criteria identified significantly more HER2-positive cases compared to cases evaluated using the 2007 criteria (p
doi_str_mv 10.1016/j.prp.2014.09.010
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We used the 2013 American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) scoring criteria to evaluate HER2 amplification status in 175 cases of breast carcinoma with chromosome 17 polysomy. We used immunohistochemistry (IHC) to determine the HER2 amplification status, and 2-color FISH to detect CEP17, and reviewed the results of initial evaluation using the 2007 ASCO/CAP criteria. Of the 175 cases, 17, 95, and 63 were IHC 0/1+, 2+, and 3+, respectively. Evaluation of IHC HER2 status according to the 2013 ASCO/CAP criteria identified significantly more HER2-positive cases compared to cases evaluated using the 2007 criteria (p&lt;0.05). When the FISH results were evaluated in parallel with the 2013 criteria, we found that 22 cases were not HER2-negative despite the presence of polysomy 17, which, according to the 2013 criteria, indicates HER2-positive status. Our findings indicate that in breast carcinoma, HER2 status in the presence of polysomy 17 may vary with the scoring criteria used. In turn, performing FISH and evaluating samples using the 2013 ASCO/CAP criteria means that more patients with breast cancer may be appropriate for targeted treatment with trastuzumab, potentially improving their outcome.</description><identifier>ISSN: 0344-0338</identifier><identifier>EISSN: 1618-0631</identifier><identifier>DOI: 10.1016/j.prp.2014.09.010</identifier><identifier>PMID: 25818873</identifier><language>eng</language><publisher>Germany: Elsevier GmbH</publisher><subject>2013 ASCO/CAP scoring criteria ; Adult ; Aged ; Breast cancer ; Breast Neoplasms - diagnosis ; Breast Neoplasms - genetics ; Breast Neoplasms - pathology ; Carcinoma, Ductal, Breast - diagnosis ; Carcinoma, Ductal, Breast - genetics ; Carcinoma, Ductal, Breast - pathology ; Chromosome 17 polysomy ; Chromosomes, Human, Pair 17 - genetics ; Female ; Gene Amplification - genetics ; HER2 ; Humans ; Immunohistochemistry - methods ; In Situ Hybridization, Fluorescence - methods ; Middle Aged ; Receptor, ErbB-2 - genetics</subject><ispartof>Pathology, research and practice, 2015-06, Vol.211 (6), p.421-425</ispartof><rights>2014 The Authors</rights><rights>Copyright © 2014 The Authors. 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We used the 2013 American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) scoring criteria to evaluate HER2 amplification status in 175 cases of breast carcinoma with chromosome 17 polysomy. We used immunohistochemistry (IHC) to determine the HER2 amplification status, and 2-color FISH to detect CEP17, and reviewed the results of initial evaluation using the 2007 ASCO/CAP criteria. Of the 175 cases, 17, 95, and 63 were IHC 0/1+, 2+, and 3+, respectively. Evaluation of IHC HER2 status according to the 2013 ASCO/CAP criteria identified significantly more HER2-positive cases compared to cases evaluated using the 2007 criteria (p&lt;0.05). When the FISH results were evaluated in parallel with the 2013 criteria, we found that 22 cases were not HER2-negative despite the presence of polysomy 17, which, according to the 2013 criteria, indicates HER2-positive status. Our findings indicate that in breast carcinoma, HER2 status in the presence of polysomy 17 may vary with the scoring criteria used. In turn, performing FISH and evaluating samples using the 2013 ASCO/CAP criteria means that more patients with breast cancer may be appropriate for targeted treatment with trastuzumab, potentially improving their outcome.</description><subject>2013 ASCO/CAP scoring criteria</subject><subject>Adult</subject><subject>Aged</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Breast Neoplasms - genetics</subject><subject>Breast Neoplasms - pathology</subject><subject>Carcinoma, Ductal, Breast - diagnosis</subject><subject>Carcinoma, Ductal, Breast - genetics</subject><subject>Carcinoma, Ductal, Breast - pathology</subject><subject>Chromosome 17 polysomy</subject><subject>Chromosomes, Human, Pair 17 - genetics</subject><subject>Female</subject><subject>Gene Amplification - genetics</subject><subject>HER2</subject><subject>Humans</subject><subject>Immunohistochemistry - methods</subject><subject>In Situ Hybridization, Fluorescence - methods</subject><subject>Middle Aged</subject><subject>Receptor, ErbB-2 - genetics</subject><issn>0344-0338</issn><issn>1618-0631</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1r3DAQhkVpabZpf0AuRcde7MxYWlkmp8XkoxBIaZOzkOUR0eKvSt5A_n0UNs2xF41m9MwLehg7QygRUJ3vyyUuZQUoS2hKQPjANqhQF6AEfmQbEFIWIIQ-YV9S2gNADRI_s5Nqq1HrWmyYa-dxsTGkeeKz5-sj8Spj3E59vqDguz_t3Xm7-8XpyQ4Hu4YMpue00pi4nyO_ufxdcTsuQ_DBHZ_DxLtINq3c2clR_Mo-eTsk-vZWT9nD1eV9e1Pc3l3_bHe3hdsKtRYdOVn1jYS6aZpOK5QoQHhSqs-t65pu67SQVWX9FkhL0FY5aFxPnrDyUpyyH8fcJc5_D5RWM4bkaBjsRPMhGVS1rqXOR0bxiLo4pxTJmyWG0cZng2Be3Zp9nizm1a2BxmS3eef7W_yhG6l_3_gnMwMXR4DyJ58CRZNcoGygD5Hcavo5_Cf-BdeAh38</recordid><startdate>20150601</startdate><enddate>20150601</enddate><creator>Pu, Xiaohong</creator><creator>Shi, Jiong</creator><creator>Li, Zhiwen</creator><creator>Feng, Anning</creator><creator>Ye, Qing</creator><general>Elsevier GmbH</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150601</creationdate><title>Comparison of the 2007 and 2013 ASCO/CAP evaluation systems for HER2 amplification in breast cancer</title><author>Pu, Xiaohong ; 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Our findings indicate that in breast carcinoma, HER2 status in the presence of polysomy 17 may vary with the scoring criteria used. In turn, performing FISH and evaluating samples using the 2013 ASCO/CAP criteria means that more patients with breast cancer may be appropriate for targeted treatment with trastuzumab, potentially improving their outcome.</abstract><cop>Germany</cop><pub>Elsevier GmbH</pub><pmid>25818873</pmid><doi>10.1016/j.prp.2014.09.010</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects 2013 ASCO/CAP scoring criteria
Adult
Aged
Breast cancer
Breast Neoplasms - diagnosis
Breast Neoplasms - genetics
Breast Neoplasms - pathology
Carcinoma, Ductal, Breast - diagnosis
Carcinoma, Ductal, Breast - genetics
Carcinoma, Ductal, Breast - pathology
Chromosome 17 polysomy
Chromosomes, Human, Pair 17 - genetics
Female
Gene Amplification - genetics
HER2
Humans
Immunohistochemistry - methods
In Situ Hybridization, Fluorescence - methods
Middle Aged
Receptor, ErbB-2 - genetics
title Comparison of the 2007 and 2013 ASCO/CAP evaluation systems for HER2 amplification in breast cancer
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