Chromogenic in situ hybridization for Her-2/neu-oncogene in breast cancer: comparison of a new dual-colour chromogenic in situ hybridization with immunohistochemistry and fluorescence in situ hybridization

Aims:  Her‐2/neu testing is used as a marker for Herceptin® therapy. The aim was to investigate new dual‐colour chromogenic in situ hybridization (CISH), in a large number of breast carcinomas (n = 205) with DNA‐specific dual‐colour probes (ZytoVision, Bremerhaven, Germany) and to compare the result...

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Veröffentlicht in:Histopathology 2009-12, Vol.55 (6), p.716-723
Hauptverfasser: Mayr, Doris, Heim, Sibylle, Weyrauch, Kerstin, Zeindl-Eberhart, Evelyn, Kunz, Anne, Engel, Jutta, Kirchner, Thomas
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container_issue 6
container_start_page 716
container_title Histopathology
container_volume 55
creator Mayr, Doris
Heim, Sibylle
Weyrauch, Kerstin
Zeindl-Eberhart, Evelyn
Kunz, Anne
Engel, Jutta
Kirchner, Thomas
description Aims:  Her‐2/neu testing is used as a marker for Herceptin® therapy. The aim was to investigate new dual‐colour chromogenic in situ hybridization (CISH), in a large number of breast carcinomas (n = 205) with DNA‐specific dual‐colour probes (ZytoVision, Bremerhaven, Germany) and to compare the results with immunohistochemistry (n = 205) and fluorescence in situ hybridization (FISH) (n = 129). Methods and results:  Paraffin‐embedded tissue of 205 patients was used. After immunohistochemistry with a focus on immunohistochemically uncertain cases, Her‐2/neu amplification using dual‐colour CISH (ZytoVision®) was analysed. Validation by FISH was performed. The results were: immunohistochemistry, 27.8% with strong expression, 53.7% with uncertain overexpression and 18.5% with no expression; FISH, 25.6% amplified and 74.4% negative; CISH, 35.6% amplified, 62.9% negative and 1.5% not evaluable. Comparison of immunohistochemistry with CISH: CISH negative in 100% with immunohistochemistry 0/1+, amplified in 82.5% with immunohistochemistry 3+; 5.9% contradictory results: 4.4% immunohistochemistry 3+ and negative by CISH, 1.5% negative in immunohistochemistry but amplified by CISH; FISH (129 cases), 8.5% contradictory results to immunohistochemistry, 6.2% immunohistochemistry 3+ and negative by FISH, 2.3% negative by immunohistochemistry and amplified by FISH; comparison of CISH and FISH, 94.6% same results, 3.9% different ones, 1.6% CISH not analysable. Conclusions:  CISH, using dual‐colour probes (ZytoVision®) is as good as FISH for Her‐2/neu analysis. The few discrepant results are likely to be caused by polysomy or tumour heterogeneity.
doi_str_mv 10.1111/j.1365-2559.2009.03427.x
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The aim was to investigate new dual‐colour chromogenic in situ hybridization (CISH), in a large number of breast carcinomas (n = 205) with DNA‐specific dual‐colour probes (ZytoVision, Bremerhaven, Germany) and to compare the results with immunohistochemistry (n = 205) and fluorescence in situ hybridization (FISH) (n = 129). Methods and results:  Paraffin‐embedded tissue of 205 patients was used. After immunohistochemistry with a focus on immunohistochemically uncertain cases, Her‐2/neu amplification using dual‐colour CISH (ZytoVision®) was analysed. Validation by FISH was performed. The results were: immunohistochemistry, 27.8% with strong expression, 53.7% with uncertain overexpression and 18.5% with no expression; FISH, 25.6% amplified and 74.4% negative; CISH, 35.6% amplified, 62.9% negative and 1.5% not evaluable. Comparison of immunohistochemistry with CISH: CISH negative in 100% with immunohistochemistry 0/1+, amplified in 82.5% with immunohistochemistry 3+; 5.9% contradictory results: 4.4% immunohistochemistry 3+ and negative by CISH, 1.5% negative in immunohistochemistry but amplified by CISH; FISH (129 cases), 8.5% contradictory results to immunohistochemistry, 6.2% immunohistochemistry 3+ and negative by FISH, 2.3% negative by immunohistochemistry and amplified by FISH; comparison of CISH and FISH, 94.6% same results, 3.9% different ones, 1.6% CISH not analysable. Conclusions:  CISH, using dual‐colour probes (ZytoVision®) is as good as FISH for Her‐2/neu analysis. The few discrepant results are likely to be caused by polysomy or tumour heterogeneity.</description><identifier>ISSN: 0309-0167</identifier><identifier>EISSN: 1365-2559</identifier><identifier>DOI: 10.1111/j.1365-2559.2009.03427.x</identifier><identifier>PMID: 19922593</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Biological and medical sciences ; breast cancer ; Breast Neoplasms - genetics ; Breast Neoplasms - metabolism ; Carcinoma - genetics ; Carcinoma - metabolism ; Chi-Square Distribution ; Chromogenic Compounds ; dual-colour CISH ; Female ; FISH ; Genital system. Mammary gland ; Gynecology. Andrology. Obstetrics ; Her-2/neu ; Humans ; immunohistochemistry ; Immunohistochemistry - methods ; In Situ Hybridization - methods ; Investigative techniques, diagnostic techniques (general aspects) ; Mammary gland diseases ; Medical sciences ; Neoplasm Staging ; Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques ; Receptor, ErbB-2 - genetics ; Receptor, ErbB-2 - metabolism ; RNA, Messenger - genetics ; RNA, Messenger - metabolism ; Tumors</subject><ispartof>Histopathology, 2009-12, Vol.55 (6), p.716-723</ispartof><rights>2009 The Authors. 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The aim was to investigate new dual‐colour chromogenic in situ hybridization (CISH), in a large number of breast carcinomas (n = 205) with DNA‐specific dual‐colour probes (ZytoVision, Bremerhaven, Germany) and to compare the results with immunohistochemistry (n = 205) and fluorescence in situ hybridization (FISH) (n = 129). Methods and results:  Paraffin‐embedded tissue of 205 patients was used. After immunohistochemistry with a focus on immunohistochemically uncertain cases, Her‐2/neu amplification using dual‐colour CISH (ZytoVision®) was analysed. Validation by FISH was performed. The results were: immunohistochemistry, 27.8% with strong expression, 53.7% with uncertain overexpression and 18.5% with no expression; FISH, 25.6% amplified and 74.4% negative; CISH, 35.6% amplified, 62.9% negative and 1.5% not evaluable. Comparison of immunohistochemistry with CISH: CISH negative in 100% with immunohistochemistry 0/1+, amplified in 82.5% with immunohistochemistry 3+; 5.9% contradictory results: 4.4% immunohistochemistry 3+ and negative by CISH, 1.5% negative in immunohistochemistry but amplified by CISH; FISH (129 cases), 8.5% contradictory results to immunohistochemistry, 6.2% immunohistochemistry 3+ and negative by FISH, 2.3% negative by immunohistochemistry and amplified by FISH; comparison of CISH and FISH, 94.6% same results, 3.9% different ones, 1.6% CISH not analysable. Conclusions:  CISH, using dual‐colour probes (ZytoVision®) is as good as FISH for Her‐2/neu analysis. The few discrepant results are likely to be caused by polysomy or tumour heterogeneity.</description><subject>Biological and medical sciences</subject><subject>breast cancer</subject><subject>Breast Neoplasms - genetics</subject><subject>Breast Neoplasms - metabolism</subject><subject>Carcinoma - genetics</subject><subject>Carcinoma - metabolism</subject><subject>Chi-Square Distribution</subject><subject>Chromogenic Compounds</subject><subject>dual-colour CISH</subject><subject>Female</subject><subject>FISH</subject><subject>Genital system. Mammary gland</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Her-2/neu</subject><subject>Humans</subject><subject>immunohistochemistry</subject><subject>Immunohistochemistry - methods</subject><subject>In Situ Hybridization - methods</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Mammary gland diseases</subject><subject>Medical sciences</subject><subject>Neoplasm Staging</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</subject><subject>Receptor, ErbB-2 - genetics</subject><subject>Receptor, ErbB-2 - metabolism</subject><subject>RNA, Messenger - genetics</subject><subject>RNA, Messenger - metabolism</subject><subject>Tumors</subject><issn>0309-0167</issn><issn>1365-2559</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkd9u0zAUhyMEYmXwCsg3iKtk_hPHMRIXqKLrxAChDU3ixnIcm7okdrETteUd905zaFVukMA3x5K_3znH-rIMIFigdC7WBSIVzTGlvMAQ8gKSErNi9yibnR4eZzNIIM8hqthZ9izGNYSIEYyfZmeIc4wpJ7Psfr4KvvfftbMKWAeiHUaw2jfBtvaXHKx3wPgAljrk-MLpMfdOTbSe4CZoGQegpFM6vAHK9xsZbEwZb4AETm9BO8ouV77zYwDqn6O2dlgB2_ej8ysbB69Wuk817IF0LTDd6IOOSqdxf2_wPHtiZBf1i2M9z74u3t_Ol_n158ur-bvrXJWkYrmShELWospUStV1TSRlDTM1khDVLYESthyiEta81siQ1lCKoTJcMiM1rRtynr0-9N0E_3PUcRBpTaW7TjrtxygYKREvKaoTWR9IFXyMQRuxCbaXYS8QFJNLsRaTMjEpE5NL8dul2KXoy-OQsel1-yd4lJeAV0dARiU7E5IHG08cxoinb_LEvT1wW9vp_X8vIJZXN9Mt5fNDPqnQu1Nehh-iYoRRcffpUny5-7ZY3Hy4FR_JA653z-g</recordid><startdate>200912</startdate><enddate>200912</enddate><creator>Mayr, Doris</creator><creator>Heim, Sibylle</creator><creator>Weyrauch, Kerstin</creator><creator>Zeindl-Eberhart, Evelyn</creator><creator>Kunz, Anne</creator><creator>Engel, Jutta</creator><creator>Kirchner, Thomas</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</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>200912</creationdate><title>Chromogenic in situ hybridization for Her-2/neu-oncogene in breast cancer: comparison of a new dual-colour chromogenic in situ hybridization with immunohistochemistry and fluorescence in situ hybridization</title><author>Mayr, Doris ; Heim, Sibylle ; Weyrauch, Kerstin ; Zeindl-Eberhart, Evelyn ; Kunz, Anne ; Engel, Jutta ; Kirchner, Thomas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4367-ca3507d16f6cc8883a57b7f81a018d30a0d90140898e1f3df5520cf9a7fae58b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Biological and medical sciences</topic><topic>breast cancer</topic><topic>Breast Neoplasms - genetics</topic><topic>Breast Neoplasms - metabolism</topic><topic>Carcinoma - genetics</topic><topic>Carcinoma - metabolism</topic><topic>Chi-Square Distribution</topic><topic>Chromogenic Compounds</topic><topic>dual-colour CISH</topic><topic>Female</topic><topic>FISH</topic><topic>Genital system. Mammary gland</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Her-2/neu</topic><topic>Humans</topic><topic>immunohistochemistry</topic><topic>Immunohistochemistry - methods</topic><topic>In Situ Hybridization - methods</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Mammary gland diseases</topic><topic>Medical sciences</topic><topic>Neoplasm Staging</topic><topic>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</topic><topic>Receptor, ErbB-2 - genetics</topic><topic>Receptor, ErbB-2 - metabolism</topic><topic>RNA, Messenger - genetics</topic><topic>RNA, Messenger - metabolism</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mayr, Doris</creatorcontrib><creatorcontrib>Heim, Sibylle</creatorcontrib><creatorcontrib>Weyrauch, Kerstin</creatorcontrib><creatorcontrib>Zeindl-Eberhart, Evelyn</creatorcontrib><creatorcontrib>Kunz, Anne</creatorcontrib><creatorcontrib>Engel, Jutta</creatorcontrib><creatorcontrib>Kirchner, Thomas</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Histopathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mayr, Doris</au><au>Heim, Sibylle</au><au>Weyrauch, Kerstin</au><au>Zeindl-Eberhart, Evelyn</au><au>Kunz, Anne</au><au>Engel, Jutta</au><au>Kirchner, Thomas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chromogenic in situ hybridization for Her-2/neu-oncogene in breast cancer: comparison of a new dual-colour chromogenic in situ hybridization with immunohistochemistry and fluorescence in situ hybridization</atitle><jtitle>Histopathology</jtitle><addtitle>Histopathology</addtitle><date>2009-12</date><risdate>2009</risdate><volume>55</volume><issue>6</issue><spage>716</spage><epage>723</epage><pages>716-723</pages><issn>0309-0167</issn><eissn>1365-2559</eissn><abstract>Aims:  Her‐2/neu testing is used as a marker for Herceptin® therapy. The aim was to investigate new dual‐colour chromogenic in situ hybridization (CISH), in a large number of breast carcinomas (n = 205) with DNA‐specific dual‐colour probes (ZytoVision, Bremerhaven, Germany) and to compare the results with immunohistochemistry (n = 205) and fluorescence in situ hybridization (FISH) (n = 129). Methods and results:  Paraffin‐embedded tissue of 205 patients was used. After immunohistochemistry with a focus on immunohistochemically uncertain cases, Her‐2/neu amplification using dual‐colour CISH (ZytoVision®) was analysed. Validation by FISH was performed. The results were: immunohistochemistry, 27.8% with strong expression, 53.7% with uncertain overexpression and 18.5% with no expression; FISH, 25.6% amplified and 74.4% negative; CISH, 35.6% amplified, 62.9% negative and 1.5% not evaluable. Comparison of immunohistochemistry with CISH: CISH negative in 100% with immunohistochemistry 0/1+, amplified in 82.5% with immunohistochemistry 3+; 5.9% contradictory results: 4.4% immunohistochemistry 3+ and negative by CISH, 1.5% negative in immunohistochemistry but amplified by CISH; FISH (129 cases), 8.5% contradictory results to immunohistochemistry, 6.2% immunohistochemistry 3+ and negative by FISH, 2.3% negative by immunohistochemistry and amplified by FISH; comparison of CISH and FISH, 94.6% same results, 3.9% different ones, 1.6% CISH not analysable. Conclusions:  CISH, using dual‐colour probes (ZytoVision®) is as good as FISH for Her‐2/neu analysis. The few discrepant results are likely to be caused by polysomy or tumour heterogeneity.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19922593</pmid><doi>10.1111/j.1365-2559.2009.03427.x</doi><tpages>8</tpages></addata></record>
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identifier ISSN: 0309-0167
ispartof Histopathology, 2009-12, Vol.55 (6), p.716-723
issn 0309-0167
1365-2559
language eng
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source MEDLINE; Wiley Online Library All Journals
subjects Biological and medical sciences
breast cancer
Breast Neoplasms - genetics
Breast Neoplasms - metabolism
Carcinoma - genetics
Carcinoma - metabolism
Chi-Square Distribution
Chromogenic Compounds
dual-colour CISH
Female
FISH
Genital system. Mammary gland
Gynecology. Andrology. Obstetrics
Her-2/neu
Humans
immunohistochemistry
Immunohistochemistry - methods
In Situ Hybridization - methods
Investigative techniques, diagnostic techniques (general aspects)
Mammary gland diseases
Medical sciences
Neoplasm Staging
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Receptor, ErbB-2 - genetics
Receptor, ErbB-2 - metabolism
RNA, Messenger - genetics
RNA, Messenger - metabolism
Tumors
title Chromogenic in situ hybridization for Her-2/neu-oncogene in breast cancer: comparison of a new dual-colour chromogenic in situ hybridization with immunohistochemistry and fluorescence in situ hybridization
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