Role of chromogenic in situ hybridization (CISH) in the evaluation of HER2 status in breast carcinoma: comparison with immunohistochemistry and FISH

Int J Surg Pathol. 2005 Oct;13(4):343-51. doi: 10.1177/106689690501300406.

Abstract

We report our experience with Chromogenic in Situ Hybridization (CISH) for the evaluation of HER2 amplification on 55 cases of formalin-fixed, paraffin-embedded invasive breast carcinomas of different histology. All the results were corrected for chromosome 17 aneusomy and compared with immunohistochemistry (IHC); a subset of cases was compared to FISH. Thirty-one of 32 cases in which FISH and CISH were performed yielded the same results. CISH and IHC showed a good concordance in the 0/1+ and 3+ category, while a poor agreement with weakly protein overexpression was confirmed. Chromosome 17 analysis was necessary in cases with a low number of HER2 gene copies. CISH is a useful tool to evaluate breast cancer HER2 status that can be easily implemented in a laboratory of surgical pathology.

Publication types

  • Comparative Study

MeSH terms

  • Breast Neoplasms / chemistry*
  • Breast Neoplasms / diagnosis
  • Breast Neoplasms / genetics
  • Breast Neoplasms / pathology
  • Carcinoma, Ductal / chemistry
  • Carcinoma, Ductal / diagnosis
  • Carcinoma, Ductal / genetics
  • Carcinoma, Ductal / pathology
  • Carcinoma, Lobular / chemistry
  • Carcinoma, Lobular / diagnosis
  • Carcinoma, Lobular / genetics
  • Carcinoma, Lobular / pathology
  • Carcinoma, Papillary / chemistry
  • Carcinoma, Papillary / diagnosis
  • Carcinoma, Papillary / genetics
  • Carcinoma, Papillary / pathology
  • Chromogenic Compounds*
  • Gene Amplification
  • Gene Expression Regulation, Neoplastic
  • Genes, erbB-2 / genetics*
  • Humans
  • Immunohistochemistry / methods*
  • In Situ Hybridization / methods*
  • In Situ Hybridization, Fluorescence / methods*
  • Receptor, ErbB-2 / analysis*
  • Receptor, ErbB-2 / genetics

Substances

  • Chromogenic Compounds
  • Receptor, ErbB-2