OBJECTIVES: To investigate the clinical and pathobiological significance of distinguishing score 0 and score 1+ within the group of immunohistochemistry (IHC)-negative invasive breast cancers. METHODS: We studied HER2 status using both IHC and fluorescence in situ hybridization (FISH) in 150 consecutive breast tumors submitted to our laboratory after a negative IHC result in local testing centers. RESULTS: We were able to discern a group of score 0 tumors that had a lower HER2 copy number than the group consisting of score 1+ tumors. In contrast with the group of score 1+ tumors, HER2 FISH was consistently negative for both copy number-based and ratio-based tumors without equivocal results. CONCLUSIONS: In a setting with stringent quality assurance, score 0 and score 1+ tumors emerge as distinct and clinically important subgroups within the HER2 IHC-negative population
Affiliations
Ghent University HospitalDepartment of Pathology
Citations
APA
Chicago
FWB
Lambein, K., Van Bockstal, M., Vandemaele, L., Geenen, S., Rottiers, I., Nuyts, A., Matthys, B., Praet, M., Denys, H., & Libbrecht, L. (2013). Distinguishing score 0 from score 1+ in HER2 immunohistochemistry-negative breast cancer: clinical and pathobiological relevance. American Journal of Clinical Pathology, 140(4), 561-566. https://doi.org/10.1309/AJCP4A7KTAYHZSOE (Original work published 2013)