NIH, National Cancer Institute, Division of Cancer Treatment and Diagnosis (DCTD) NIH - National Institutes of Health National Cancer Institute DCTD - Division of Cancer Treatment and Diagnosis

HER-2/neu Detection in Fine-Needle Aspirates of Breast Cancer: Fluorescence In Situ Hybridization and Immunocytochemical Analysis

Author(s): Beatty BG, Bryant R, Wang W, Ashikaga T, Gibson PC, Leiman G, Weaver DL

Publication: Am J Clin Pathol, 2004, Vol. 122, Page 246

PubMed ID: 15323142 PubMed Review Paper? No

Purpose of Paper

This paper compared the efficacy of immunocytochemical analysis and fluorescence in situ hybridization (FISH) in determining HER-2 status in fine needle aspirates (FNA) and formalin-fixed, paraffin-embedded (FFPE) tissue samples from breast cancer specimens, as well as performed a comparison of fixation methods: formalin, ethanol, and CytoLyt-ThinPrep.

Conclusion of Paper

Evaluation of HER-2 expression by immunocytochemistry of cells collected by FNA, regardless of fixative, yielded unreliable results in comparison to FFPE tissue; while results of HER-2 gene expression and FISH analysis of the same cells fixed with ethanol and CytoLyt-ThinPrep strongly correlated with results from FFPE tissue. Authors recommend using FISH to confirm HER-2 status in clinical analyses.

Studies

  1. Study Purpose

    To assess HER-2 protein and gene amplification in formalin fixed paraffin embedded breast cancer tissue.

    Summary of Findings:

    HER-2 protein expression was elevated in 24% of the FFPE specimens analyzed, although only two-thirds of those cases also displayed elevated HER-2 gene expression.

    Biospecimens
    Preservative Types
    • Formalin
    Diagnoses:
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    DNA FISH
    Protein Immunohistochemistry
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
  2. Study Purpose

    The purpose of this study was to assess HER-2 protein expression in cells collected by FNA and fixed using ethanol, formalin, or CytoLyt-ThinPrep.

    Summary of Findings:

    Results of HER-2 protein expression in FNA were fixative-dependent. Cells fixed in either formalin or CytoLyt-ThinPrep were moderately correlated to results obtained in FFPE tissue, while cells fixed in ethanol correlated poorly with data collected from FFPE tissue.

    Biospecimens
    Preservative Types
    • Formalin
    • Other Preservative
    • Ethanol
    Diagnoses:
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    Protein Immunohistochemistry
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Preservation Type of fixation/preservation Ethanol
    Formalin (buffered)
    CytoLyt-ThinPrep
    Biospecimen Acquisition Method of tissue acquisition Fine needle aspiration
    Surgical resection
  3. Study Purpose

    The purpose of this study was to assess HER-2 gene amplification via FISH in cells collected by FNA and fixed with ethanol or CytoLyt-ThinPrep.

    Summary of Findings:

    Results of FISH HER-2 gene analysis in FNA specimens fixed in ethanol or CytoLyt-ThinPrep were in strong agreement, and correlated well with HER-2 protein and gene expression data using FFPE tissues.

    Biospecimens
    Preservative Types
    • Ethanol
    • Other Preservative
    • Formalin
    Diagnoses:
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    DNA FISH
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Preservation Type of fixation/preservation Ethanol
    Formalin (buffered)
    CytoLyt-ThinPrep
    Biospecimen Acquisition Method of tissue acquisition Fine needle aspiration
    Surgical resection

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