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Rapid fluorescence in situ hybridisation (FISH) for HER2 (ERBB2) assessment in breast and gastro-oesophageal cancer
  1. Laura J Tafe1,2,3,
  2. Heather B Steinmetz1,
  3. Samantha F Allen1,
  4. Betty J Dokus1,
  5. Gregory J Tsongalis1,2,3
  1. 1Department of Pathology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA
  2. 2Geisel School of Medicine at Dartmouth, Hanover, NH, USA
  3. 3Norris Cotton Cancer Center, Lebanon, NH, USA
  1. Correspondence to Dr Laura J Tafe, Department of Pathology, Dartmouth-Hitchcock Medical Center, One Medical Center, Lebanon, NH 03756, USA; Laura.J.Tafe{at}Hitchcock.org

Abstract

Evaluation of HER2 (ERBB2) gene amplification or protein expression is standard of care in breast (BR) and advanced stage gastro-oesophageal cancers to identify patients eligible for anti-HER2 therapies. Here, we evaluate a rapid fluorescence in situ hybridisation (FISH) technology (HER2 instant quality (IQ) FISH pharmDx Kit) for detection of HER2 in patients with BR and gastro-oesophageal cancer using 30 FFPE samples that had been previously evaluated with the PathVysion HER2 DNA Probe Kit. Cases were scored as positive (HER2:CEN-17 ≥2.0), negative (HER2:CEN-17 <2.0) or equivocal according to the ASCO/CAP 2013 BR cancer guidelines. Ten samples were positive for HER2 amplification while 20 were negative; none were equivocal. The IQ FISH was able to detect low level amplification (HER2:CEN-17 ratio 2.4). The HER2 IQ FISH pharmDx Kit is a FDA approved kit that offers a rapid turnaround time (approximately 3.5 h) and in our laboratory was 100% concordant with prior PathVysion results.

  • BREAST CANCER
  • FISH
  • MOLECULAR PATHOLOGY

https://doi.org/10.1136/jclinpath-2014-202787

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