Expresión y amplificación del gen HER2 en el cáncer gástrico avanzado

Background: Overexpression/amplification of the HER2 gene in advanced gastric cancer is a predictor of response to adjuvant therapy with monoclonal antibodies. Aim: To determine the frequency of HER2 gene overexpression and amplification in advanced gastric cancer. Material and Methods: One hundred...

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Autores principales: Roa,Iván, Slater,Jeannie, Carvajal,Daniel, Schalper,Kurt, Toro,Gonzalo de, Ares,Raúl, Game,Anakaren, León,Jorge, Aretxabala,Xabier de
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2013
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001100007
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spelling oai:scielo:S0034-988720130011000072014-09-01Expresión y amplificación del gen HER2 en el cáncer gástrico avanzadoRoa,IvánSlater,JeannieCarvajal,DanielSchalper,KurtToro,Gonzalo deAres,RaúlGame,AnakarenLeón,JorgeAretxabala,Xabier de Gene amplification HER2, protein, human in situ hibridization, fluorescence Immunohistochemistry Background: Overexpression/amplification of the HER2 gene in advanced gastric cancer is a predictor of response to adjuvant therapy with monoclonal antibodies. Aim: To determine the frequency of HER2 gene overexpression and amplification in advanced gastric cancer. Material and Methods: One hundred nine advanced gastric cancer biopsy specimens, from 76 men and 33 women aged 67 ± 14 and 62 ± 12 years respectively, were selected. Three histological patterns (diffuse, intestinal and mixed) were recognized. Automated immunohistochemistry was performed with monoclonal c-erbB-2 (NCL-356) Novocastra. Fluorescent in situ hybridization (FISH) for HER2 was performed in positive cases. Results: In 39% of cases, immunohistochemical staining was negative. It was 1+, 2+ and 3+ positive in 15, 36 and 11% of cases, respectively. It was positive in 16% and 3% of intestinal type and mixed carcinomas, respectively. It was negative in all diffuse carcinomas. FISH was performed in 39 (2 +) cases and in 11 (3 +) cases. The gene amplification was positive in two (2 +) and 11 (3 +) cases (11.9%). The overall concordance between immunohistochemical staining and in situ hybridization was 85%. Conclusions: In advanced gastric cancer, HER2 gene overexpression or amplification was observed in 11% and 12% of cases, respectively.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.11 20132013-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001100007es10.4067/S0034-98872013001100007
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Gene amplification
HER2, protein, human
in situ hibridization, fluorescence
Immunohistochemistry
spellingShingle Gene amplification
HER2, protein, human
in situ hibridization, fluorescence
Immunohistochemistry
Roa,Iván
Slater,Jeannie
Carvajal,Daniel
Schalper,Kurt
Toro,Gonzalo de
Ares,Raúl
Game,Anakaren
León,Jorge
Aretxabala,Xabier de
Expresión y amplificación del gen HER2 en el cáncer gástrico avanzado
description Background: Overexpression/amplification of the HER2 gene in advanced gastric cancer is a predictor of response to adjuvant therapy with monoclonal antibodies. Aim: To determine the frequency of HER2 gene overexpression and amplification in advanced gastric cancer. Material and Methods: One hundred nine advanced gastric cancer biopsy specimens, from 76 men and 33 women aged 67 ± 14 and 62 ± 12 years respectively, were selected. Three histological patterns (diffuse, intestinal and mixed) were recognized. Automated immunohistochemistry was performed with monoclonal c-erbB-2 (NCL-356) Novocastra. Fluorescent in situ hybridization (FISH) for HER2 was performed in positive cases. Results: In 39% of cases, immunohistochemical staining was negative. It was 1+, 2+ and 3+ positive in 15, 36 and 11% of cases, respectively. It was positive in 16% and 3% of intestinal type and mixed carcinomas, respectively. It was negative in all diffuse carcinomas. FISH was performed in 39 (2 +) cases and in 11 (3 +) cases. The gene amplification was positive in two (2 +) and 11 (3 +) cases (11.9%). The overall concordance between immunohistochemical staining and in situ hybridization was 85%. Conclusions: In advanced gastric cancer, HER2 gene overexpression or amplification was observed in 11% and 12% of cases, respectively.
author Roa,Iván
Slater,Jeannie
Carvajal,Daniel
Schalper,Kurt
Toro,Gonzalo de
Ares,Raúl
Game,Anakaren
León,Jorge
Aretxabala,Xabier de
author_facet Roa,Iván
Slater,Jeannie
Carvajal,Daniel
Schalper,Kurt
Toro,Gonzalo de
Ares,Raúl
Game,Anakaren
León,Jorge
Aretxabala,Xabier de
author_sort Roa,Iván
title Expresión y amplificación del gen HER2 en el cáncer gástrico avanzado
title_short Expresión y amplificación del gen HER2 en el cáncer gástrico avanzado
title_full Expresión y amplificación del gen HER2 en el cáncer gástrico avanzado
title_fullStr Expresión y amplificación del gen HER2 en el cáncer gástrico avanzado
title_full_unstemmed Expresión y amplificación del gen HER2 en el cáncer gástrico avanzado
title_sort expresión y amplificación del gen her2 en el cáncer gástrico avanzado
publisher Sociedad Médica de Santiago
publishDate 2013
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001100007
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