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Impact of the 2018 ASCO/CAP HER2 guidelines update for HER2 testing by FISH in breast cancer
Recently, the American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) updated the guidelines on HER2 testing for invasive breast cancer. Little is known about the impact of the guidelines update. We aimed to study the impact of the 2018 ASCO/CAP HER2 testing guidelines upda...
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Published in: | Pathology, research and practice research and practice, 2019-02, Vol.215 (2), p.251-255 |
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description | Recently, the American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) updated the guidelines on HER2 testing for invasive breast cancer. Little is known about the impact of the guidelines update. We aimed to study the impact of the 2018 ASCO/CAP HER2 testing guidelines update. We compared the HER2 FISH results interpreted by 2013 and 2018 ASCO/CAP guidelines in 331 cases of invasive breast cancers. We also analyzed the pathological features and clinical outcomes of these cases. In comparing to the 2013 ASCO/CAP guidelines, the HER2 negative rate was increased significantly from 62.5% to 75.8%(P |
doi_str_mv | 10.1016/j.prp.2018.10.035 |
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Little is known about the impact of the guidelines update. We aimed to study the impact of the 2018 ASCO/CAP HER2 testing guidelines update. We compared the HER2 FISH results interpreted by 2013 and 2018 ASCO/CAP guidelines in 331 cases of invasive breast cancers. We also analyzed the pathological features and clinical outcomes of these cases. In comparing to the 2013 ASCO/CAP guidelines, the HER2 negative rate was increased significantly from 62.5% to 75.8%(P < 0.05), and 13.3% changed from equivocal to negative by the 2018 guidelines. Our findings indicate that the guidelines update significantly increased the rate of negative results. The reclassification of the equivocal results by the 2018 guidelines is the main reason for this change. Patients with HER2 equivocal results were associated with larger tumor size and higher Ki67 index than those with negative results, while clinical outcomes were similar between them.</description><identifier>ISSN: 0344-0338</identifier><identifier>EISSN: 1618-0631</identifier><identifier>DOI: 10.1016/j.prp.2018.10.035</identifier><identifier>PMID: 30420102</identifier><language>eng</language><publisher>Germany: Elsevier GmbH</publisher><subject>Biomarkers, Tumor - analysis ; Breast cancer ; Breast Neoplasms - classification ; Breast Neoplasms - mortality ; Female ; Fluorescence in situ hybridization (FISH) ; Guidelines as Topic ; HER2 ; Humans ; In Situ Hybridization, Fluorescence - methods ; Kaplan-Meier Estimate ; Receptor, ErbB-2 - analysis ; The 2018 ASCO/CAP guidelines</subject><ispartof>Pathology, research and practice, 2019-02, Vol.215 (2), p.251-255</ispartof><rights>2018</rights><rights>Copyright © 2018. Published by Elsevier GmbH.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-73e279fcb1432f19a691ab2f5778bb41f9409cefefb116a072740268295e6ece3</citedby><cites>FETCH-LOGICAL-c353t-73e279fcb1432f19a691ab2f5778bb41f9409cefefb116a072740268295e6ece3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30420102$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xu, Bin</creatorcontrib><creatorcontrib>Shen, Jianguo</creatorcontrib><creatorcontrib>Guo, Wenhao</creatorcontrib><creatorcontrib>Zhao, Wenhe</creatorcontrib><creatorcontrib>Zhuang, Yiyu</creatorcontrib><creatorcontrib>Wang, Linbo</creatorcontrib><title>Impact of the 2018 ASCO/CAP HER2 guidelines update for HER2 testing by FISH in breast cancer</title><title>Pathology, research and practice</title><addtitle>Pathol Res Pract</addtitle><description>Recently, the American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) updated the guidelines on HER2 testing for invasive breast cancer. 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Patients with HER2 equivocal results were associated with larger tumor size and higher Ki67 index than those with negative results, while clinical outcomes were similar between them.</description><subject>Biomarkers, Tumor - analysis</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - classification</subject><subject>Breast Neoplasms - mortality</subject><subject>Female</subject><subject>Fluorescence in situ hybridization (FISH)</subject><subject>Guidelines as Topic</subject><subject>HER2</subject><subject>Humans</subject><subject>In Situ Hybridization, Fluorescence - methods</subject><subject>Kaplan-Meier Estimate</subject><subject>Receptor, ErbB-2 - analysis</subject><subject>The 2018 ASCO/CAP guidelines</subject><issn>0344-0338</issn><issn>1618-0631</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LAzEQhoMoWj9-gBfJ0cvWmWS7H3gqpdqCoPhxE0I2O9GUdndNdgX_vSlVj56GmXnfl5mHsXOEMQJmV6tx57uxACxiPwY52WMjzLBIIJO4z0Yg0zQBKYsjdhzCCgBySPGQHUlIowvEiL0uN502PW8t79-Jb7P49Gl2fzWbPvDF_FHwt8HVtHYNBT50te6J29bvVj2F3jVvvPriN8unBXcNrzzp0HOjG0P-lB1YvQ509lNP2MvN_Hm2SO7ub5ez6V1i5ET2SS5J5KU1FaZSWCx1VqKuhJ3keVFVKdoyhdKQJVshZhpykacgskKUE8rIkDxhl7vczrcfQzxKbVwwtF7rhtohKIFSRFOOWZTiTmp8G4InqzrvNtp_KQS1hapWcdKpLYjtKEKNnouf-KHaUP3n-KUYBdc7AcUnPx15FYyjSKB2nkyv6tb9E_8N79GDcw</recordid><startdate>201902</startdate><enddate>201902</enddate><creator>Xu, Bin</creator><creator>Shen, Jianguo</creator><creator>Guo, Wenhao</creator><creator>Zhao, Wenhe</creator><creator>Zhuang, Yiyu</creator><creator>Wang, Linbo</creator><general>Elsevier GmbH</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201902</creationdate><title>Impact of the 2018 ASCO/CAP HER2 guidelines update for HER2 testing by FISH in breast cancer</title><author>Xu, Bin ; Shen, Jianguo ; Guo, Wenhao ; Zhao, Wenhe ; Zhuang, Yiyu ; Wang, Linbo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-73e279fcb1432f19a691ab2f5778bb41f9409cefefb116a072740268295e6ece3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Biomarkers, Tumor - analysis</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - classification</topic><topic>Breast Neoplasms - mortality</topic><topic>Female</topic><topic>Fluorescence in situ hybridization (FISH)</topic><topic>Guidelines as Topic</topic><topic>HER2</topic><topic>Humans</topic><topic>In Situ Hybridization, Fluorescence - methods</topic><topic>Kaplan-Meier Estimate</topic><topic>Receptor, ErbB-2 - analysis</topic><topic>The 2018 ASCO/CAP guidelines</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xu, Bin</creatorcontrib><creatorcontrib>Shen, Jianguo</creatorcontrib><creatorcontrib>Guo, Wenhao</creatorcontrib><creatorcontrib>Zhao, Wenhe</creatorcontrib><creatorcontrib>Zhuang, Yiyu</creatorcontrib><creatorcontrib>Wang, Linbo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pathology, research and practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xu, Bin</au><au>Shen, Jianguo</au><au>Guo, Wenhao</au><au>Zhao, Wenhe</au><au>Zhuang, Yiyu</au><au>Wang, Linbo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of the 2018 ASCO/CAP HER2 guidelines update for HER2 testing by FISH in breast cancer</atitle><jtitle>Pathology, research and practice</jtitle><addtitle>Pathol Res Pract</addtitle><date>2019-02</date><risdate>2019</risdate><volume>215</volume><issue>2</issue><spage>251</spage><epage>255</epage><pages>251-255</pages><issn>0344-0338</issn><eissn>1618-0631</eissn><abstract>Recently, the American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) updated the guidelines on HER2 testing for invasive breast cancer. Little is known about the impact of the guidelines update. We aimed to study the impact of the 2018 ASCO/CAP HER2 testing guidelines update. We compared the HER2 FISH results interpreted by 2013 and 2018 ASCO/CAP guidelines in 331 cases of invasive breast cancers. We also analyzed the pathological features and clinical outcomes of these cases. In comparing to the 2013 ASCO/CAP guidelines, the HER2 negative rate was increased significantly from 62.5% to 75.8%(P < 0.05), and 13.3% changed from equivocal to negative by the 2018 guidelines. Our findings indicate that the guidelines update significantly increased the rate of negative results. The reclassification of the equivocal results by the 2018 guidelines is the main reason for this change. Patients with HER2 equivocal results were associated with larger tumor size and higher Ki67 index than those with negative results, while clinical outcomes were similar between them.</abstract><cop>Germany</cop><pub>Elsevier GmbH</pub><pmid>30420102</pmid><doi>10.1016/j.prp.2018.10.035</doi><tpages>5</tpages></addata></record> |
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subjects | Biomarkers, Tumor - analysis Breast cancer Breast Neoplasms - classification Breast Neoplasms - mortality Female Fluorescence in situ hybridization (FISH) Guidelines as Topic HER2 Humans In Situ Hybridization, Fluorescence - methods Kaplan-Meier Estimate Receptor, ErbB-2 - analysis The 2018 ASCO/CAP guidelines |
title | Impact of the 2018 ASCO/CAP HER2 guidelines update for HER2 testing by FISH in breast cancer |
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