Comparison of Her-2/Neu Gene Amplification or Expression between IHC and FISH in BC.

Qinqin Zhang, Lei Jin, Hua Gong
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Abstract

This study aimed to analyze and compare the application of FISH and IHC in BC tissue Her-2 / neu gene amplification or expression. For this purpose, 110 patients with BC were selected. FISH and IHC were performed on the BC tissues that were surgically removed, and the results were compared and analyzed. The results showed that in 110 BC tissues, the expression of HER-2 protein was (+++) 25 cases (22.73%); (++) 44 cases (40%); (+) 26 cases (23.64%); (1) 15 cases (13.64%). There were 42 cases of HER-2 gene amplification in 110 BC tissues, and 68 cases had no amplification. IHC test positive (+++) is consistent with FISH positive coincidence rate, IHC test negative (+/-) is consistent with FISH negative coincidence rate, IHC test suspicious positive (++) compared with the FISH result, the difference is statistically significant. However, the total coincidence rate between IHC test results and FISH test results was 89.29 (25/28), and the two test methods were positively correlated. Generally, IHC positive and negative expressions are in good agreement with FISH test results. The suspected positive expression of IHC is inconsistent with the FISH test result, suggesting that the IHC test is suspicious, and the positive specimens need to be tested by FISH.

Her-2/Neu基因在IHC和FISH中表达及扩增的比较
本研究旨在分析和比较FISH和IHC在BC组织Her-2 / neu基因扩增或表达中的应用。为此,我们选择了110例BC患者。对手术切除的BC组织进行FISH和IHC检查,并对结果进行比较和分析。结果显示,110例BC组织中HER-2蛋白表达为(+++)25例(22.73%);(++) 44例(40%);(+) 26例(23.64%);(1) 15例(13.64%)。110例BC组织中有42例HER-2基因扩增,68例无扩增。IHC检测阳性(+++)与FISH阳性符合率一致,IHC检测阴性(+/-)与FISH阴性符合率一致,IHC检测可疑阳性(++)与FISH结果比较,差异有统计学意义。而IHC检测结果与FISH检测结果的总符合率为89.29(25/28),两种检测方法呈正相关。总体上,IHC阳性和阴性表达与FISH检测结果吻合较好。疑似IHC阳性表达与FISH检测结果不一致,提示IHC检测可疑,阳性标本需进行FISH检测。
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