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ORIGINAL ARTICLE Correlation of IHC and FISH for ALK Gene Rearrangement in Non-small Cell Lung Carcinoma IHC Score Algorithm for FISH Eunhee S. Yi, MD,* Jennifer M. Boland, MD,* Joseph J. Maleszewski, MD,* Anja C. Roden, MD,* Andre M. Oliveira, MD,* Marie-Christine Aubry, MD,* Michele R. Erickson-Johnson, MS,* Bolette L. Caron, BA,* Yan Li, MD,† Hui Tang, PhD,‡ Shawn Stoddard, RN,† Jason Wampfler, BS,‡ Kimary Kulig, PhD, MPH,§ and Ping Yang, MD, PhD† ALK1 monoclonal antibody with ADVANCE detection system Introduction: Accurate, cost-effective methods for testing anaplas- (Dako) and FISH with dual-color, break-apart probe (Abbott Mo- tic lymphoma kinase gene rearrangement (ALK) are needed to lecular) on formalin-fixed, paraffin-embedded tissue. select patients with non-small cell lung carcinoma for ALK-inhibitor Results: Cases were assessed as IHC score 0 (no staining; n 69), therapy. Fluorescent in situ hybridization (FISH) is used to detect 1 (faint cytoplasmic staining, n 21), 2 (moderate, smooth ALK, but it is expensive and not routinely available. We explored cytoplasmic staining; n 3), or 3 (intense, granular cytoplasmic the potential of an immunohistochemistry (IHC) scoring system as staining in 10% of tumor cells; n 8). All IHC 3 cases were an affordable, accessible
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Mar 1, 2011
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