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TECHNICAL ARTICLE Simultaneous Fluorescence Immunophenotyping and Her-2/neu Genotyping (FICTION) in Breast Carcinoma Candidates to Target Therapy Luisa Benerini Gatta, PhD, Paolo Incardona, MD, Moris Cadei, ThS, Piergiovanni Grigolato, MD, Sabrina Simoncelli, ThS, and Piera Balzarini, PhD olecular-targeted therapy using trastuzumab (Her- Abstract: The study of proto-oncogene Her-2/neu using the Mceptin, F. Hoffmann-La Roche, Basel, Switzer- fluorescence in situ hybridization (FISH) technique in routinely land), a humanized monoclonal antibody against human paraffin-embedded formalin-fixed tissue has become common- epidermal growth factor receptor type-2 (ERBB-2), gen- place over the past decade and mandatory among invasive erally referred to as “Her-2/neu,” is considered to be ef- breast cancer expressing a score 2+ by immunohistochemical fective for metastatic as well as primary breast cancer and analysis of c-erbB2 protein. The patient’s eligibility for treat- has already become a worldwide standard therapy for ment with the biological drug trastuzumab/herceptin is based on patients with protein overexpression and gene amplifica- the evidence of a Her-2/neu proto-oncogene amplification (ratio tion, alone or as part of a chemotherapeutic or combined Her-2/neu/CEP-17>2.2). However, although the exclusion is treatment (http://www.herceptin.com). declared in the absence of Her-2/neu gene amplification (ratio The evaluation of Her-2/neu status is considered to Her-2/neu/CEP-17 <1.8) according
Applied Immunohistochemistry & Molecular Morphology – Wolters Kluwer Health
Published: Jul 1, 2012
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