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Hepatogastroenterology
Article . 2011 . Peer-reviewed
Data sources: Crossref
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HER-2/neu Assessment for Gastric Carcinoma: Validation of Scoring System

Authors: Mrklić, Ivana; Bendić, Antonia; Kunac, Nenad; Bezić, Joško; Forempoher, Gea; Glavina Durdov, Merica; Karaman, Ivana; +4 Authors

HER-2/neu Assessment for Gastric Carcinoma: Validation of Scoring System

Abstract

Gastric cancer is the second leading cause of cancer mortality in the world. Amplification of HER-2/neu oncogene has become an important biomarker for identifying patients who respond to HER-2 targeting therapy. A number of studies have analyzed HER-2/neu overexpression in gastric carcinoma, and the rate of HER2 positivity is variable, ranging from 6% to 35%.In our study HER-2/neu expression was assessed on 73 samples of primary gastric cancer, using immunohistochemistry. For 19 patients preoperative biopsy samples and resected specimens were available. Additionally, internal ring study was performed to estimate intraobserver variability of IHC scoring among pathologists at our department.HER-2/neu overexpression was found in 10 (13.6%) of the tested samples, and it was more common in intestinal (22.5%) than the diffuse type (3.7%). Not one of the 6 analyzed mixed type tumors showed HER-2/neu expression. For the paired samples (preoperative biopsy samples and resected specimens) the concordance rate for HER-2/neu expression was 94.7%.According to high concordance rate in paired samples we consider it appropriate to evaluate HER2 expression on biopsy specimens, especially in unresectable cases, and to re-evaluate it on resected specimens if available, due to high heterogeneity of a gastric cancer.

Keywords

Observer Variation, Croatia, Receptor, ErbB-2, gastric cancer, Biopsy, Carcinoma, Gene Amplification, Reproducibility of Results, Prognosis, HER/2-neu, Immunohistochemistry, gastric cancer; HER/2-neu; validation study, Up-Regulation, Her-2/Neu, validation study, Predictive Value of Tests, Stomach Neoplasms, Biomarkers, Tumor, Humans, Gastric cancer, In Situ Hybridization

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
12
Average
Average
Average
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Cancer Research