2012, Number 2
Significance of the determination of Her2 by immunohistochemistry and its therapeutic utility
Language: Spanish
References: 15
Page: 87-93
PDF size: 450.15 Kb.
ABSTRACT
Background. The Human Epidermal growth factor Receptor 2 (HER2) is amplified in approximately 15 to 20% of the breast carcinoma cases. The official name of this receptor proposed by the Nomenclature Committee is ERBB2 gene.Methods. A comparative study was conducted to validate the immunohistochemistry, which examined 25 samples in the Carpermor International Reference Laboratory in parallel to the Specialty Laboratory, according to the guide of recommendations for the validation test HER2 by the College of American Pathologists (CAP), and the American Society of Clinical Oncology (ASCO).
Results. Our results are reproducible according to the reference values published in the recommendations Guide published by the CAP and ASCO, which was obtained as validating the immunohistochemistry test for Human Epidermal growth factor Receptor 2 (HER2).
Conclusions. The overexpression of HER2 is associated with worse prognosis in patients with newly diagnosed breast cancer not receiving adjuvant chemotherapy. More important are the results showing that therapeutic agents that target the HER2s are very efficient in the treatment of metastatic and adjuvant therapies. Taken together, the clinical results indicate that HER2 is a useful factor in therapeutic decision-making in patients with breast cancer, and emphasize the importance of thorough evaluation of this test.
REFERENCES
Bang Y-J, Van Cutsem E, Feyereislova A, et al. For the ToGA Trial Investigators. Trastuzumab in combination with chemotherapy versus chemotherapy alone for treatment of HER2-positive advanced gastric or gastro-oesophageal junction cancer (ToGA): a phase 3, open-label, randomised controlled trial. Lancet 2010;376:687-697.
Slamon D, Eiermann W, Robert N, et al. Phase III randomized trial comparing doxoribicin and cyclophosphamide followed by docetaxel (ACT) with doxoribicin and cyclophosphamide followed by docetaxel and trastuzumab (ACTH) whit docetaxel, carboplatin and trastuzumab (TCH) in Her2 positive early breast cancer patients: BCIRG 006 study. Breast Cancer Res Treat 2005;94:S5.