Clinical Study

Low Level of Her-2 Locus Amplification by Fluorescent In Situ Hybridization Does Not Correlate with Her-2 Protein Overexpression by Immunohistochemistry in Barrett's Esophagus

Table 1

Her-2 protein overexpression and Her-2 locus/chromosome 17 status in BE and EAC cases.

No.HistologyIHCBrush cytology FISHTissue FISH
Her-2 expressionHer-2 locus amplificationCEP17Her-2 locus amplificationCEP17

91ND0GainNdNd
237ND0GainNdNd
75ND0GainNdNd
148ND0GainNdNd
59IND1GainNdNd
134IND0GainNdNd
273IND1GainNdNd
98LGD0GainNdNd
255LGD0GainNdNd
3HGD0GainNdNd
4HGD3High (50) Gain (42)High (39)Gain (13)
5HGD0 Low (5)Gain (71)Low (10)Gain (59)
152HGD0 GainNdNd
167HGD1 High (8)Gain (13)NdNd
170HGD2Low (11)NdNd
173HGD3High (50)Gain (23)NdNd
193HGD0Low (90)Gain (6)Low (55)
202HGD3High (75)Gain (83)High (79)Gain (84)
211HGD2 High (6)Gain (11)High (34)Gain (34)
235HGD0GainNdNd
236HGD1Low (20)Gain (13)Low (10)Gain (53)
247HGD2GainNdNd
264EAC1GainNdNd
265EAC2GainNdNd
270EAC0GainNdNd
223EAC0Low (8)GainNdNd
232EAC1GainNdNd
233EAC2GainNdNd
251EAC1GainNdNd
254EAC0GainNdNd
200EAC3High (82)NdNd
274EAC0GainNdNd
276EAC3High (50)Gain (63)High (42)Gain (42)
250EAC0GainNdNd

FISH—fluorescent in situ hybridization; (—) indicates absence of certain abnormality; (gain)—ratio 1 : 1 of Her-2: Cep17, the number of signals in different cases varied from 3 to 6 signals per cell; (low)—low level amplification—ratio 2 < 5 1 of Her-2: Cep17; (high)—high level amplification—ratio 5 : 1 of Her-2: Cep17; in the brackets % of abnormal cells
IHC—immunohistochemistry; IHC score 0—no staining, IHC score +1—faint staining, IHC score +2—moderate staining, IHC score +3—strong staining;
ND—no dysplasia; IND—indefinite for dysplasia; LGD—low grade dysplasia; HGD—high grade dysplasia.