HER2 IHC
Transcript of HER2 IHC
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HER-2 (Pathway) IHC Assay
OverviewHER-2DNA is a protein over expressed in 15-20% of breast cancers. The Pathway IHC assay (FDA approved) is intended
determine the HER-2status of breast cancer and aid in predicting disease-free and overall survival in breast cancer cases. Tassay is also indicated as an aid in the assessment of patients for whom Herceptin (trastuzumab) treatment is being consider
Clinical IndicationsBreast Cancer.
Clinical UtilityAid in predicting disease-free and overall survival in patients. Assess patients for Herceptin (trastuzumab) treatment.
Methodology and InterpretationImmunohistochemistry (IHC) testing for semi-quantitative determination of the human epidermal growth factor receptor (He
neu) expression of formalin-xed parafn-embedded (FFPE) human breast cancer tissue using FDA-approved Rabbit monoclo
antibodies (PATHWAY anti-HER -2/neu
(4B5)) from the Ventana Medical System, Inc. The tests are run on the Ventana automaimmunostainer. The results are scored, interpreted and reported in adherence to the American Society of Clinical Oncolo
College of American Pathologists Guideline Recommendations for Immunohistochemical Testing of Her2 in Breast Can
(revised guidline per the 2011 ASCO/CAP Clinical Notice). Equivocal cases should be reexed to HER-2/neu FISH testing.
Assay SpecifcationsReporting
Results are reported as positive or negative forHER-2protein:
No staining
IHC 0, Negative
Faint staining in >10% of cells
IHC 1+, Trace Negative
Weak to moderate staining in >10% of cells
IHC 2+, Weakly PositiveStrong complete staining in >10% of cells
IHC 3+, Strongly Positive
Specimen Requirements
10% neutral buffered formalin-xed parafn-embedded
(FFPE) tissue.
3-5m thick FFPE sections on positively coated slides.
Stored and transported at room temperature.
Licensure
CAP (Laboratory #: 7191582, AU-ID: 1434060), CLIA (Certic#: 31D1038733), New Jersey (CLIS ID #: 0002299), New Y
State (PFI: 8192), Pennsylvania (031978), Florida (80001814
Maryland (1395)
TAT
24-48 hours
CPT Codes
88342
201 Route 17 North Rutherford NJ 07070 Ofce 201.528.9200 Fax 201.528.9201
www.cancergenetics.com
Breast
Cancer
2013 Cancer Genetics, Inc. All rights rese
Pathway is a registered trademark of Roc
Herceptin is a registered trademark of Genent
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201 Route 17 North Rutherford NJ 07070 Ofce 201.528.9200 Fax 201.528.9201
www.cancergenetics.com
ANATOMIC PATHOLOGY SAMPLE REPORT
Final Diagnosis: Breast Cancer Therapeutic Marker Studies by IHC Results
In-situ Ductal Carcinoma
Markers % Positive Cells Staining Intensity Interpretation
ER 60% 1+ POSITIVE
PR 90% 2+ POSITIVE
Her2/neu Score 0-1+ NEGATIVE
Comment: Positive and negative controls are satisfactory.
Time to xation and duration of xation were not provided.
Reference Range forHer2/neu Score: Reference Range for ER/PR:
Positive: 3+ Positive: >1% nuclear stain
Equivocal: 2+ Negative: