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: