Immunohistochemical Characteristics Defined by Tissue Microarray of Hereditary Breast Cancer Not Attributable to BRCA1 or BRCA2 Mutations: Differences from Breast Carcinomas Arising in BRCA1 and BRCA2 Mutation Carriers Export

@article{citeulike:5241352, abstract = {Purpose: Most familial breast cancers are not associated with BRCA1 or BRCA2 germ-line mutations. Therefore, it is of major importance to define the morphological, immunohistochemical, and molecular features of this group of tumors to improve genetic testing and also gain further insight into the biological characteristics of tumors. Experimental Design: We evaluated the morphological characteristics of 37 tumors arising in women without BRCA1 or BRCA2 mutations, 20 tumors from BRCA1 mutation carriers, and 18 from BRCA2 mutation carriers, all of which were from index patients from breast cancer families. In addition, a tissue microarray was constructed with all tumoral samples to evaluate the immunohistochemical expression of a wide panel of antibodies (11 antibodies) and the amplification of HER-2 and c-MYC genes by fluorescence in situ hybridization. An age-matched group with 50 sporadic breast cancers as controls for non-BRCA1/2 was also included. Results: Non-BRCA1/2 infiltrating ductal carcinomas (IDCs) showed specific differences from BRCA1 tumors. They were of lower grade (1 and 2); more frequently estrogen receptor, progesterone receptor, BCL2 positive, and p53 negative; had a low proliferation rate (Ki-67 immunostaining < 5\%); and did not express P-cadherin. With respect to BRCA2 IDCs and control group, non-BRCA1/2 tumors were of lower grade and had a lower proliferation rate. No cases of HER-2 amplification and/or overexpression were observed except in the control group ([\~{}]20\%). In contrast, c-MYC amplification was present in 18.2, 62.5, and 12.5\% of BRCA1, BRCA2, and non-BRCA1/2 IDCs, respectively, and 31\% in the control group. Conclusions: This study thus reveals distinct morphological and immunohistochemical features in non-BRCA1/2 and BRCA1 tumors, whereas BRCA2 tumors present characteristics intermediate between the two phenotypes. In addition, the study also demonstrates the usefulness of tissue microarray technology in the evaluation of the immunophenotypic features of hereditary breast cancer.}, author = {Palacios, Jose and Honrado, Emiliano and Osorio, Ana and Cazorla, Alicia and Sarrio, David and Barroso, Alicia and Rodriguez, Sandra and Cigudosa, Juan C. and Diez, Orland and Alonso, Carmen and Lerma, Enrique and Sanchez, Lydia and Rivas, Carmen and Benitez, Javier}, citeulike-article-id = {5241352}, citeulike-linkout-0 = {http://clincancerres.aacrjournals.org/cgi/content/abstract/9/10/3606}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/14506147}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=14506147}, day = {1}, issn = {1078-0432}, journal = {Clin Cancer Res}, keywords = {brca1, brca2, breast, cancer, characteristics, hereditary, superlist, thelist}, month = {September}, number = {10}, pages = {3606--3614}, posted-at = {2009-07-23 19:56:56}, priority = {2}, title = {Immunohistochemical Characteristics Defined by Tissue Microarray of Hereditary Breast Cancer Not Attributable to BRCA1 or BRCA2 Mutations: Differences from Breast Carcinomas Arising in BRCA1 and BRCA2 Mutation Carriers}, url = {http://clincancerres.aacrjournals.org/cgi/content/abstract/9/10/3606}, volume = {9}, year = {2003} }

TY - JOUR ID - citeulike:5241352 L3 - citeulike-article-id:5241352 N2 - Purpose: Most familial breast cancers are not associated with BRCA1 or BRCA2 germ-line mutations. Therefore, it is of major importance to define the morphological, immunohistochemical, and molecular features of this group of tumors to improve genetic testing and also gain further insight into the biological characteristics of tumors. Experimental Design: We evaluated the morphological characteristics of 37 tumors arising in women without BRCA1 or BRCA2 mutations, 20 tumors from BRCA1 mutation carriers, and 18 from BRCA2 mutation carriers, all of which were from index patients from breast cancer families. In addition, a tissue microarray was constructed with all tumoral samples to evaluate the immunohistochemical expression of a wide panel of antibodies (11 antibodies) and the amplification of HER-2 and c-MYC genes by fluorescence in situ hybridization. An age-matched group with 50 sporadic breast cancers as controls for non-BRCA1/2 was also included. Results: Non-BRCA1/2 infiltrating ductal carcinomas (IDCs) showed specific differences from BRCA1 tumors. They were of lower grade (1 and 2); more frequently estrogen receptor, progesterone receptor, BCL2 positive, and p53 negative; had a low proliferation rate (Ki-67 immunostaining < 5%); and did not express P-cadherin. With respect to BRCA2 IDCs and control group, non-BRCA1/2 tumors were of lower grade and had a lower proliferation rate. No cases of HER-2 amplification and/or overexpression were observed except in the control group ([~]20%). In contrast, c-MYC amplification was present in 18.2, 62.5, and 12.5% of BRCA1, BRCA2, and non-BRCA1/2 IDCs, respectively, and 31% in the control group. Conclusions: This study thus reveals distinct morphological and immunohistochemical features in non-BRCA1/2 and BRCA1 tumors, whereas BRCA2 tumors present characteristics intermediate between the two phenotypes. In addition, the study also demonstrates the usefulness of tissue microarray technology in the evaluation of the immunophenotypic features of hereditary breast cancer. IS - 10 JF - Clin Cancer Res SN - 1078-0432 EP - 3614 TI - Immunohistochemical Characteristics Defined by Tissue Microarray of Hereditary Breast Cancer Not Attributable to BRCA1 or BRCA2 Mutations: Differences from Breast Carcinomas Arising in BRCA1 and BRCA2 Mutation Carriers VL - 9 SP - 3606 KW - brca1 KW - brca2 KW - breast KW - cancer KW - characteristics KW - hereditary KW - superlist KW - thelist AU - Palacios, Jose AU - Honrado, Emiliano AU - Osorio, Ana AU - Cazorla, Alicia AU - Sarrio, David AU - Barroso, Alicia AU - Rodriguez, Sandra AU - Cigudosa, Juan AU - Diez, Orland AU - Alonso, Carmen AU - Lerma, Enrique AU - Sanchez, Lydia AU - Rivas, Carmen AU - Benitez, Javier PY - 2003/09/01/ UR - http://clincancerres.aacrjournals.org/cgi/content/abstract/9/10/3606 ER -