Investigation of HER-2 expression and its Correlation with clinicopathological parameters and overall survival of esophageal squamous cell carcinoma patients

Background & Objective: Human epidermal growth factor receptor 2 (HER-2) exhibits a vast range of expression in esophageal squamous cell carcinoma (ESCC) patients as a biomarker. This paper aimed to investigate HER-2 expression and clinicopathological parameters of esophageal SCC. Methods: HER-2...

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Main Authors: Mitra Heidarpour, Mehran Taheri, Ali Akhavan, Parvin Goli, Amirhosein Kefayat
Format: Article
Language:English
Published: Iranian Society of Pathology 2020-10-01
Series:Iranian Journal of Pathology
Subjects:
Online Access:https://ijp.iranpath.org/article_43485_75bef0daae6230c679a7180cc7eb0e46.pdf
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author Mitra Heidarpour
Mehran Taheri
Ali Akhavan
Parvin Goli
Amirhosein Kefayat
author_facet Mitra Heidarpour
Mehran Taheri
Ali Akhavan
Parvin Goli
Amirhosein Kefayat
author_sort Mitra Heidarpour
collection DOAJ
description Background & Objective: Human epidermal growth factor receptor 2 (HER-2) exhibits a vast range of expression in esophageal squamous cell carcinoma (ESCC) patients as a biomarker. This paper aimed to investigate HER-2 expression and clinicopathological parameters of esophageal SCC. Methods: HER-2 expression was assessed in 102 ESCC patients by immunohistochemistry. The HER-2 staining intensity , according to the Gastric HER2 Biomarker1.0.0.1 version of the college of American pathologists (CAP) protocol for gastric and gastroesophageal junction cancers, was graded as 0 (no reactivity in any of the cancer cells’ membranes); 1+ (pale or hardly noticeable reactivity in the membrane of cancer cells’ cluster [≥ 5 neoplastic cells] regardless of the positive cancer cells’ percentage); 2+ (weak-to-moderate complete, basolateral, or lateral membranous reactivity regardless of the positive cancer cells’ percentage); and 3+ ( strong complete, basolateral, or lateral reactivity in the membrane of the cancer cell cluster regardless of the positive cancer cells’ percentage).In this regard, 3+ scored samples were considered as positive. If HER-2 expression was scored 2+, an additional fluorescence in situ hybridization (FISH) was performed. Fisher's exact test was employed for investigating the correlation of HER-2 expression status with patients’ clinicopathological characteristics (including age, gender, tumor location, stage, grade, infiltration level, venous invasion, lymphatic invasion, and tumor recurrence). Kaplan-Meier analysis was done for the patients’ survival assessments. Result: Five patients (~5%) were HER-2 positive and no significant association was observed between HER-2 expression and clinicopathological properties. In addition, HER-2 expression status exhibited no significant association with the patients’ overall survival (p =0.9299).  Conclusion: HER-2 is not a suitable prognostic biomarker for Iranian ESCC patients.
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spelling doaj.art-ef0b4646b67d4f328706cfc8512244fc2022-12-21T19:21:17ZengIranian Society of PathologyIranian Journal of Pathology1735-53032345-36562020-10-0115427428110.30699/ijp.2020.113829.223543485Investigation of HER-2 expression and its Correlation with clinicopathological parameters and overall survival of esophageal squamous cell carcinoma patientsMitra Heidarpour0Mehran Taheri1Ali Akhavan2Parvin Goli3Amirhosein Kefayat4Department of Pathology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Pathology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Radiation Oncology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Immunology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Oncology, Cancer Prevention Research Center, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, IranBackground & Objective: Human epidermal growth factor receptor 2 (HER-2) exhibits a vast range of expression in esophageal squamous cell carcinoma (ESCC) patients as a biomarker. This paper aimed to investigate HER-2 expression and clinicopathological parameters of esophageal SCC. Methods: HER-2 expression was assessed in 102 ESCC patients by immunohistochemistry. The HER-2 staining intensity , according to the Gastric HER2 Biomarker1.0.0.1 version of the college of American pathologists (CAP) protocol for gastric and gastroesophageal junction cancers, was graded as 0 (no reactivity in any of the cancer cells’ membranes); 1+ (pale or hardly noticeable reactivity in the membrane of cancer cells’ cluster [≥ 5 neoplastic cells] regardless of the positive cancer cells’ percentage); 2+ (weak-to-moderate complete, basolateral, or lateral membranous reactivity regardless of the positive cancer cells’ percentage); and 3+ ( strong complete, basolateral, or lateral reactivity in the membrane of the cancer cell cluster regardless of the positive cancer cells’ percentage).In this regard, 3+ scored samples were considered as positive. If HER-2 expression was scored 2+, an additional fluorescence in situ hybridization (FISH) was performed. Fisher's exact test was employed for investigating the correlation of HER-2 expression status with patients’ clinicopathological characteristics (including age, gender, tumor location, stage, grade, infiltration level, venous invasion, lymphatic invasion, and tumor recurrence). Kaplan-Meier analysis was done for the patients’ survival assessments. Result: Five patients (~5%) were HER-2 positive and no significant association was observed between HER-2 expression and clinicopathological properties. In addition, HER-2 expression status exhibited no significant association with the patients’ overall survival (p =0.9299).  Conclusion: HER-2 is not a suitable prognostic biomarker for Iranian ESCC patients.https://ijp.iranpath.org/article_43485_75bef0daae6230c679a7180cc7eb0e46.pdfher-2 receptoresophageal cancersquamous cell carcinoma
spellingShingle Mitra Heidarpour
Mehran Taheri
Ali Akhavan
Parvin Goli
Amirhosein Kefayat
Investigation of HER-2 expression and its Correlation with clinicopathological parameters and overall survival of esophageal squamous cell carcinoma patients
Iranian Journal of Pathology
her-2 receptor
esophageal cancer
squamous cell carcinoma
title Investigation of HER-2 expression and its Correlation with clinicopathological parameters and overall survival of esophageal squamous cell carcinoma patients
title_full Investigation of HER-2 expression and its Correlation with clinicopathological parameters and overall survival of esophageal squamous cell carcinoma patients
title_fullStr Investigation of HER-2 expression and its Correlation with clinicopathological parameters and overall survival of esophageal squamous cell carcinoma patients
title_full_unstemmed Investigation of HER-2 expression and its Correlation with clinicopathological parameters and overall survival of esophageal squamous cell carcinoma patients
title_short Investigation of HER-2 expression and its Correlation with clinicopathological parameters and overall survival of esophageal squamous cell carcinoma patients
title_sort investigation of her 2 expression and its correlation with clinicopathological parameters and overall survival of esophageal squamous cell carcinoma patients
topic her-2 receptor
esophageal cancer
squamous cell carcinoma
url https://ijp.iranpath.org/article_43485_75bef0daae6230c679a7180cc7eb0e46.pdf
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