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ER/PR pharmDx™ Interpretation Manual - Dako

ER/PR pharmDx™ Interpretation Manual - Dako

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Table of Contents<br />

Introduction 2<br />

<strong>ER</strong>/<strong>PR</strong> pharmDx overview 3<br />

the <strong>ER</strong>/<strong>PR</strong> pharmDx Kit 4<br />

<strong>ER</strong>/<strong>PR</strong> Expression Rates 5<br />

Concordance studies 6<br />

n Concordance of Immunohistochemistry<br />

(IHC) to ligand-binding Assay<br />

n <strong>ER</strong>/<strong>PR</strong> pharmDx tM Concordance to the<br />

Allred Procedure<br />

n Determination of the Cut-off IHC score<br />

<strong>ER</strong>/<strong>PR</strong> Expression in normal tissue 9<br />

<strong>ER</strong>/<strong>PR</strong> pharmDx training Checklist 10<br />

Quality Control 11<br />

Control slides for <strong>ER</strong>/<strong>PR</strong> pharmDx <br />

Validation 12<br />

Examples of Acceptable and<br />

Unacceptable staining of<br />

<strong>ER</strong>/<strong>PR</strong> pharmDx Control slides 13<br />

<strong>ER</strong>/<strong>PR</strong> pharmDx Results:<br />

Evaluation and Reporting 14<br />

<strong>ER</strong>/<strong>PR</strong> pharmDx scoring system 15<br />

Image Guide for Allred scoring<br />

for <strong>ER</strong>/<strong>PR</strong> pharmDx 16<br />

n Estrogen Receptor<br />

n Progesterone Receptor<br />

Additional Images 18<br />

n Estrogen Receptor<br />

n Progesterone Receptor<br />

Additional specimens stained<br />

with <strong>ER</strong>/<strong>PR</strong> pharmDx 20<br />

Artifacts and Various Factors<br />

Affecting staining 21<br />

n Epitope Retrieval Artifacts<br />

n background staining<br />

<strong>ER</strong>/<strong>PR</strong> pharmDx <br />

Pathology Report Form 22<br />

References 23<br />

<strong>ER</strong>/<strong>PR</strong> pharmDx <strong>Interpretation</strong> <strong>Manual</strong><br />

tAblE oF ContEnts<br />

1

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