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Sabato 27 ottobre 2012 - Pacini Editore

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PoStER<br />

Fig. 1. ductal invasive Breast Cancer with strong Her-2 positivity<br />

(score 3+) (40X).<br />

Fig. 2. fluorescence in Situ Hybridization. Her-2 non-amplified ductal<br />

invasive Breast Cancer with Cep17 disorder (Cep17 ≥ 3) (100X).<br />

but also the recent study by Bartlett et al. (Lancet Oncol<br />

2010;11:266–74) indicate that large prospective clinical trials are<br />

necessary to validate whether patients showing increased CEP17<br />

indeed show a better response to HER2-targeted therapies and<br />

anthracyclines, also in the absence of HER2 amplification.<br />

references<br />

1 Shah SS, Wang Y, Tull J, et al.”. Diagn Mol Pathol 2009;18:30-3.<br />

2 Bose S, Mohammed M, Shintaku P, et al. Her-2/neu gene amplification<br />

in low to moderately expressing breast cancers: possible role of<br />

chromosome 17/Her-2/neu polysomy. Breast J 2001;7:337-44.<br />

HEr-2/neu overexpression as potential prognostic<br />

factor in small size breast carcinoma (pT1n0M0)<br />

S. Petroni1 , M. Asselti1 , A. Bruno2 , F. Palma1 , A.L. Marzano1 ,<br />

F. Giotta2 , G. Simone1 1 2 Anatomic Pathology Unit, Medical Oncology Department; National<br />

Cancer Research Centre, Istituto Tumori “Giovanni Paolo II”, Bari, Italy<br />

Background. Patients with primary breast cancer pT1a-bN0M0,<br />

have generally a favourable prognosis. However relapse occurred<br />

up to 25% of cases so it is necessary to identify bio-pathological<br />

and bio-molecular parameters in order to administer target<br />

therapy 1 2 . The aim of this retrospective study was to identify<br />

prognostic factors and predictive factors associated with clinical<br />

outcome.<br />

399<br />

Methods. 292 women (median age: 61 years) with pT1N0M0<br />

breast cancer observed from 2004 until 2010, entered in the study.<br />

187/292 tumors (64%) were pT1c, whereas 105 (36%) were<br />

pT1a-b. ER, PgR, Ki-67 status were evaluated using immunohistochemistry<br />

(IHC); HER-2/neu protein expression was investigated<br />

by IHC (HercepTest, DAKO), HER-2/neu gene status was<br />

assessed by FISH and scored according to FDA guidelines 3 .<br />

Fig. 1. Cdi, ER positive (40x).<br />

Fig. 2. Cdi, pgR positive (40x).<br />

Fig. 3. Ki-67 ≥ 20%, Cdi (20x).

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