FISH ANALYSIS HER-2/NEU (PATHVYSION TM HER-2)
Marquette General Health System

General Info

HLAB/HOL Code

  CYTOGNREQ

MGH LIS Test No

  4764

Schedule

   

Testing Time

  2-8 Days

Testing Lab

  Marquette General Hospital

QORR Test Code

  CYTOGNREQ

Specimen Info

Type

  Paraffin-embedded Tumor Tissue  

Volume

   

Temperature

   

Preservative

   

Collection Info

  Specimen must be fixed in 10% neutral buffered formalin fixed
paraffin-embedded breast cancer block.  Optimum fixation time
12-24 hrs but not to exceed 48 hrs or be less than 6 hrs.  Maintain
the specimen at room temperature.  Do not Freeze.

Please Provide:
(1)  Pathology Reprot
(2)  H & E  of the fixed specimen.  Region of invasive carcinoma
     marked by a pathologist on the H & E.

Limitations or Unacceptable Conditions:

Tissue not verified for presence of invasive carcinoma.
Specimen fixed in fixative other than 10% neutral buffered formalin.
Intended for grade III/III DCIS and not grades I & II.
 
Specimen Acceptability

Methods
Fluorescent In situ Hybridization (FISH) pretreatment of 5 um cut tissue slide. Processing of tissue and analysis of 60 cells. Probes specific for HER-2/neu locus and CEP 17. CEP 17 is included as the control which will detect aneusomy of Chromosome 17.

Clinical Utilities
Detection of amplification of the HER2 gene associated with invasive breast cancer. The detection of the presence of HER-2 gene amplification is based on counting fluorescent HER-2/neu signals and CEP 17 signals contained within the 60 interphase nuclei of invasive carcinoma cells. HER-2/nue FISH detection is indicated as an aid in the assessment of patients for whom HERCEPTIN (Trastuzumab) treatment is being considered.

CPT Codes
88274 x 1 Hybridization 25-99 cells 88271x2 DNA probe; each 88291x1 Interpretation and Reporting

Reference Range
An interpretive report will be provided.

Component Information

Collection Notes

Additional Comments

 

Questions or Comments email support@mgh.org

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