Wang YK, Chen Z, Yun T, Li CY, Jiang B, Lv XX, Chu GH, Wang SN, Yan H, Shi LF. Human epidermal growth factor receptor 2 expression in mixed gastric carcinoma. World J Gastroenterol 2015; 21(15): 4680-4687 [PMID: 25914479 DOI: 10.3748/wjg.v21.i15.4680]
Corresponding Author of This Article
Lei-Feng Shi, Professor, Department of Gastrointestinal Surgery, 150th Luoyang Center Hospital, HuaXia West Road No. 2, Gaoxin District, Luoyang 471031, Henan Province, China. shilf_150@163.com
Research Domain of This Article
Biochemistry & Molecular Biology
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
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World J Gastroenterol. Apr 21, 2015; 21(15): 4680-4687 Published online Apr 21, 2015. doi: 10.3748/wjg.v21.i15.4680
Table 1 Histologic types and Human epidermal growth factor receptor 2 protein expression in mixed gastric carcinoma
Type
No. of cases
Immunohistochemistry
-
1+
2+
3+
Positive, n (%)
Mixed adenocarcinoma
216
Extensive
13
10
8
31 (14.4)
Partial
21
15
14
50 (23.1)
Focal
7
5
3
15 (6.9)
Negative
120
Adenosquamous carcinoma
34
Extensive
0
1
0
1 (2.9)
Partial
2
2
1
5 (14.7)
Focal
2
0
1
3 (8.8)
Negative
25
Mixed adenocarcinoma and neuroendocrine carcinoma
22
Extensive
0
0
0
0 (0.0)
Partial
2
2
0
4 (18.2)
Focal
1
1
1
3 (13.6)
Negative
15
Mixed adenocarcinoma, squamous cell carcinoma and neuroendocrine carcinoma
5
Extensive
0
0
0
0 (0.0)
Partial
1
0
0
1 (20.0)
Focal
0
1
0
1 (20.0)
Negative
3
Total
277
163 (58.8)
49 (17.7)
37 (13.4)
28 (10.1)
114 (41.2)
Table 2 Human epidermal growth factor receptor 2 positive staining intensity and range distribution in mixed gastric carcinoma n (%)
Extensive
Partial
Focal
Value
Single-staining range
10
23
9
42 (36.8)
Multi-staining intensity
22
37
13
72 (63.2)
Total
32 (11.6)
60 (21.7)
22 (7.9)
114 (41.2)
Table 3 Human epidermal growth factor receptor 2 protein expression and gene amplification results
Staining intensity (No. of cases)
HER2 protein expression
HER2 amplification
Staining Range
No. of cases
Cluster
Large granule
Dot
HH-17
3+ (28)
Extensive
8
3
2
2
1
Partial
15
4
3
5
2
Focal
5
2
1
0
0
2+ (37)
Extensive
11
3
2
2
1
Partial
19
3
2
1
1
Focal
7
1
1
0
0
1+ (49)
Extensive
13
1
1
0
1
Partial
26
0
0
1
1
Focal
10
0
0
0
0
Total
114
17
12
11
7
Table 4 Human epidermal growth factor receptor 2 amplification status and survival analyses
Treatment
HER2 amplification
No. of cases
Survival analysis (mo)
Median PFS
Median OS
Chemotherapy alone
Cluster
7
6.3
11.9
Large granule
6
5.8
12.2
Dot
4
5.3
11.6
HH-17
2
5.1
12.7
Trastuzumab combined with chemotherapy
Cluster
9
10.7
18.1
Large granule
6
9.9
17.7
Dot
5
8.3
16.5
HH-17
2
7.6
14.3
Table 5 Summary of survival analyses
Treatment
No. of cases
Survival analysis
Median PFS (mo)
P value
Median OS (mo)
P value
Chemotherapy alone
19
5.6
0.01
12.1
0.01
Trastuzumab combined with chemotherapy
22
9.1
16.7
Citation: Wang YK, Chen Z, Yun T, Li CY, Jiang B, Lv XX, Chu GH, Wang SN, Yan H, Shi LF. Human epidermal growth factor receptor 2 expression in mixed gastric carcinoma. World J Gastroenterol 2015; 21(15): 4680-4687