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Her-2/neu gene amplification and over-expression in stomach and esophageal adenocarcinoma: From pathology to treatment Judith Maresch, Sebastian F. Schoppmann, Christiane M.R. Thallinger, Christoph C. Zielinski, Michael Hejna Critical Reviews in Oncology / Hematology Volume 82, Issue 3, Pages (June 2012) DOI: /j.critrevonc Copyright © 2011 Elsevier Ireland Ltd Terms and Conditions
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Fig. 1 IHC assessment of the level of Her-2 protein and FISH analyses. (A) Tumor cells without membrane staining (IHC negativity). (B) A partial weak membrane staining in more than 10% of tumor cells with no complete circumferential staining (IHC 1+). (C) Weak to moderate circumferential membrane staining in more than 10% of tumor cells (IHC 2+) with (D), confirmed by FISH positivity. (E) Strong circumferential membrane staining in more than 10% of tumor cells (ICH 3+) (A, B, C, E, ×400 magnification). IHC 2+ confirmed by FISH, or CISH positivity and IHC 3+, are candidates for treatment with trastuzumab. Critical Reviews in Oncology / Hematology , DOI: ( /j.critrevonc ) Copyright © 2011 Elsevier Ireland Ltd Terms and Conditions
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Fig. 2 Suggested treatment algorithm in inoperable or metastatic gastric cancer and adenocarcinoma of the esophagus. Abbreviations: CF, cisplatin+fluoropyrimidine; DCF, docetaxel+cisplatin+fluoropyrimidine; ECF, epirubicin+cisplatin+fluoropyrimidine; EOX, epirubicin+oxaliplatin+capecitabine. Critical Reviews in Oncology / Hematology , DOI: ( /j.critrevonc ) Copyright © 2011 Elsevier Ireland Ltd Terms and Conditions
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