The TOP2A gene status was examined by fluorescence in-situ hybridization (FISH) (TOP2A FISH pharmDx™ Kit; DAKO) in pre-treatment tumor biopsies. TOP2A copy number was then determined in a minimum of 20 interphase, non-overlapping, tumor cell nuclei and compared with that of chromosome 17 centromeres (CEP17) in the same nuclei. The ratio of TOP2A to CEP17 signals was then calculated. In accordance with previous reports, a TOP2A/CEP17 ratio greater than 2.0 was defined as gene amplification [4 (link), 5 (link)].
TOP2A Gene Status in HER2+ Breast Cancer
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Other organizations : Tokyo Medical University, Yokohama City University Medical Center, Yokohama City University
Variable analysis
- Neoadjuvant treatment with four cycles of epirubicin (E, 90 mg/m2) and cyclophosphamide (C, 600 mg/m2), every 3 weeks prior to surgery
- TOP2A gene status examined by fluorescence in-situ hybridization (FISH) in pre-treatment tumor biopsies
- TOP2A copy number determined in a minimum of 20 interphase, non-overlapping, tumor cell nuclei and compared with that of chromosome 17 centromeres (CEP17) in the same nuclei
- Ratio of TOP2A to CEP17 signals calculated
- Pretreatment biopsies collected and stored as either formalin-fixed or paraffin embedded blocks
- No positive or negative controls were explicitly mentioned in the provided information.
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