PT - JOURNAL ARTICLE AU - Homaei-Shandiz, Fatemeh AU - Ghavam-Nassiri, Mohammad-Reza AU - Sharifi, Nourieh AU - Homaei-Shandiz, Amir-Hossein AU - Taghizadeh-Kermani, Ali AU - Torshizi, Seyed-Ahmad M. AU - Ghafarzadegan, Kamran TI - Evaluation of the relationship between human epidermal growth factor receptor-2/neu (c-erbB-2) amplification and pathologic grading in patients with breast cancer DP - 2006 Dec 01 TA - Saudi Medical Journal PG - 1810--1814 VI - 27 IP - 12 4099 - http://smj.org.sa/content/27/12/1810.short 4100 - http://smj.org.sa/content/27/12/1810.full SO - Saudi Med J2006 Dec 01; 27 AB - OBJECTIVE: The human epidermal growth factor receptor-2 (HER-2)/neu is a proto-oncogene that is amplified in 10-30% of breast cancers. It is known to be associated with a poor overall survival. We studied the relationship between its amplification and different histological gradings of breast cancer.METHODS: We studied 196 patients diagnosed with breast cancer in 2005 at the Omid and Ghaem Training Hospital, Mashhad Medical University, Iran. The HER-2/neu oncoprotein was measured by immunohistochemistry and the histological gradings were carried out according to the Bloom-Richardson Grading system.RESULTS: Sixty-seven (34.2%) cases were HER-2/neu positive and 129 (65.8%) cases were HER-2/neu negative. Overexpression of HER-2/neu was significantly higher in breast cancer patients <30 years (50% versus 33.3%, p=0.034). There was a non-significant statistical relationship between histological grading and overexpression of HER-2/neu oncogen (p=0.087). Twelve (17.5%) of HER-2/neu positive cases were metastatic and only 4 (3.1%) of HER-2/neu negative cases had metastasis (p=0.051).CONCLUSION: HER-2/neu gene amplification or its overexpression is detected in approximately 34.2% of breast cancer cases. Patients with HER-2/neu positive breast cancer have higher stage and grade diseases. This may help to use a better treatment for patients.