Standardization of Estrogen Receptor Measurement in Breast Cancer Suggests False-Negative Results Are a Function of Threshold Intensity Rather Than Percentage of Positive Cells
Author(s) -
Allison W. Welsh,
C. Moeder,
Sudha Kumar,
Peter Gershkovich,
Elaine T. Alarid,
Malini Harigopal,
Bruce G. Haffty,
David L. Rimm
Publication year - 2011
Publication title -
journal of clinical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 10.482
H-Index - 548
eISSN - 1527-7755
pISSN - 0732-183X
DOI - 10.1200/jco.2010.32.9706
Subject(s) - medicine , breast cancer , immunohistochemistry , estrogen receptor , tissue microarray , oncology , cancer , pathology
Recent misclassification (false negative) incidents have raised awareness concerning limitations of immunohistochemistry (IHC) in assessment of estrogen receptor (ER) in breast cancer. Here we define a new method for standardization of ER measurement and then examine both change in percentage and threshold of intensity (immunoreactivity) to assess sources for test discordance.
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