LOINC display name : ERBB2 copy number/Chromosome 17 copy number FISH (Tiss) [# ratio];
LOINC long common name : ERBB2 gene copy number/Chromosome 17 copy number in Tissue by FISH;
LOINC short name : ERBB2 copy num/Chr 17 copy num Tiss FISH;
LOINC description : The ratio of HER-2/neu (ERBB2 gene) to CEP17 probes by in situ hybridization assays
(e.g. FISH) to determine overexpression of HER-2/neu protein in breast cancer. CEP17
is used as an internal control and to account for aneusomy (varying number) of chromosome
17. A ratio of 2.0 indicates gene amplification and overexpression of HER-2/neu according
to the 2013 ASCO-CAP HER2 test guideline recommendations. Results are used to assist
in dose selection for certain drugs, assess eligibility for trastuzumab (Herceptin
) treatment, predict response to drug therapies and overall survival in patients with
breast cancer. For testing without an internal control probe, see LOINCs 31150-6 and
48675-3. For determining HER-2 status by Immunohistochemistry (IHC), see LOINC 18474-7.;