title: Immunohistochemical evaluation of HER-2/neu expression in infiltrating breast carcinoma: a study of reproducibility.
abstract: OBJECTIVE
  To determine interobserver and intraobserver reproducibility in the assessment of the HercepTest- and TAB250-immunostained slides.
  
  
  METHODS
  Three independent expert pathologists (two with and one without training in HercepTest assessment) evaluated the HercepTest and TAB250-immunostained slides of 108 infiltrating breast carcinomas with a triple-blind method. The evaluation was repeated, with the same method and sequence of view, after 60 days.
  
  
  RESULTS
  Expert pathologists, after adequate training in HercepTest evaluation, could reach excellent interobserver (K=.911, P<.001) and intraobserver reproducibility (K of .863-.926; P <.001 for all). The percentage of disagreement in intraobserver reproducibility ranged from 0.9% to 3.7%. Interobserver and intraobserver reproducibility in the evaluation of TAB250-immunostained slides was good (K = .658, P < .001) and from good to excellent (K of .600-.895, P < .001 for all), respectively.
  
  
  CONCLUSIONS
  Optimization of the level of accuracy in HercepTest evaluation is mandatory because the decision to initiate therapy with Herceptin depends on the result. Moreover, considering that the percentage of disagreement in intraobserver reproducibility ranges from 0.9% to 3.7%, it is advisable that two expert pathologists evaluate all HercepTest slides with a double-blind method. If there are discordant results, they must be discussed by the same pathologists.
authors.affiliation: Institute of Pathological Anatomy and Histopathology, University of Ancona, Italy. a.santinelli@ao-umbertoprimo.marche.it
authors.forename: Alfredo
authors.initials: A
authors.lastname: Santinelli
authors.forename: Mariagrazia
authors.initials: M
authors.lastname: Baccarini
authors.forename: Paola
authors.initials: P
authors.lastname: Colanzi
authors.forename: Daniela
authors.initials: D
authors.lastname: Stramazzotti
authors.forename: Guidalberto
authors.initials: G
authors.lastname: Fabris
mesh_terms: D000911:Antibodies, Monoclonal; D001943:Breast Neoplasms / Q000737:chemistry / Q000378:metabolism* / Q000473:pathology; D018270:Carcinoma, Ductal, Breast / Q000378:metabolism* / Q000473:pathology; D018275:Carcinoma, Lobular / Q000737:chemistry / Q000378:metabolism* / Q000473:pathology; D005260:Female; D019084:Fluorescent Antibody Technique, Indirect; D006801:Humans; D007124:Immunoenzyme Techniques / Q000379:methods; D015588:Observer Variation; D018719:Erb-b2 Receptor Tyrosine Kinases / Q000032:analysis / Q000096:biosynthesis*; D015203:Reproducibility of Results
chemical_list: D000911:Antibodies, Monoclonal; D018719:Erb-b2 Receptor Tyrosine Kinases