Recommendations for validating estrogen and progesterone receptor immunohistochemistry assays.
BACKGROUND
Estrogen receptor and progesterone receptor status is assessed on all newly diagnosed, invasive breast carcinomas and in recurrences to determine patient eligibility for hormonal therapy, but 10% to 20% of estrogen receptor and progesterone receptor test results are discordant when tested in multiple laboratories.


OBJECTIVE
To define the analytic (technical) validation requirements for estrogen receptor and progesterone receptor immunohistochemistry assays used to select patients for hormonal therapy.


METHODS
Literature review and expert consensus.


CONCLUSIONS
A standardized process for initial test validation is described. We believe adoption of this process will improve the accuracy of hormone-receptor testing, reduce interlaboratory variation, and minimize false-positive and false-negative results. Required ongoing assay assessment procedures are also described.
Department of Pathology, St Jude Medical Center, Fullerton, California 92835, USA. pfitz@stjoe.org
Patrick L
PL
Fitzgibbons
Douglas A
DA
Murphy
M Elizabeth H
ME
Hammond
D Craig
DC
Allred
Paul N
PN
Valenstein
D014408:Biomarkers, Tumor / Q000378:metabolism; D001943:Breast Neoplasms / Q000175:diagnosis / Q000378:metabolism*; D018270:Carcinoma, Ductal, Breast / Q000175:diagnosis / Q000378:metabolism; D005188:False Negative Reactions; D005189:False Positive Reactions; D005260:Female; D006287:Health Planning Guidelines; D006801:Humans; D007150:Immunohistochemistry / Q000379:methods*; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000378:metabolism; D011960:Receptors, Estrogen / Q000378:metabolism*; D011980:Receptors, Progesterone / Q000378:metabolism*
D014408:Biomarkers, Tumor; D011960:Receptors, Estrogen; D011980:Receptors, Progesterone