Cancers that may be c-erbB-2 positive include breast, bladder, pancreatic, ovarian, and stomach cancers. Also called HER2 positive and human epidermal growth factor receptor 2 positive.

What is ERb in breast cancer?

Unlike ERa, ERb is highly expressed in normal breast epithelium but declines in expression in precancerous and cancerous breast lesions (6–13). Furthermore, ERb (specifically the full-length form, termed ERb1) is postulated to function as a tumor suppressor of breast cancer as well as other cancers (14–17).

What is the Ki-67 index?

Ki–67 index test The Ki-67 or mitotic index are ways of describing how many cells are dividing. A specialist doctor (pathologist) counts the number of NET cells that have started to divide into 2 new cells (mitoses) under a microscope. And a special stain measures the Ki-67 value.

What is hers2 negative?

When a breast cancer is HER2-negative, it means that the cancerous cells do not contain high levels of the protein HER2. There are many treatment options available for this type of breast cancer, but the prognosis can vary.

Can DCIS be HER2-positive?

Background. Previous studies have reported up to 50% of ductal carcinoma in situ (DCIS), is HER2 positive, but the frequency of HER2-positive invasive breast cancer (IBC) is lower. The aim of this study is to characterise HER2 status in DCIS and assess its prognostic value.

Is it good to be HER2-positive or negative?

It’s healthy in normal amounts, but too much may be a sign of a certain type of breast cancer. Most people with breast cancer have a normal amount of this protein, which means you are HER2-negative. But about 1 in 5 cases are HER2-positive, which means your levels are unusually high.

Is Erb an oncogene?

Abstract. The erb A oncogene is a dominant negative allele of a thyroid hormone receptor gene and acts in the cancer cell by encoding a transcriptional repressor.

How long does it take to get HER2 test results?

All invasive breast cancers are tested for HER2 levels. This is done in a hospital laboratory on a sample of breast cancer tissue removed during a biopsy or surgery. The results are usually available between one and three weeks later.

What does ER positive and PR negative mean?

If breast cancer cells have estrogen receptors, the cancer is called ER-positive breast cancer. If breast cancer cells have progesterone receptors, the cancer is called PR-positive breast cancer. If the cells do not have either of these 2 receptors, the cancer is called ER/PR-negative.

What does Ki-67 detect?

Ki-67 is an excellent marker to determine the growth fraction of a given cell population. The fraction of Ki-67-positive tumor cells (the Ki-67 labeling index) is often correlated with the clinical course of cancer.

What is a high Ki?

Results: High Ki-67 proliferative index, defined as greater than 30% tumor cells showing nuclear immunoreactivity, was significantly more frequent in the DOD group than in the NED group and was associated with tumor-related mortality (P = 0.02).

What does high Ki-67 mean?

A staining process can measure the percentage of tumor cells that are positive for Ki-67. The more positive cells there are, the more quickly they are dividing and forming new cells. In breast cancer, a result of less than 10% is considered low, 10-20% borderline, and high if more than 20%.

What does HR positive mean?

A breast cancer is classified as HR-positive if its cells have receptors for the hormones estrogen and progesterone, which suggests the cancer cells receive signals from these hormones that promote their growth. It also means your treatment can include drugs designed to affect hormone production.

What is invasive ductal carcinoma grade 2?

There are three grades of invasive breast cancer: Grade 1 looks most like normal breast cells and is usually slow growing. Grade 2 looks less like normal cells and is growing faster. Grade 3 looks different to normal breast cells and is usually fast growing.

Is ER positive good or bad?

About 70 percent of breast cancer patients have positive ER/PR hormone status. While being ER/PR-positive sounds bad, there’s actually a benefit.

Is DCIS always ER positive?

Grade 1 DCIS is almost always ER and PR positive and is a very slow growing form of cancer. It can take years, even decades, to see progression of the disease. In some cases, it may take such a long time to spread beyond the breast duct that it is not an event that will happen during a person’s lifetime.

Can DCIS spread after biopsy?

Because DCIS is not an invasive cancer and cannot spread to other parts of the body, whole body treatments, like chemotherapy, are not indicated for this stage of disease.

Is DCIS grade 3 bad?

DCIS that is high grade, is nuclear grade 3, or has a high mitotic rate is more likely to come back (recur) after it is removed with surgery. DCIS that is low grade, is nuclear grade 1, or has a low mitotic rate is less likely to come back after surgery.

Does HER2 negative require chemo?

Hormonal therapy is considered the standard initial treatment for HER2-negative metastatic breast cancer that is also hormone receptor-positive, and is often given in combination with targeted therapy. However, chemotherapy may also be given. A clinical trial may also be an option for treatment at any stage.

How long is chemo for HER2-positive?

Cycles can last anywhere from about two to four weeks, depending on the combination of drugs. Chemotherapy generally lasts about three to six months. The total length of chemotherapy treatment may vary depending on the stage of breast cancer and a number of other factors.

What causes HER2?

In about 25 percent of breast cancers, the cancer cells have an excess of the HER2 protein. This is caused by a mutation in the HER2 (human epidermal growth factor receptor 2) gene. When the HER2 gene mutates, it causes cells in the breast to grow and divide at an uncontrolled rate, leading to tumor growth.

Is chemo necessary for HER2-positive?

Trastuzumab and chemotherapy are even recommended for women with very small, HER2-positive breast cancers. Tumors as small as 0.5 cm often warrant such treatment. However, decisions must be individualized based on your own individual risk.

Does HER2-positive mean chemotherapy?

Because HER2-positive cancer is considered more aggressive than HER2-negative breast cancer, it is usually treated with chemotherapy after surgery to reduce recurrence risk.

How do you detect HER2?

Most HER2 testing involves taking a sample of tumor tissue in a procedure called a biopsy. There are three main types of biopsy procedures: Fine needle aspiration biopsy, which uses a very thin needle to remove a sample of breast cells or fluid. Core needle biopsy, which uses a larger needle to remove a sample.

What percentage of breast cancers are hormone receptor-positive?

About 70-80 percent of breast cancers are hormone receptor-positive [20,31]. Hormone receptor status is part of breast cancer staging and helps guide your treatment. You may hear the term “biomarker” to describe hormone receptors.

Is PR negative good or bad?

Our results showed that ER or PR negativity is poor prognostic factors, and disease-free survival and overall survival in the ER- or PR-negative group were shorter than that in the ER- and PR-positive group.

What does ER PR HER2 mean?

ER = estrogen receptor, Her2 = human epidermal growth factor receptor 2, PR = progesterone receptor, + = positive, − = negative.