PT - JOURNAL ARTICLE AU - TAKASHI KIJIMA AU - TAKAAKI ARIGAMI AU - YOSHIKAZU UENOSONO AU - TSUBASA HIRAKI AU - SHIGEHIRO YANAGITA AU - DAISUKE MATSUSHITA AU - KEISHI OKUBO AU - MASATAKA SHIMONOSONO AU - SUMIYA ISHIGAMI AU - KOSEI MAEMURA AU - AKIHIDE TANIMOTO AU - SHOJI NATSUGOE TI - Comparison of HER2 Status Before and After Trastuzumab-based Chemotherapy in Patients With Advanced Gastric Cancer AID - 10.21873/anticanres.13927 DP - 2020 Jan 01 TA - Anticancer Research PG - 75--80 VI - 40 IP - 1 4099 - http://ar.iiarjournals.org/content/40/1/75.short 4100 - http://ar.iiarjournals.org/content/40/1/75.full SO - Anticancer Res2020 Jan 01; 40 AB - Background/Aim: The aim of the present study was to compare human epidermal growth factor receptor 2 (HER2) expression before and after trastuzumab-based chemotherapy in patients with advanced HER2-positive gastric cancer. Materials and Methods: We assessed HER2 expression using immunohistochemistry and/or fluorescence in situ hybridization in pre-treatment biopsied specimens and post-treatment resected specimens obtained from seven patients with advanced HER2-positive gastric cancer receiving trastuzumab-based chemotherapy. Results: Four patients maintained the HER2-positive status and three patients had a change in HER2 expression from positive to negative. In patients showing the loss of HER2 expression after treatments, HER2-positive tumor cells with a dominant histological type disappeared, and HER2-negative tumor cells with another dominant histological type were identified. Conclusion: HER2 expression can change after trastuzumab-based chemotherapy in patients with advanced HER2-positive gastric cancer. Continuous monitoring of HER2 expression after treatments may be utilized to determine whether the continued use of trastuzumab is advisable.