D
Patient 1
THE FDA APPROVED VYSIS FISH HER2 PROBE KIT DEMONSTRATED AN EQUIVOCAL RANGE HER2 TEST RESULT FOR THIS PT, BUT THE ONCOTYPE TEST FOR HER2 WAS NEGATIVE. THIS IS A SERIOUS TEST DISCREPANCY THAT CAN RESULT IN A PT WHO IS ELIGIBLE FOR TARGETED THERAPY WITH THIS RESULT, -WHICH IS CONSIDERED TO BE A POSITIVE RESULT- NOT GETTING TARGETED THERAPY BECAUSE OF THE ERRONEOUS FALSE ONCOTYPE RT-PCR HER2 RESULT. THE TEST DISCREPANCIES MAY CLOUD CLINICAL JUDGMENT. IF A CLINICIAN CHOOSES NOT TO TREAT THIS PT BASED ON THE ONCOTYPE HER2 RESULT, THE STANDARD OF CARE WILL NOT BE MET, AND LITIGATION BECOMES A SERIOUS ISSUE FOR THIS CASE. IN OUR EXPERIENCE, THE HER2 COMPONENT OF THE ONCOTYPE DX TEST MISSES 100% OF HER2 EQUIVOCAL CASES ASSAYED BY THE FDA APPROVED VYSIS PROBES.