EGFR FISH Positive |
• Specimens with EGFR gene amplification, defined as: |
   (a) EGFR gene to CEP 7 ratio ≥ 2 |
   (b) Small gene cluster (4–10 copies) or innumerable tight gene cluster in >10% the tumor cells independent of the EGFR to CEP 7 ratio |
   (c) Larger and brighter EGFR signals than CEP 7 signals in >10% the tumor cells while EGFR signals are smaller than the CEP 7 signals in the adjacent stromal and reactive cells independent of the EGFR to CEP 7 ratio |
   (d) >15 copies of the EGFR signals in >10% of tumor cells independent of the EGFR to CEP 7 ratio |
• Specimens with ≥ 40% of cells displaying ≥ 4 copies of the EGFR signal |
EGFR FISH Negative |
• Specimens without gene amplification as defined above and with <40% of cells displaying ≥ 4 copies of the EGFR signal |