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The page below is a sample from the LabCE course Breast Cancer Predictive Markers. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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In situ hybridization methods are used to identify specific nucleic acid target sequences (DNA or RNA) in a tissue sample. Two main types of in situ methods are used in histopathology are:
  • Chromogenic (CISH)
  • Fluorescent (FISH)
Chromogenic in situ hybridization (CISH) can identify genetic anomalies that provide diagnostic and prognostic information within the tissue, cells, and/or nucleus. Fluorescent methods also identify specific genetic anomalies and differ from CISH, predominately in the use of fluorescent tags for specific loci.
In situ methods provide a high information content and are used to validate equivocal IHC results. The primary protocol steps in these methods include:
  • Sample preparation
  • Target hybridization
  • Single amplification and detection
  • Visualization