fish ihc hybridization situ fluorescence immunohistochemistry negative positive fluorescent breast receptor er estrogen progesterone pr positive negative breast epidermal growth tamoxifen aromatase raloxifene inhibitors therapy estrogen selective breast receptor cancer er pr positive breast cancer negative ihc staining receptor pgr receptor estrogen positive progesterone hormone breast cancer negative status tumor copy probe signals number average cep ihc ratio ish dual receptor negative ihc er pr progesterone estrogen immunohistochemistry hybridization fish