Human epidermal growth factor receptor 2 (HER2) status in breast cancer: practice points and challenges

IF 3.9 2区 医学 Q2 CELL BIOLOGY Histopathology Pub Date : 2024-06-06 DOI:10.1111/his.15213
Natthawadee Laokulrath, Mihir Gudi, Syed Ahmed Salahuddin, Angela Phek Yoon Chong, Cristine Ding, Jabed Iqbal, Wei Qiang Leow, Benjamin Yongcheng Tan, Gary Tse, Emad Rakha, Puay Hoon Tan
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Abstract

Human epidermal growth factor receptor 2 (HER2)-enriched breast cancer benefits significantly from anti-HER2 targeted therapies. This highlights the critical need for precise HER2 immunohistochemistry (IHC) interpretation serving as a triage tool for selecting patients for anti-HER2 regimens. Recently, the emerging eligibility of patients with HER2-low breast cancers for a novel HER2-targeted antibody–drug conjugate (T-DXd) adds challenges to HER2 IHC scoring interpretation, notably in the 0–1+ range, which shows high interobserver and interlaboratory staining platform variability. In this review, we navigate evolving challenges and suggest practical recommendations for HER2 IHC interpretation.

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乳腺癌中人表皮生长因子受体 2 (HER2) 的状态:实践要点与挑战。
富含人类表皮生长因子受体 2(HER2)的乳腺癌从抗 HER2 靶向疗法中获益匪浅。这凸显了精确的 HER2 免疫组织化学(IHC)解读作为选择患者接受抗 HER2 治疗方案的分流工具的迫切需要。最近,新型 HER2 靶向抗体-药物共轭物(T-DXd)新出现的 HER2 低乳腺癌患者资格为 HER2 IHC 评分解释增添了挑战,特别是在 0-1+ 范围内,观察者之间和实验室之间的染色平台差异很大。在本综述中,我们将探讨不断变化的挑战,并为 HER2 IHC 解释提出实用建议。
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来源期刊
Histopathology
Histopathology 医学-病理学
CiteScore
10.20
自引率
4.70%
发文量
239
审稿时长
1 months
期刊介绍: Histopathology is an international journal intended to be of practical value to surgical and diagnostic histopathologists, and to investigators of human disease who employ histopathological methods. Our primary purpose is to publish advances in pathology, in particular those applicable to clinical practice and contributing to the better understanding of human disease.
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