Clinicopathologic Characterization of Hormone-Receptor Positive, Human Epidermal Growth Factor Receptor 2 Null, Ultralow, and Low Breast Carcinoma in the Metastatic Setting
Human Pathology,
Journal Year:
2025,
Volume and Issue:
155, P. 105735 - 105735
Published: Jan. 1, 2025
Language: Английский
HER2-low across solid tumours: different incidences and definitions
Pathology,
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 1, 2025
Language: Английский
HER2-Low Breast Cancer—Current Knowledge and Future Directions
Medicina,
Journal Year:
2025,
Volume and Issue:
61(4), P. 644 - 644
Published: April 1, 2025
The
concept
of
binary
classification
HER2
status
has
recently
been
challenged
following
the
DESTINY-Breast
trial
data
showing
a
clinically
meaningful
response
to
antibody–drug
conjugates
(ADCs)
in
invasive
breast
cancer
expressing
low
levels
HER2.
HER2-low
is
defined
as
an
immunohistochemistry
(IHC)
score
1+
and
2+
without
gene
amplification.
While
does
not
represent
biological
entity,
it
encompasses
both
hormone
receptor-positive
triple-negative
cancer.
Differences
exist
between
this
group
HER2-null
In
review,
we
provide
update
on
HER2-ultralow
cancer,
including
background
data,
evolution
expression,
current
clinical
guidelines,
quality
issues,
future
directions.
Language: Английский
Reevaluating HER2-null breast cancer using an enhanced HER2 immunohistochemistry protocol
Breast Cancer,
Journal Year:
2025,
Volume and Issue:
unknown
Published: May 13, 2025
Language: Английский
Reevaluating HER2-null breast cancer using an enhanced HER2 immunohistochemistry protocol
Research Square (Research Square),
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 25, 2025
Abstract
Background:
Human
epidermal
growth
factor
receptor
2
(HER2)
status
is
crucial
for
the
classification
of
breast
cancer
and
selection
its
treatment.
Although
HER2-low
a
recognized
therapeutic
subgroup,
HER2
immunohistochemistry
(IHC)
0
remains
unclear.
Methods:
We
reassessed
58
HER2-null
cases
using
an
enhanced
IHC
protocol
VENTANA
OptiView
detection
system.
expression
was
evaluated
based
on
membrane
positivity
rate
(%)
staining
intensity.
Microscopic
assessment
performed
to
determine
percentage
HER2-positive
tumor
cells.
Digital
image
analysis
used
quantify
Results:
Membrane
detected
varying
degrees
in
all
cases.
This
indicated
that
tumors
previously
classified
as
exhibited
when
analyzed
with
Conclusion:
These
findings
suggest
protocols
can
improve
sensitivity.
Further
research
needed
clinical
significance
protocols.
Language: Английский
The “lows”: update on ER-low and HER2-low breast cancer
Nicola Fusco,
No information about this author
G. Viale
No information about this author
The Breast,
Journal Year:
2024,
Volume and Issue:
78, P. 103831 - 103831
Published: Oct. 30, 2024
ER-low
and
HER2-low
breast
cancers
have
emerged
as
clinically
significant
subtypes
that
challenge
traditional
diagnostic
categories
treatment
paradigms.
These
subtypes,
representing
a
spectrum
of
disease,
exhibit
distinct
biological
behaviors,
therapeutic
responses,
prognostic
outcomes.
cancer,
defined
by
low
HER2
protein
expression
(IHC
score
1+
or
2+
without
gene
amplification),
has
achieved
clinical
significance,
particularly
following
the
DESTINY-Breast
trials,
which
demonstrated
efficacy
trastuzumab
deruxtecan
(T-DXd)
in
population
patients
with
advanced
disease.
Similarly,
characterized
estrogen
receptor
(in
1%-10
%
invasive
tumor
cells),
poses
unique
challenges
due
to
its
intermediate
behavior
uncertain
response
endocrine
therapies.
The
identification
these
is
further
complicated
inconsistencies
testing
methodologies,
can
lead
misclassification
impact
decisions.
As
our
understanding
improves,
need
for
standardized
approaches
individualized
decisions
becomes
increasingly
urgent.
Ongoing
research
collaboration
between
pathologists
oncologists
are
essential
refining
criteria
improving
outcomes
theragnostic
biomarkers.
This
review
aims
consolidate
current
knowledge
on
cancers,
focusing
associated
their
identification,
implications
treatment,
future
directions
management.
By
examining
recent
studies
interlaboratory
assessments,
this
emphasizes
critical
accurate
reproducible
reporting,
development
tailored
strategies
"low"
cancers.
Language: Английский
Comparing the Sensitivity of HER2 Epitope Detection of HercepTest mAb pharmDx (Dako Omnis, GE001) and Ventana PATHWAY Anti-HER-2/neu (4B5) Using IHC Calibrators
Frederik H. Aidt,
No information about this author
María Sierra,
No information about this author
Karin Salomon
No information about this author
et al.
Applied immunohistochemistry & molecular morphology,
Journal Year:
2024,
Volume and Issue:
32(10), P. 469 - 475
Published: Oct. 24, 2024
Accurate
assessment
of
HER2
expression
levels
is
paramount
for
determining
eligibility
targeted
therapies.
immunohistochemistry
provides
a
semiquantitative
measurement
protein
overexpression.
Historically,
little
focus
has
been
on
the
lower
end
range.
The
advent
novel
therapeutic
molecules
that
require
fewer
membrane
epitopes
to
be
effective
prompted
reevaluation
current
testing
protocols,
with
special
emphasis
detection
limit.
Here,
we
have
used
Boston
Cell
Standards
technology
determine
sensitivity
2
commercially
available
assays,
including
limit
detection.
Language: Английский