Pathological identification of HER2-low breast cancer: Tips, tricks, and troubleshooting for the optimal test

Autor: Elham Sajjadi, Elena Guerini-Rocco, Elisa De Camilli, Oriana Pala, Giovanni Mazzarol, Konstantinos Venetis, Mariia Ivanova, Nicola Fusco
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Frontiers in Molecular Biosciences, Vol 10 (2023)
Druh dokumentu: article
ISSN: 2296-889X
DOI: 10.3389/fmolb.2023.1176309
Popis: The introduction of novel anti-HER2 antibody-drug conjugates (ADC) for the treatment of HER2-low breast cancers has transformed the traditional dichotomy of HER2 status to an expanded spectrum. However, the identification of HER2-low (i.e., immunohistochemistry (IHC) score 1 + or IHC score 2+, without gene amplification) tumors is challenged by methodological and analytical variables that might influence the sensitivity and reproducibility of HER2 testing. To open all possible therapeutic opportunities for HER2-low breast cancer patients the implementation of more accurate and reproducible testing strategies is mandatory. Here, we provide an overview of the existing barriers that may trouble HER2-low identification in breast cancer and discuss practical solutions that could enhance HER-low assessment.
Databáze: Directory of Open Access Journals