Table 1. Currently used HER-2 immunohistochemistry scoring system in gastric cancer depends on the available specimen.
SCORE TO REPORT | HER-2 RECEPTOR OVEREXPRESSION ASSESSMENT | SCORING PATTERN: SURGICAL SPECIMEN | SCORING PATTERN: SMALL ENDOSCOPIC BIOPSIES (AT LEAST 6-8 DIAGNOSTIC FRAGMENTS) |
---|---|---|---|
0 | Negative | No reactivity or membranous reactivity in <10% of tumor cells | No reactivity in any tumor cell |
1+ | Negative | Faint/barely perceptible incomplete membranous reactivity in ≥10% of tumor cells | Tumor cell cluster with a faint/barely perceptible incomplete membranous reactivity irrespective of percentage of tumor cells stained |
2+ | Equivocal | Weak to moderate complete, basolateral or lateral membranous reactivity in ≥10% of tumor cells | Tumor cell cluster with a weak to moderate complete, basolateral or lateral membranous reactivity irrespective of percentage of tumor cells stained |
3+ | Positive | Strong complete, basolateral or lateral membranous reactivity in ≥10% of tumorcells | Tumor cell cluster with a strong complete, basolateral or lateral membranous reactivity irrespective of percentage of tumor cells stained |
HER-2: human epidermal growth factor receptor 2.