Table 2 Immunohistochemical assessment of HER2
Score to reportHER2 protein assessmentStaining pattern
0NegativeNo staining is seen or membrane staining is <10% of invasive tumour cells
1+NegativeFaint/barely perceptive membrane staining detected in >10% of invasive tumour cells
2+EquivocalWeak to moderate complete membrane staining in >10% of invasive tumour cells or <30% with strong complete membrane staining
3+PositiveStrong complete membrane staining in >30% of invasive tumour cells
  • 2+ cases should be assessed by FISH, as should other cases where there is heterogeneity, problems with immunohistochemistry interpretation and problems relating to fixation.