2018 IHC Scoring Criteria from the American Society of Clinical Oncologists (ASCO) and the College of American Pathologists (CAP)

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2018 IHC Scoring Criteria from the American Society of Clinical Oncologists (ASCO) and the College of American Pathologists (CAP)

Scoring criteria have been developed by ASCO and CAP to increase the standardization of interpretation and increase the consistency of results between independent laboratories.
The 2018 ASCO-CAP scoring of HER2 by IHC is shown in the table.
ResultCriteria
Negative (score 0) No staining is observed or membrane staining that is incomplete, faint/barely perceptible and in
10% of tumor cells
Negative (score 1+) Incomplete membrane staining that is faint/barely perceptible and in > 10% of tumor cells
Equivocal (score 2+) Weak to moderate complete membrane staining observed in >10% of tumor cells
*Required confirmatory Her-2 ISH testing
Positive (score 3+) Circumferential membrane staining that is complete, intense and in 10% of tumor cells