HER2-Status (fester Tumor — Magen-/GEJ/CRC-Wertung)
Deterministische Ansicht der Quelle YAML Entität. Klinische Autorität bleibt mit den zitierten Quell-IDs und Rezensenten Sign-off Zustand.
| ID | BIO-HER2-SOLID |
|---|---|
| Art | Biomarker |
| Aliase | ERBB2HER-2/neuHER2 IHC + ISHСтатус HER2 (солідні пухлини) |
| Status | überprüft 2026-04-26 |
| Erkrankungen | DIS-BREAST DIS-CHOLANGIOCARCINOMA DIS-CRC DIS-ESOPHAGEAL DIS-GASTRIC DIS-NSCLC DIS-SALIVARY |
| Quellen | SRC-ESMO-GASTRIC-2024 SRC-NCCN-COLON-2025 SRC-NCCN-GASTRIC-2025 |
Biomarker-Fakten
| Biomarker-Typ | protein_expression_ihc |
|---|---|
| Messung | VerfahrenIHC (4B5 / HercepTest), Reflex ISH (FISH/CISH/SISH) für IHC 2+. Solid-Tumor-Scoring verwendet Magenkriterien (Hofmann 2008) — basolaterale / laterale membranöse Färbung ≥ 10% (vs Brust 2018 ASCO/CAP). EinheitenIHC 0 | 1+ | 2+ | 3+; ISH HER2/CEP17 ratio with cutoff ≥2.0 |
| Verwandte Biomarker | None declared |
Verwendet von
Therapeutische Relevanz
BMA-HER2-AMP-CHOLANGIO- HER2-verstärkte Gallenwegskrebs (~5-15% insgesamt; angereichert mit Gallenblase + Extrahepat...BMA-HER2-AMP-CRC- HER2-verstärkter metastasierter Kolorektalkarzinom (~3-5% in der RAS/BRAF-WT-Population): Tucatinib...BMA-HER2-AMP-ESOPHAGEAL- HER2-positives Esophageal/GEJ Adenokarzinom nach Magenkriterien: Trastuzumab + che...BMA-HER2-AMP-GASTRIC- HER2-positives Magen-/GEJ-Adenokarzinom (~15-20%): Trastuzumab + Chemotherapie ist...
Algorithmen
ALGO-ESOPH-METASTATIC-1L- ALGO-ESOPH-METASTATIC-1L
Biomarker
BIO-CLDN18-2- Claudin-18.2 Ausdruck (CLDN18.2)BIO-ESTROGEN-RECEPTOR- Östrogenrezeptor (ER)BIO-FGFR2B-IHC- FGFR2b Proteinexpression durch IHC (membranöse Färbung)BIO-HER2-LOW- HER2-niedrig (Brust — IHC 1+ ODER IHC 2+ ISH-negativ)BIO-HER2-ULTRALOW- HER2-ultralow (Brust — IHC > 0 < 1+; schwache/unvollständige Membranfärbung ≤ 10 %)
Erkrankung
DIS-CHOLANGIOCARCINOMA- Cholangiokarzinom (ZNS-Krebs)DIS-SALIVARY- Speicheldrüsenkarzinom
Kapitel des Handbuchs
HB-BREAST-HER2-POS-MET-1L- HER2+ metastasierter Brustkrebs:HB-BREAST-HR-POS-HER2-NEG-1L- HR+/HER2- metastasierter Brustkrebs:
Anwendungsgebiet
IND-BREAST-BRCA-MET-TALAZOPARIB- IND-BREAST-BRCA-MET-TALAZOPARIBIND-BREAST-BRCA-POS-MET-PARPI- IND-BREAST-BRCA-POS-MET-PARPIIND-BREAST-HER2-LOW-2L-DATO-DXD- IND-BREAST-HER2-LOW-2L-DATO-DXDIND-BREAST-HER2-POS-3L-TUCATINIB- IND-BREAST-HER2-POS-3L-TUCATINIBIND-BREAST-HER2-POS-EARLY-NEOADJUVANT- IND-BREAST-HER2-POS-EARLY-NEOADJUVANTIND-BREAST-HER2-POS-MAINT-TRAST- IND-BREAST-HER2-POS-MAINT-TRASTIND-BREAST-HER2-POS-MET-1L-THP- IND-BREAST-HER2-POS-MET-1L-THPIND-BREAST-HER2-POS-MET-2L-TDXD- IND-BREAST-HER2-POS-MET-2L-TDXDIND-BREAST-HR-POS-1L-INAVOLISIB- IND-BREAST-HR-POS-1L-INAVOLISIBIND-BREAST-HR-POS-2L-AKT-CAPIVASERTIB- IND-BREAST-HR-POS-2L-AKT-CAPIVASERTIBIND-BREAST-HR-POS-2L-DATO-DXD- IND-BREAST-HR-POS-2L-DATO-DXDIND-BREAST-HR-POS-2L-ESR1-ELACESTRANT- IND-BREAST-HR-POS-2L-ESR1-ELACESTRANTIND-BREAST-HR-POS-2L-FUL-EVEROLIMUS- IND-BREAST-HR-POS-2L-FUL-EVEROLIMUSIND-BREAST-HR-POS-2L-PIK3CA-ALPELISIB- IND-BREAST-HR-POS-2L-PIK3CA-ALPELISIBIND-BREAST-HR-POS-2L-T-DXD-HER2-LOW- IND-BREAST-HR-POS-2L-T-DXD-HER2-LOWIND-BREAST-HR-POS-3L-POST-CDK46I-POST-AKT- IND-BREAST-HR-POS-3L-POST-CDK46I-POST-AKTIND-BREAST-HR-POS-EARLY-ADJ-CDK46I- IND-BREAST-HR-POS-EARLY-ADJ-CDK46IIND-BREAST-HR-POS-EARLY-ADJ-RIBOCICLIB- IND-BREAST-HR-POS-EARLY-ADJ-RIBOCICLIBIND-BREAST-HR-POS-MAINT-CDK46I- IND-BREAST-HR-POS-MAINT-CDK46IIND-BREAST-HR-POS-MET-1L-CDKI- IND-BREAST-HR-POS-MET-1L-CDKIIND-BREAST-TNBC-2L-BRCA-OLAPARIB- IND-BREAST-TNBC-2L-BRCA-OLAPARIBIND-BREAST-TNBC-2L-BRCA-TALAZOPARIB- IND-BREAST-TNBC-2L-BRCA-TALAZOPARIBIND-BREAST-TNBC-2L-DATO-DXD- IND-BREAST-TNBC-2L-DATO-DXDIND-BREAST-TNBC-2L-SACITUZUMAB- IND-BREAST-TNBC-2L-SACITUZUMABIND-BREAST-TNBC-2L-T-DXD-HER2-LOW- IND-BREAST-TNBC-2L-T-DXD-HER2-LOWIND-BREAST-TNBC-3L-POST-SACI-POST-T-DXD- IND-BREAST-TNBC-3L-POST-SACI-POST-T-DXDIND-BREAST-TNBC-EARLY-NEOADJUVANT- IND-BREAST-TNBC-EARLY-NEOADJUVANTIND-CHOLANGIO-2L-HER2-ZANIDATAMAB- IND-CHOLANGIO-2L-HER2-ZANIDATAMABIND-CRC-METASTATIC-2L-HER2-AMP-T-DXD- IND-CRC-METASTATIC-2L-HER2-AMP-T-DXDIND-CRC-METASTATIC-2L-HER2-AMP-TUCATINIB- IND-CRC-METASTATIC-2L-HER2-AMP-TUCATINIBIND-ESOPH-METASTATIC-1L-HER2-TRASTUZUMAB-CHEMO- IND-ESOPH-METASTATIC-1L-HER2-TRASTUZUMAB-CHEMOIND-ESOPH-METASTATIC-2L-HER2-POSITIVE-T-DXD- IND-ESOPH-METASTATIC-2L-HER2-POSITIVE-T-DXDIND-ESOPH-OLIGOMET-SYSTEMIC-PLUS-LOCAL- IND-ESOPH-OLIGOMET-SYSTEMIC-PLUS-LOCALIND-GASTRIC-METASTATIC-1L-CLDN18-2-ZOLBETUXIMAB- IND-GASTRIC-METASTATIC-1L-CLDN18-2-ZOLBETUXIMABIND-GASTRIC-METASTATIC-1L-FGFR2B-BEMARITUZUMAB- IND-GASTRIC-METASTATIC-1L-FGFR2B-BEMARITUZUMABIND-GASTRIC-METASTATIC-1L-HER2-TOGA- IND-GASTRIC-METASTATIC-1L-HER2-TOGAIND-GASTRIC-METASTATIC-1L-PDL1-CHEMO-ICI- IND-GASTRIC-METASTATIC-1L-PDL1-CHEMO-ICIIND-GASTRIC-METASTATIC-2L-HER2-TDXD- IND-GASTRIC-METASTATIC-2L-HER2-TDXDIND-GASTRIC-METASTATIC-2L-RAMUCIRUMAB-PACLITAXEL- IND-GASTRIC-METASTATIC-2L-RAMUCIRUMAB-PACLITAXELIND-GASTRIC-OLIGOMET-SYSTEMIC-PLUS-LOCAL- IND-GASTRIC-OLIGOMET-SYSTEMIC-PLUS-LOCAL- ... 2 weitere
Fragebogen
QUEST-BREAST-1L-STUB- Invasiver Brustkrebs — erste ZeileQUEST-CRC-1L-STUB- Kolorektales Karzinom — erste ZeileQUEST-GASTRIC-1L-STUB- Magen- und gastroösophageale Kreuzung Adenokarzinom — erste ZeileQUEST-NSCLC-1L-STUB- Non-small cell lung cancer — first line
Warnhinweis
RF-BREAST-HIGH-RISK-BIOLOGY- Germlin- oder somatische BRCA1/2-Mutation, PIK3CA-Mutation, ESR1-Mutation, HER2-Amplifikation,...RF-CHOLANGIOCARCINOMA-HIGH-RISK-BIOLOGY- Einsetzbare molekulare Veränderung des Cholangiokarzinoms — FGFR2 Fusion / Neuordnung, IDH...RF-CRC-HER2-AMP-ACTIONABLE- HER2-Verstärkung bei metastasierendem Kolorektalkarzinom — IHC 3+ ODER (IHC 2+ UND ISH verstärkt,...RF-SALIVARY-HIGH-RISK-BIOLOGY- Speicheldrüsen-Karzinom mit einführbaren molekularen Treiber: ETV6-NTRK3 Fusion (Mamma...
Prüfungen
TEST-HER2-IHC-FISH- HER2 IHC + Reflex FISH auf Tumor