Antibody-drug conjugates targeting HER2 are increasing.
The study evaluated HER2 mRNA scores from genomic assays.
1,524 patients with HER2-negative breast cancer data were analyzed.
Median mRNA scores increase with higher IHC categories.
28 percent of cases showed discordance between IHC and mRNA scores.
High nuclear grade and Ki-67 are predictors of discordance.
HER2 mRNA scoring may enhance identification of HER2-low cases.
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