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Fernando López-Ríos
Spanish pathologist and Chief of the Molecular Diagnostics Service at Hospital Universitario 12 de Octubre, Madrid, specializing in lung cancer biomarker testing.
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Oct 9, 2026
HER2 biomarker testing in practice | S14E1
8:19
11:59

Enriqueta FelipHOST
Perhaps we can review the recommendations, uh, in, in Europe, uh, about the HER2 testing.
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8:27Fernando López-RíosGUEST
This, uh, I think is a, is a very, is very important, Enriqueta, because it can be sometimes a bit confusing because of, of all these different mechanisms.
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8:35Fernando López-RíosGUEST
I think most or all guidelines agree that we need to, um, to make sure that, that we test for HER2 mutations, uh, in patients with advanced non-small cell lung cancer, and the recommended method, uh, currently is, uh, next-generation sequencing because it's, it's very comprehensive.
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8:56Fernando López-RíosGUEST
And then you, you, you make sure that, uh, you don't miss any of these, uh, activating mutations.
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9:03Fernando López-RíosGUEST
And sometimes you do find copy number variation, uh, which traditionally, uh, this amplification has been studied by FISH, but currently it can be inferred from, from the results of next-generation sequencing, um, pipelines, particularly if you have enough tumor content.
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9:28Fernando López-RíosGUEST
And currently, as you were, um, saying, it, it's not clear how to deal with this, um, amplification, but it's mostly studied in the, in, in the settings, uh, of resistance.

Enriqueta FelipHOST
So who should we test? Uh, when? At diagnosis or at disease progression? Uh, and, uh, how should we interpret the results? So, uh, perhaps to discuss the need also of molecular tumor board in some cases.