%0 Journal Article %T Human epidermal growth factor receptor 2 (HER2) status in breast cancer: practice points and challenges. %A Laokulrath N %A Gudi M %A Salahuddin SA %A Chong APY %A Ding C %A Iqbal J %A Leow WQ %A Tan BY %A Tse G %A Rakha E %A Tan PH %J Histopathology %V 85 %N 3 %D 2024 Sep 6 %M 38845396 %F 7.778 %R 10.1111/his.15213 %X Human epidermal growth factor receptor 2 (HER2)-enriched breast cancer benefits significantly from anti-HER2 targeted therapies. This highlights the critical need for precise HER2 immunohistochemistry (IHC) interpretation serving as a triage tool for selecting patients for anti-HER2 regimens. Recently, the emerging eligibility of patients with HER2-low breast cancers for a novel HER2-targeted antibody-drug conjugate (T-DXd) adds challenges to HER2 IHC scoring interpretation, notably in the 0-1+ range, which shows high interobserver and interlaboratory staining platform variability. In this review, we navigate evolving challenges and suggest practical recommendations for HER2 IHC interpretation.