The intratumoural heterogeneity of human epidermal growth factor receptor 2 (HER2) status is a major challenge.
We reassess HER2 in primary and metastatic sites in initially HER2(–) gastric cancer.
Reassessment finds 8.7% (primary sites) and 5.7% (metastatic sites) HER2(+) disease.
Patients with rescued HER2(+) have benefits from trastuzumab-containing therapy.
We find significant clinical factors associated with rescued HER2 positivity.