Anatomic pathology selected abstracts
April 2025—Claudin-18.2 (CLDN18.2) is a biomarker for locally advanced or metastatic gastric and gastroesophageal junction adenocarcinomas that may respond to targeted therapy with monoclonal antibodies directed against CLDN18.2. Despite successful testing in clinical trials, no practical testing guidelines had been proposed at the time the authors’ article featured herein was published. Several preanalytical and analytical variables may interfere with CLDN18.2 staining interpretation. Therefore, the authors provided practical guidance on CLDN18.2 testing and scoring in gastric and gastroesophageal junction adenocarcinomas. They established criteria pertaining to sample characteristics, analytical requirements, staining evaluation, and reporting.