Open Access
CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2021; 81(05): 526-538
DOI: 10.1055/a-1464-0953
GebFra Science
Review/Übersicht

Update Breast Cancer 2021 Part 1 – Prevention and Early Stages

Artikel in mehreren Sprachen: English | deutsch

Authors

  • Elmar Stickeler

    1   Department of Gynecology and Obstetrics, RWTH University Hospital Aachen, Aachen, Germany
  • Bahriye Aktas

    2   Klinik und Poliklinik für Gynäkologie, Universitätsklinikum Leipzig, Leipzig, Germany
  • Annika Behrens

    3   Erlangen University Hospital, Department of Gynecology and Obstetrics, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany
  • Erik Belleville

    4   ClinSol GmbH & Co. KG, Würzburg, Germany
  • Nina Ditsch

    5   Department of Gynecology and Obstetrics, University Hospital Augsburg, Augsburg, Germany
  • Peter A. Fasching

    3   Erlangen University Hospital, Department of Gynecology and Obstetrics, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany
  • Tanja N. Fehm

    6   Department of Gynecology and Obstetrics, University Hospital Düsseldorf, Düsseldorf, Germany
  • Andreas D. Hartkopf

    7   Department of Obstetrics and Gynecology, University of Tübingen, Tübingen, Germany
  • Christian Jackisch

    8   Department of Obstetrics and Gynecology, Sana Klinikum Offenbach, Offenbach, Germany
  • Wolfgang Janni

    9   Department of Gynecology and Obstetrics, Ulm University Hospital, Ulm, Germany
  • Cornelia Kolberg-Liedtke

    10   Department of Gynecology and Obstetrics, University Hospital Essen, Essen, Germany
  • Hans-Christian Kolberg

    11   Department of Gynecology and Obstetrics, Marienhospital Bottrop, Bottrop, Germany
  • Diana Lüftner

    12   Charité University Hospital, Department of Hematology, Oncology and Tumour Immunology, University Medicine Berlin, Berlin, Germany
  • Michael P. Lux

    13   Klinik für Gynäkologie und Geburtshilfe, Frauenklinik St. Louise, Paderborn, St. Josefs-Krankenhaus, Salzkotten, Germany
  • Volkmar Müller

    14   Department of Gynecology, Hamburg-Eppendorf University Medical Center, Hamburg, Germany
  • Andreas Schneeweiss

    15   National Center for Tumor Diseases (NCT), Heidelberg University Hospital and German Cancer Research Center, Heidelberg, Germany
  • Florian Schütz

    16   Gynäkologie und Geburtshilfe, Diakonissen-Stiftungs-Krankenhaus Speyer, Speyer, Germany
  • Carla E. Schulmeyer

    3   Erlangen University Hospital, Department of Gynecology and Obstetrics, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany
  • Hans Tesch

    17   Oncology Practice at Bethanien Hospital Frankfurt, Frankfurt, Germany
  • Christoph Thomssen

    18   Department of Gynaecology, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany
  • Christoph Uleer

    19   Praxisgemeinschaft Frauenärzte am Bahnhofsplatz, Hildesheim, Germany
  • Michael Untch

    20   Clinic for Gynecology and Obstetrics, Breast Cancer Center, Genecologic Oncology Center, Helios Klinikum Berlin Buch, Berlin, Germany
  • Manfred Welslau

    21   Onkologie Aschaffenburg, Aschaffenburg, Germany
  • Achim Wöckel

    22   Department of Gynecology and Obstetrics, University Hospital Würzburg, Würzburg, Germany
  • Lena A. Wurmthaler

    3   Erlangen University Hospital, Department of Gynecology and Obstetrics, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany
  • Rachel Würstlein

    23   Breast Center, Department of Gynecology and Obstetrics and CCC Munich LMU, LMU University Hospital, Munich, Germany
  • Marc Thill

    24   Agaplesion Markus Krankenhaus, Department of Gynecology and Gynecological Oncology, Frankfurt, Germany
Preview

Abstract

This review summarises not only the latest evidence on prevention, but also the current research on the treatment of early-stage breast cancer patients. Recent years have seen a growing body of evidence on the risk of high- and moderate-penetrance breast cancer susceptibility genes. A large international consortium has now been able to further refine the answer to the question of the significance of the so-called panel genes. Moreover, the data on treatment selection regarding endocrine efficacy and the decision for or against chemotherapy have also been advanced markedly. There is also new data on adjuvant CDK4/6 (cyclin-dependent kinase 4/6) inhibitors, which are standard in first-line treatment in patients with metastatic HER2-negative, hormone receptor-positive (HR+) breast cancer. For other therapies such as immune checkpoint inhibitors, which have successfully improved the rate of pathologic complete response (pCR) in neoadjuvant treatment settings for patients with triple-negative breast cancer (TNBC), there is a growing understanding of the quality of life and side effects. This is especially important in situations where patients could possibly be cured without such a regimen.



Publikationsverlauf

Eingereicht: 17. März 2021

Angenommen nach Revision: 23. März 2021

Artikel online veröffentlicht:
03. Mai 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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