Open Access
CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2022; 82(06): 590-600
DOI: 10.1055/a-1811-6148
GebFra Science
Review/Übersicht

Update Breast Cancer 2022 Part 2 – Advanced Stage Breast Cancer

Article in several languages: English | deutsch

Authors

  • Volkmar Müller

    1   Department of Gynecology, Hamburg-Eppendorf University Medical Center, Hamburg, Germany
  • Manfred Welslau

    2   Onkologie Aschaffenburg, Aschaffenburg, Germany
  • Diana Lüftner

    3   Charité University Hospital, Department of Hematology, Oncology and Tumour Immunology, University Medicine Berlin, Berlin, Germany
  • Florian Schütz

    4   Gynäkologie und Geburtshilfe, Diakonissen-Stiftungs-Krankenhaus Speyer, Speyer, Germany
  • Elmar Stickeler

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

    6   Erlangen University Hospital, Department of Gynecology and Obstetrics, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany
  • Wolfgang Janni

    7   Department of Gynecology and Obstetrics, Ulm University Hospital, Ulm, Germany
  • Christoph Thomssen

    8   Department of Gynaecology, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany
  • Isabell Witzel

    2   Onkologie Aschaffenburg, Aschaffenburg, Germany
  • Tanja N. Fehm

    9   Department of Gynecology and Obstetrics, University Hospital Düsseldorf, Düsseldorf, Germany
  • Erik Belleville

    10   ClinSol GmbH & Co KG, Würzburg, Germany
  • Simon Bader

    6   Erlangen University Hospital, Department of Gynecology and Obstetrics, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany
  • Katharina Seitz

    6   Erlangen University Hospital, Department of Gynecology and Obstetrics, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany
  • Michael Untch

    11   Clinic for Gynecology and Obstetrics, Breast Cancer Center, Genecologic Oncology Center, Helios Klinikum Berlin Buch, Berlin, Germany
  • Marc Thill

    12   Agaplesion Markus Krankenhaus, Department of Gynecology and Gynecological Oncology, Frankfurt am Main
  • Hans Tesch

    13   Oncology Practice at Bethanien Hospital, Frankfurt am Main, Germany
  • Nina Ditsch

    14   Department of Gynecology and Obstetrics, University Hospital Augsburg, Augsburg, Germany
  • Michael P. Lux

    15   Klinik für Gynäkologie und Geburtshilfe, Frauenklinik St. Louise, Paderborn, St. Josefs-Krankenhaus, Salzkotten, St. Vincenz Krankenhaus GmbH, Germany
  • Bahriye Aktas

    16   Klinik und Poliklinik für Gynäkologie, Universitätsklinikum Leipzig, Leipzig, Germany
  • Maggie Banys-Paluchowski

    17   Department of Gynecology and Obstetrics, University Hospital Schleswig-Holstein, Campus Lübeck, Lübeck, Germany
  • Andreas Schneeweiss

    18   National Center for Tumor Diseases (NCT), Heidelberg University Hospital and German Cancer Research Center, Heidelberg, Germany
  • Nadia Harbeck

    19   Breast Center, Department of Gynecology and Obstetrics and CCC Munich LMU, LMU University Hospital, Munich, Germany
  • Rachel Würstlein

    19   Breast Center, Department of Gynecology and Obstetrics and CCC Munich LMU, LMU University Hospital, Munich, Germany
  • Andreas D. Hartkopf

    7   Department of Gynecology and Obstetrics, Ulm University Hospital, Ulm, Germany
  • Hans-Christian Kolberg

    20   Department of Gynecology and Obstetrics, Marienhospital Bottrop, Bottrop, Germany
  • Achim Wöckel

    21   Department of Gynecology and Obstetrics, University Hospital Würzburg, Würzburg, Germany

Abstract

For patients with advanced breast cancer, several novel therapies have emerged in recent years, including CDK4/6 inhibitors, immune checkpoint inhibitors, PARP inhibitors, alpelisib, tucatinib and trastuzumab-deruxtecan, and sacituzumab-govitecan, which have transformed and expanded the therapeutic landscape for patients with advanced breast cancer. Some of these substances have now been approved for use in the early stages of the disease, or are expected to be approved in the near future, so the therapeutic landscape will change once again. Therefore, current scientific efforts are focused on the introduction of new substances and understanding their mechanisms of progression and efficacy. This review summarizes recent developments with reference to recent publications and conferences. Findings on the treatment of patients with HER2-positive breast cancer and brain metastases are presented, as are a number of studies looking at biomarkers in patients with HER2-negative, hormone receptor-positive breast cancer. In particular, the introduction of oral selective estrogen receptor degraders provides new opportunities to establish biomarker-based therapy. Molecular diagnostics is establishing itself as a diagnostic marker and parameter of progression.



Publication History

Received: 21 March 2022

Accepted after revision: 26 March 2022

Article published online:
03 June 2022

© 2022. 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/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany