Open Access
CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2023; 83(03): 289-298
DOI: 10.1055/a-2018-9053
GebFra Science
Review

Update Breast Cancer 2022 Part 5 – Early Stage Breast Cancer

Article in several languages: English | deutsch

Authors

  • Tanja N. Fehm

    1   Department of Gynecology and Obstetrics, University Hospital Düsseldorf, Düsseldorf, Germany
  • Manfred Welslau

    2   Onkologie Aschaffenburg, Aschaffenburg, Germany
  • Volkmar Müller

    3   Department of Gynecology, Hamburg-Eppendorf University Medical Center, Hamburg, Germany
  • Diana Lüftner

    4   Immanuel Hospital Märkische Schweiz, Buckow; Medical University of Brandenburg Theodor-Fontane, Brandenburg, Germany
  • Florian Schütz

    5   Gynäkologie und Geburtshilfe, Diakonissen-Stiftungs-Krankenhaus Speyer, Speyer, 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

    3   Department of Gynecology, Hamburg-Eppendorf University Medical Center, Hamburg, Germany
  • Milena Beierlein

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

    9   ClinSol GmbH & Co. KG, Würzburg, Germany
  • Michael Untch

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

    11   Agaplesion Markus Krankenhaus, Department of Gynecology and Gynecological Oncology, Frankfurt, Germany
  • Hans Tesch

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

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

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

    15   Department of Gynecology, University of Leipzig Medical Center, Leipzig, Germany
  • Maggie Banys-Paluchowski

    16   Department of Gynecology and Obstetrics, University Hospital Schleswig-Holstein, Campus Lübeck, Lübeck, Germany
  • Cornelia Kolberg-Liedtke

    17   Department of Gynecology and Obstetrics, University Hospital Essen, Essen, Germany
  • Andreas D. Hartkopf

    7   Department of Gynecology and Obstetrics, Ulm University Hospital, Ulm, Germany
  • Achim Wöckel

    18   Department of Gynecology and Obstetrics, University Hospital Würzburg, Würzburg, Germany
  • Hans-Christian Kolberg

    19   Department of Gynecology and Obstetrics, Marienhospital Bottrop, Bottrop, Germany
  • Nadia Harbeck

    20   Breast Center, Department of Gynecology and Obstetrics and CCC Munich LMU, LMU University Hospital, Munich, Germany
  • Elmar Stickeler

    21   Department of Obstetrics and Gynecology, Center for Integrated Oncology (CIO Aachen, Bonn, Cologne, Düsseldorf), University Hospital of RWTH Aachen, Aachen, Germany

Abstract

The treatment of patients with early stage breast cancer has changed in recent years due to the introduction of pembrolizumab, olaparib, and abemaciclib. These and other drugs with the same class of active ingredient are currently in trial for various indications. This review article summarizes the latest results that have either been presented at major conferences such as the ESMO 2022 or published recently in international journals. This includes reports on newly discovered breast cancer genes, atezolizumab in neoadjuvant therapy in HER2-positive patients, long-term data from the APHINITY study, and on how preoperative peritumoral application of local anesthetics can influence the prognosis. We also present solid data on dynamic Ki-67 from the ADAPT studies.



Publication History

Received: 27 November 2022

Accepted: 27 December 2022

Article published online:
09 March 2023

© 2023. 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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