Senologie - Zeitschrift für Mammadiagnostik und -therapie 2025; 22(04): 322-334
DOI: 10.1055/a-2723-4918
Übersicht

Update Mammakarzinom 2024 Teil 3 – Patientinnen mit fortgeschrittenen Stadien des Mammakarzinoms

Update Breast Cancer 2024 Part 3 – Patients with Advanced Stage Breast Cancer

Autor*innen

  • Diana Lüftner

    1   Immanuel Hospital Märkische Schweiz, Buckow, Germany & Medical University of Brandenburg Theodor-Fontane, Rüdersdorf, Germany
  • Hans-Christian Kolberg

    2   Department of Gynecology and Obstetrics, Marienhospital Bottrop, Bottrop, Germany
  • Andreas D. Hartkopf

    3   Department of Gynecology and Obstetrics, Tübingen University Hospital, Tübingen, Germany
  • Tanja N. Fehm

    4   Department of Gynecology and Obstetrics, University Hospital Düsseldorf, Düsseldorf, Germany
    5   Center for Integrated Oncology (CIO Aachen, Bonn, Cologne, Düsseldorf), Düsseldorf, Germany
  • Manfred Welslau

    6   Onkologie Aschaffenburg, Aschaffenburg, Germany
  • Volkmar Müller

    7   Department of Gynecology, Hamburg-Eppendorf University Medical Center, Hamburg, Germany
  • Florian Schütz

    8   Gynäkologie und Geburtshilfe, Diakonissen-Stiftungs-Krankenhaus, Speyer, Germany
  • Peter A. Fasching

    9   Department of Gynecology and Obstetrics, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
    10   Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany
  • Christian Jackisch

    11   Evangelische Kliniken Essen Mitte GmbH, Essen, Germany
  • Frederik Marme

    12   Universitätsmedizin Mannheim, Frauenklinik, Mannheim, Germany
  • Katharina Keller

    9   Department of Gynecology and Obstetrics, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
    10   Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany
  • Manuel Hörner

    9   Department of Gynecology and Obstetrics, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
    10   Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany
  • Chloë Goossens

    9   Department of Gynecology and Obstetrics, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
    10   Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany
  • Erik Belleville

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

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

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

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

    17   Department of Gynecology and Obstetrics, University Hospital Augsburg, Augsburg, Germany
  • Julia C. Radosa

    18   Department of Gynecology and Obstetrics, Saarland University Hospital, Homburg, Germany
  • Maggie Banys-Paluchowski

    19   Department of Gynecology and Obstetrics, University Hospital Schleswig-Holstein, Campus Lübeck, Lübeck, Germany
  • Achim Wöckel

    20   Department of Gynecology and Obstetrics, University Hospital Würzburg, Würzburg, Germany
  • Nadia Harbeck

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

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

    23   Department of Medicine I, Division of Oncology, Medical University of Vienna, Vienna, Austria
  • Bahriye Aktas

    24   Department of Gynecology, University of Leipzig Medical Center, Leipzig, Germany
  • Andreas Schneeweiss

    25   National Center for Tumor Diseases, University Hospital and German Cancer Research Center, Heidelberg, Germany
  • Johannes Ettl

    26   Department of Obstetrics and Gynecology and Department of Oncology and Palliative Care, Cancer Center Kempten/Allgäu, Klinikverbund Allgäu gGmbH, Kempten, Germany
  • Florin-Andrei Taran

    27   Department of Gynecology and Obstetrics, University Hospital Freiburg, Freiburg, Germany
  • Wolfgang Janni

    28   Department of Gynecology and Obstetrics, Ulm University Hospital, Ulm, Germany
  • Rachel Würstlein

    21   Breast Center, Department of Gynecology and Obstetrics and CCC Munich LMU, LMU University Hospital, Munich, Germany
  • Michael P. Lux

    29   Klinik für Gynäkologie und Geburtshilfe, Frauenklinik St. Louise, Paderborn, St. Josefs-Krankenhaus, Salzkotten, St. Vincenz Krankenhaus GmbH, Paderborn, Germany

Zusammenfassung

Mit den CDK4/6-Inhibitoren, den neuen PI3K/AKT-Kinase-Inhibitoren, den selektiven Östrogenrezeptor-Degradern (SERDs), den Antikörper-Wirkstoff-Konjugaten, den Immuntherapien und den PARP-Inhibitoren wurde die Therapielandschaft von Patientinnen mit fortgeschrittenem Mammakarzinom in den letzten Jahren deutlich zum Positiven verändert. CDK4/6-Inhibitoren, Trastuzumab-Deruxtecan und Sacituzumab-Govitecan haben zudem alle einen signifikanten Gesamtüberlebensvorteil gegenüber konventioneller Chemotherapie nachgewiesen. Weitere Substanzen zeigen ebenfalls vielversprechende Daten, die hoffen lassen, dass in naher Zukunft weitere Analysen mit einem Gesamtüberlebensvorteil vorliegen. Die Geschwindigkeit der Studiendurchführung hat deutlich zugenommen, sodass die Kongresse zusammen mit den Fachzeitschriften eine stetige Quelle neuer Informationen bieten. Diese Übersichtsarbeit fasst die jüngsten Veröffentlichungen und Kongresspräsentationen über die Behandlung von Patientinnen mit fortgeschrittenen Stadien einer Mammakarzinomerkrankung zusammen.

Abstract

The use of CDK4/6 inhibitors, the new PI3K/AKT-kinase inhibitors, selective estrogen receptor-degraders (SERDs), antibody-drug conjugates, immune therapies and PARP inhibitors in recent years has resulted in a marked change in the therapy landscape for patients with advanced stage breast cancer. CDK4/6 inhibitors, trastuzumab deruxtecan, and sacituzumab govitecan have all been shown to provide significant overall survival benefits compared to conventional chemotherapy. Other substances are also showing promising results and hold out the hope that further analysis of the overall survival benefits will be available in the near future. The speed at which studies are now being carried out has markedly increased, and conferences and specialist journals are now constant sources of new information. This review summarizes the most recent publications and conference presentations on the treatment of patients with advanced stage breast cancer.



Publikationsverlauf

Eingereicht: 20. November 2024

Angenommen nach Revision: 07. Dezember 2024

Artikel online veröffentlicht:
17. Dezember 2025

© 2025. This article was originally published by Thieme in Geburtsh Frauenheilk 2025; 85: 507–519 as an open access article 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 commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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