Update Breast Cancer 2021 Part 3 – Current Developments in the Treatment of Early Breast Cancer: Review and Assessment of Specialised Treatment Scenarios by an International Expert Panel

Author:

Fehm Tanja N.1,Stickeler Elmar2,Fasching Peter A.3,Janni Wolfgang4,Kolberg-Liedtke Cornelia567,Kolberg Hans-Christian8,Lüftner Diana9,Müller Volkmar10,Schütz Florian11,Thomssen Christoph12,Belleville Erik13,Behrens Annika3,Bader Simon3,Untch Michael14,Welslau Manfred15,Würstlein Rachel16,Thill Marc17,Krug David18,Hartkopf Andreas D.19

Affiliation:

1. Department of Gynecology and Obstetrics, University Hospital Düsseldorf, Düsseldorf, Germany

2. Department of Gynecology and Obstetrics, RWTH University Hospital Aachen, Aachen, Germany

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

4. Department of Gynecology and Obstetrics, Ulm University Hospital, Ulm, Germany

5. Department of Gynecology and Obstetrics, University Hospital Essen, Essen, Germany

6. palleos healthcare, Wiesbaden, Germany

7. Phaon Scientific, Wiesbaden, Germany

8. Department of Gynecology and Obstetrics, Marienhospital Bottrop, Bottrop, Germany

9. Charité University Hospital, Department of Hematology, Oncology and Tumour Immunology, University Medicine Berlin, Berlin, Germany

10. Department of Gynecology, Hamburg-Eppendorf University Medical Center, Hamburg, Germany

11. Gynäkologie und Geburtshilfe, Diakonissen-Stiftungs-Krankenhaus Speyer, Speyer, Germany

12. Department of Gynaecology, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany

13. ClinSol GmbH & Co KG, Würzburg, Germany

14. Clinic for Gynecology and Obstetrics, Breast Cancer Center, Genecologic Oncology Center, Helios Klinikum Berlin Buch, Berlin, Germany

15. Onkologie Aschaffenburg, Aschaffenburg, Germany

16. Breast Center, Department of Gynecology and Obstetrics and CCC Munich LMU, LMU University Hospital, Munich, Germany

17. Agaplesion Markus Krankenhaus, Department of Gynecology and Gynecological Oncology, Frankfurt, Germany

18. Department of Radiation Oncology, University Hospital of Schleswig-Holstein, Kiel, Germany

19. Department of Obstetrics and Gynecology, University of Tübingen, Tübingen, Germany

Abstract

AbstractThe continuous availability of findings from new studies repeatedly results in updated treatment recommendations and guidelines. In the case of breast carcinoma in particular, several studies have been published in the last few years that have transformed how early and advanced breast carcinoma is being treated. However, this by no means means implies that there is agreement among all experts on specific issues. It is precisely the diversity of interpretation of guidelines and study findings that reflects the constantly changing available data and its complexity, as well as the availability of new drugs. In recent years, new substances such as pertuzumab, T-DM1, neratinib and capecitabine have become available to treat patients with early stages of breast carcinoma. Furthermore, the first results on the use of CDK4/6 inhibitors for adjuvant treatment have now been published. Last but not least, the use of multigene tests to avoid the necessity of chemotherapy in certain patients is still under discussion. This review summarises the state of the data and publishes the results of the survey completed by experts at the 2021 St. Gallen Breast Cancer Conference on early-stage breast cancer.

Publisher

Georg Thieme Verlag KG

Subject

Maternity and Midwifery,Obstetrics and Gynecology

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