Update Breast Cancer 2018 (Part 2) – Advanced Breast Cancer, Quality of Life and Prevention

Author:

Schneeweiss Andreas12,Lux Michael3,Janni Wolfgang4,Hartkopf Andreas5,Nabieva Naiba3,Taran Florin-Andrei5,Overkamp Friedrich6,Kolberg Hans-Christian7,Hadji Peyman8,Tesch Hans9,Wöckel Achim10,Ettl Johannes11,Lüftner Diana12,Wallwiener Markus2,Müller Volkmar13,Beckmann Matthias3,Belleville Erik14,Wallwiener Diethelm5,Brucker Sara5,Schütz Florian2,Fasching Peter3,Fehm Tanja15

Affiliation:

1. National Center for Tumor Diseases, Division Gynecologic Oncology, University Hospital Heidelberg, Heidelberg, Germany

2. Department of Obstetrics and Gynecology, University of Heidelberg, Heidelberg, 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 Obstetrics and Gynecology, University of Tübingen, Tübingen, Germany

6. OncoConsult Hamburg GmbH, Hamburg, Germany

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

8. Department of Bone Oncology, Nordwest Hospital, Frankfurt, Germany

9. Oncology Practice at Bethanien Hospital Frankfurt, Frankfurt, Germany

10. Department of Gynecology and Obstetrics, University Hospital Würzburg, Würzburg, Germany

11. Department of Obstetrics and Gynecology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany

12. Charité University Hospital, Berlin, Campus Benjamin Franklin, Department of Hematology, Oncology and Tumour Immunology, Berlin, Germany

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

14. ClinSol GmbH & Co KG, Würzburg, Germany

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

Abstract

AbstractThe treatment of metastatic breast cancer has become more complicated due to increasing numbers of new therapies which need to be tested. Therapies are now being developed to treat special clinical or molecular subgroups. Even though intrinsic molecular subtypes play a major role, more and more new therapies for subgroups and histological subtypes are being developed, such as the use of PARP inhibitors to treat patients with BRCA mutations (breast and ovarian cancer). Supportive therapies are also evolving, allowing problems such as alopecia or nausea and vomiting to be treated more effectively. Treatment-related side effects have a direct impact on the prognosis of patients with metastatic breast cancer, and supportive therapy can improve compliance. Digital tools could be useful to establish better patient management systems. This overview provides an insight into recent trials and how the findings could affect routine treatment. Current aspects of breast cancer prevention are also presented.

Publisher

Georg Thieme Verlag KG

Subject

Maternity and Midwifery,Obstetrics and Gynaecology

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