Update Breast Cancer 2019 Part 1 – Implementation of Study Results of Novel Study Designs in Clinical Practice in Patients with Early Breast Cancer

Author:

Hartkopf Andreas1,Müller Volkmar2,Wöckel Achim3,Lux Michael4,Janni Wolfgang5,Nabieva Naiba4,Taran Florin-Andrei1,Ettl Johannes6,Lüftner Diana7,Belleville Erik8,Schütz Florian9,Fasching Peter4,Fehm Tanja10,Kolberg Hans-Christian11,Overkamp Friedrich12,Schneeweiss Andreas13,Tesch Hans14

Affiliation:

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

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

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

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

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

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

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

8. ClinSol GmbH & Co. KG, Würzburg, Germany

9. Department of Obstetrics and Gynecology, University of Heidelberg, Heidelberg, Germany

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

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

12. OncoConsult Hamburg GmbH, Hamburg, Germany

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

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

Abstract

AbstractFor many years, small but significant advancements have been made time and again in the prevention and treatment of early breast cancer. The so-called panel gene analyses are becoming more and more important in prevention, since the risk due to the tested genes is better understood and as a result, concepts for integration in health care can be developed. In the adjuvant situation, the first study in the so-called post-neoadjuvant situation was able to demonstrate a clear improvement in the prognosis with an absent pathological complete remission following trastuzumab or pertuzumab + trastuzumab. Additional studies with this post-neoadjuvant therapeutic concept are still being conducted at present. The CDK4/6 inhibitors which had shown a significant improvement in progression-free survival in a metastatic situation are currently being tested in the adjuvant situation in large therapeutic studies. These and other new data for the treatment or prevention of primary breast cancer are presented in this review against the backdrop of current studies.

Publisher

Georg Thieme Verlag KG

Subject

Maternity and Midwifery,Obstetrics and Gynecology

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