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Geburtshilfe Frauenheilkd. 2018 Mar;78(3):246-259. doi: 10.1055/s-0044-101614. Epub 2018 Mar 21.

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

Geburtshilfe und Frauenheilkunde

Andreas Schneeweiss, Michael P Lux, Wolfgang Janni, Andreas D Hartkopf, Naiba Nabieva, Florin-Andrei Taran, Friedrich Overkamp, Hans-Christian Kolberg, Peyman Hadji, Hans Tesch, Achim Wöckel, Johannes Ettl, Diana Lüftner, Markus Wallwiener, Volkmar Müller, Matthias W Beckmann, Erik Belleville, Diethelm Wallwiener, Sara Y Brucker, Florian Schütz, Peter A Fasching, Tanja N Fehm

Affiliations

  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.

PMID: 29576630 PMCID: PMC5862553 DOI: 10.1055/s-0044-101614

Abstract

The 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.

Keywords: CDK4/6; PD1/PDL1; breast cancer; metastasis; prevention; risk; treatment; trials

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