Lüftner D, Lux M P, Maass N, Schütz F, Schwidde I, Fasching P A, Fehm T, Janni W, Kümmel S, Kolberg H-C
Medizinische Klinik und Poliklinik II, Campus Charité Mitte, Berlin.
Frauenklinik, Universitätsklinikum Erlangen, Erlangen.
Geburtshilfe Frauenheilkd. 2012 Dec;72(12):1117-1129. doi: 10.1055/s-0032-1328084.
Treatment options as well as the characteristics for therapeutic decisions in patients with primary and advanced breast cancer are increasing in number and variety. New targeted therapies in combination with established chemotherapy schemes are broadening the spectrum, yet not every new, promising combination achieves a better result. New data from the field of pharmacogenomics point to prognostic and predictive factors that take not only the properties of the tumour but also the genetic disposition of the patient into consideration. Current therapeutic decision-making is thus based on a combination of classical clinical and modern molecular biomarkers. Health-economic concerns are also being taken into consideration more frequently, meaning political decisions may also become a factor. This review presents the trends over the past year.
原发性和晚期乳腺癌患者的治疗选择以及治疗决策的依据在数量和种类上都在不断增加。新的靶向治疗与既定的化疗方案相结合,正在拓宽治疗范围,但并非每一种新的、有前景的联合治疗都能取得更好的效果。药物基因组学领域的新数据指出了预后和预测因素,这些因素不仅考虑肿瘤的特性,还考虑患者的遗传倾向。因此,当前的治疗决策基于经典临床指标和现代分子生物标志物的结合。卫生经济问题也越来越受到关注,这意味着政治决策也可能成为一个因素。本综述介绍了过去一年的趋势。