Fehm Tanja N, Welslau Manfred, Müller Volkmar, Lüftner Diana, Schütz Florian, Fasching Peter A, Janni Wolfgang, Thomssen Christoph, Witzel Isabell, Belleville Erik, Untch Michael, Thill Marc, Tesch Hans, Ditsch Nina, Lux Michael P, Aktas Bahriye, Banys-Paluchowski Maggie, Schneeweiss Andreas, Kolberg-Liedtke Cornelia, Hartkopf Andreas D, Wöckel Achim, Kolberg Hans-Christian, Harbeck Nadia, Stickeler Elmar
Department of Gynecology and Obstetrics, University Hospital Düsseldorf, Düsseldorf, Germany.
Onkologie Aschaffenburg, Aschaffenburg, Germany.
Geburtshilfe Frauenheilkd. 2022 Sep 13;82(9):912-921. doi: 10.1055/a-1912-7105. eCollection 2022 Sep.
This review summarizes recent developments in the prevention and treatment of patients with early-stage breast cancer. The individual disease risk for different molecular subtypes was investigated in a large epidemiological study. With regard to treatment, new data are available from long-term follow-up of the Aphinity study, as well as new data on neoadjuvant therapy with atezolizumab in HER2-positive patients. Biomarkers, such as residual cancer burden, were investigated in the context of pembrolizumab therapy. A Genomic Grade Index study in elderly patients is one of a group of studies investigating the use of modern multigene tests to identify patients with an excellent prognosis in whom chemotherapy may be avoided. These and other aspects of the latest developments in the diagnosis and treatment of breast cancer are described in this review.
本综述总结了早期乳腺癌患者预防和治疗方面的最新进展。一项大型流行病学研究调查了不同分子亚型的个体疾病风险。在治疗方面,可获得Aphinity研究长期随访的新数据,以及关于阿替利珠单抗用于HER2阳性患者新辅助治疗的新数据。在帕博利珠单抗治疗的背景下对残余癌负荷等生物标志物进行了研究。一项针对老年患者的基因组分级指数研究是一组研究中的一项,这些研究旨在探索使用现代多基因检测来识别预后良好、可能无需化疗的患者。本综述描述了乳腺癌诊断和治疗最新进展的这些及其他方面。