Open Access
CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2025; 85(05): 507-519
DOI: 10.1055/a-2515-2366
GebFra Science
Review

Update Breast Cancer 2024 Part 3 – Patients with Advanced Stage Breast Cancer

Article in several languages: English | deutsch
Diana Lüftner
1   Immanuel Hospital Märkische Schweiz, Buckow, Germany & Medical University of Brandenburg Theodor-Fontane, Rüdersdorf, Germany
,
Hans-Christian Kolberg
2   Department of Gynecology and Obstetrics, Marienhospital Bottrop, Bottrop, Germany
,
Andreas D. Hartkopf
3   Department of Gynecology and Obstetrics, Tübingen University Hospital, Tübingen, Germany
,
Tanja N. Fehm
4   Department of Gynecology and Obstetrics, University Hospital Düsseldorf, Düsseldorf, Germany
5   Center for Integrated Oncology (CIO Aachen, Bonn, Cologne, Düsseldorf), Düsseldorf, Germany
,
Manfred Welslau
6   Onkologie Aschaffenburg, Aschaffenburg, Germany
,
Volkmar Müller
7   Department of Gynecology, Hamburg-Eppendorf University Medical Center, Hamburg, Germany
,
Florian Schütz
8   Gynäkologie und Geburtshilfe, Diakonissen-Stiftungs-Krankenhaus, Speyer, Germany
,
Peter A. Fasching
9   Department of Gynecology and Obstetrics, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
10   Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany
,
Christian Jackisch
11   Evangelische Kliniken Essen Mitte GmbH, Essen, Germany
,
Frederik Marme
12   Universitätsmedizin Mannheim, Frauenklinik, Mannheim, Germany
,
Katharina Keller
9   Department of Gynecology and Obstetrics, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
10   Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany
,
Manuel Hörner
9   Department of Gynecology and Obstetrics, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
10   Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany
,
Chloë Goossens
9   Department of Gynecology and Obstetrics, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
10   Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany
,
Erik Belleville
13   ClinSol GmbH & Co. KG, Würzburg, Germany
,
Michael Untch
14   Clinic for Gynecology and Obstetrics, Breast Cancer Center, Gynecologic Oncology Center, Helios Klinikum Berlin Buch, Berlin, Germany
,
Marc Thill
15   Agaplesion Markus Krankenhaus, Department of Gynecology and Gynecological Oncology, Frankfurt am Main, Germany
,
Hans Tesch
16   Oncology Practice at Bethanien Hospital, Frankfurt am Main, Germany
,
Nina Ditsch
17   Department of Gynecology and Obstetrics, University Hospital Augsburg, Augsburg, Germany
,
Julia C. Radosa
18   Department of Gynecology and Obstetrics, Saarland University Hospital, Homburg, Germany
,
Maggie Banys-Paluchowski
19   Department of Gynecology and Obstetrics, University Hospital Schleswig-Holstein, Campus Lübeck, Lübeck, Germany
,
Achim Wöckel
20   Department of Gynecology and Obstetrics, University Hospital Würzburg, Würzburg, Germany
,
Nadia Harbeck
21   Breast Center, Department of Gynecology and Obstetrics and CCC Munich LMU, LMU University Hospital, Munich, Germany
,
Elmar Stickeler
22   Department of Obstetrics and Gynecology, Center for Integrated Oncology (CIO Aachen, Bonn, Cologne, Düsseldorf), University Hospital of RWTH Aachen, Aachen, Germany
,
Rupert Bartsch
23   Department of Medicine I, Division of Oncology, Medical University of Vienna, Vienna, Austria
,
Bahriye Aktas
24   Department of Gynecology, University of Leipzig Medical Center, Leipzig, Germany
,
Andreas Schneeweiss
25   National Center for Tumor Diseases, University Hospital and German Cancer Research Center, Heidelberg, Germany
,
Johannes Ettl
26   Department of Obstetrics and Gynecology and Department of Oncology and Palliative Care, Cancer Center Kempten/Allgäu, Klinikverbund Allgäu gGmbH, Kempten, Germany
,
Florin-Andrei Taran
27   Department of Gynecology and Obstetrics, University Hospital Freiburg, Freiburg, Germany
,
Wolfgang Janni
28   Department of Gynecology and Obstetrics, Ulm University Hospital, Ulm, Germany
,
Rachel Würstlein
21   Breast Center, Department of Gynecology and Obstetrics and CCC Munich LMU, LMU University Hospital, Munich, Germany
,
Michael P. Lux
29   Klinik für Gynäkologie und Geburtshilfe, Frauenklinik St. Louise, Paderborn, St. Josefs-Krankenhaus, Salzkotten, St. Vincenz Krankenhaus GmbH, Paderborn, Germany
› Author Affiliations
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Abstract

The use of CDK4/6 inhibitors, the new PI3K/AKT-kinase inhibitors, selective estrogen receptor-degraders (SERDs), antibody-drug conjugates, immune therapies and PARP inhibitors in recent years has resulted in a marked change in the therapy landscape for patients with advanced stage breast cancer. CDK4/6 inhibitors, trastuzumab deruxtecan, and sacituzumab govitecan have all been shown to provide significant overall survival benefits compared to conventional chemotherapy. Other substances are also showing promising results and hold out the hope that further analysis of the overall survival benefits will be available in the near future. The speed at which studies are now being carried out has markedly increased, and conferences and specialist journals are now constant sources of new information. This review summarizes the most recent publications and conference presentations on the treatment of patients with advanced stage breast cancer.



Publication History

Received: 20 November 2024

Accepted after revision: 07 December 2024

Article published online:
15 May 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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