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CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2019; 79(06): 591-604
DOI: 10.1055/a-0897-6457
GebFra Science
Review/Übersicht
Georg Thieme Verlag KG Stuttgart · New York

Primary Therapy of Early Breast Cancer: Evidence, Controversies, Consensus

Spectrum of Opinion of German Specialists on the 16th St. Gallen International Breast Cancer Conference (Vienna 2019) Article in several languages: English | deutsch
Michael Untch   *
1   Klinik für Gynäkologie und Geburtshilfe, interdisziplinäres Brustzentrum, HELIOS Klinikum Berlin Buch, Berlin, Germany
,
Christoph Thomssen   *
2   Klinik und Poliklinik für Gynäkologie, Martin-Luther-Universität, Halle-Wittenberg, Halle/Saale, Germany
,
Ingo Bauerfeind   **
3   Interdisziplinäres Brustkrebszentrum, Frauenklinik, Klinikum Landshut, Landshut, Germany
,
Michael Braun   **
4   Interdisziplinäres Brustzentrum, Frauenklinik, Rotkreuzklinikum München, München, Germany
,
Sara Y. Brucker   *   #
5   Universitäts-Frauenklinik Tübingen, Tübingen, Germany
,
Ricardo Felberbaum   **
6   Interdisziplinäres Brustzentrum Kempten – Allgäu (IBZK-A), Klinik für Frauenheilkunde und Geburtshilfe, Klinikum Kempten, Klinikverbund Kempten-Oberallgäu, Kempten, Germany
,
Friederike Hagemann   **
7   Brustzentrum, Frauenklinik der Universität München (LMU), München, Germany
,
Renate Haidinger   **
8   Brustkrebs Deutschland e. V.
,
Arnd Hönig   **
9   Brustzentrum, Frauenklinik, Katholisches Klinikum Mainz, Mainz, Germany
,
Jens Huober   *   #
10   Universitätsfrauenklinik Ulm, Brustzentrum, Ulm, Germany
,
Christian Jackisch   *
11   Klinik für Gynäkologie und Geburtshilfe, Sana-Klinikum Offenbach, Offenbach, Germany
,
Hans-Christian Kolberg   **
12   Brustzentrum, Klinik für Gynäkologie und Geburtshilfe, Marienhospital Bottrop gGmbH, Bottrop, Germany
,
Cornelia Kolberg-Liedtke   *
13   Charité – Universitätsmedizin Berlin, Campus Mitte, Berlin, Germany
,
Thorsten Kühn   *
14   Klinik für Frauenheilkunde und Geburtshilfe, Klinikum Esslingen, Esslingen, Germany
,
Diana Lüftner   *
15   Medizinische Klinik mit Schwerpunkt Hämatologie, Onkologie und Tumorimmunologie, Charité Campus Benjamin Franklin, Berlin, Germany
,
Nicolai Maass   **
16   Brustzentrum, Klinik für Gynäkologie und Geburtshilfe, Universitätsklinikum Schleswig-Holstein, Kiel, Germany
,
Toralf Reimer   **
17   Brustzentrum, Universitätsfrauenklinik und Poliklinik, Klinikum Südstadt Rostock, Rostock, Germany
,
Andreas Schneeweiss   *
18   Sektionsleiter Gynäkologische Onkologie des Universitätsklinikum (UKHD), Fellow des Deutschen Krebsforschungszentrum (DKFZ), Nationales Centrum für Tumorerkrankungen (NCT), Universitätsklinikum Heidelberg, Heidelberg, Germany
,
Eva Schumacher-Wulf   **
19   Mamma Mia! Das Brustkrebsmagazin, Kronberg, Germany
,
Florian Schütz   **
20   Brustzentrum, Sektion Senologie, UniversitätsKlinikum Heidelberg, Heidelberg, Germany
,
Marc Thill   *
21   Klinik für Gynäkologie und Gynäkologische Onkologie, Agaplesion Markus Krankenhaus, Frankfurt/Main, Germany
,
Rachel Wuerstlein   **
7   Brustzentrum, Frauenklinik der Universität München (LMU), München, Germany
,
Peter A. Fasching   *
22   Frauenklinik des Universitätsklinikums Erlangen, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, Germany
,
Nadia Harbeck   *   #
7   Brustzentrum, Frauenklinik der Universität München (LMU), München, Germany
› Author Affiliations
Further Information

Publication History

received 03 April 2019
revised 20 April 2019

accepted 21 April 2019

Publication Date:
14 June 2019 (online)

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Abstract

The results of the international St. Gallen Consensus Conference for the treatment of patients with primary breast cancer were discussed this year by a working group of leading breast cancer experts in view of the therapy recommendations for everyday clinical practice in Germany. Three of the breast cancer experts are also members of this yearʼs St. Gallen panel. The comparison of the St. Gallen recommendations with the annually updated treatment recommendations of the AGO 2019 as well as the S3 guideline is useful, since the recommendations of the St. Gallen panel represent the opinions of experts from various countries and disciplines. The recommendations of the S3 guideline and AGO are based on evidence-based research of the literature. This yearʼs 16th St. Gallen conference featured the motto “Magnitude of clinical benefit”. In addition to the evidence-based data, each therapeutic decision must also undergo a benefit/risk assessment of the patientʼs individual situation and be discussed with the patient.

Key words

St. Gallen consensus 2019 - early breast cancer - locoregional therapy - axilla - neoadjuvant treatment - systemic therapy

* Writing Committee


** Steering Committee


# St. Gallen Panel Expert


 

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