Medikamentöse Therapie des frühen Mammakarzinoms
摘要
For more than 30 years, the St. Gallen (SG) International Consensus Conference on the treatment of patients with primary breast cancer (SGBCC) has been taking place regularly. The SGBCC consensus is based on the majority vote of the SG panel and represents an international cross-section of opinions.
RationaleThis article discusses and classifies the panel members’ voting results for everyday clinical practice in Germany.
BasisThe discussion is based on the German treatment recommendations of the ‘Arbeitsgemeinschaft Gynäkologische Onkologie’ (AGO Organkommission Mamma, Version 2025.1) which is updated every year, most recently in March 2025. The updated S3 guideline on ‘Early detection, diagnosis, therapy and follow-up of breast cancer’ was only available as a consultation version at the time.
ResultsThis year’s 19th SGBCC focused on practice-oriented issues related to early breast cancer, which—in part—were discussed and agreed upon using fictitious case studies with different variables. The rationale behind this was to address the increasingly personalized treatment decisions for early breast cancer. More than ever, not only tumor stage, tumor biology, breast cancer subtype, performance status, age or life expectancy are considered as individual factors, but also various molecular and genetic variables are part of the treatment decision-making process. The present manuscript is focusing on systemic tumor therapy.