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S3-Leitlinie Mammakarzinom: das lokoregionäre Rezidiv

S3 guidelines on breast cancer: locoregional recurrence

  • Leitthema
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Der Gynäkologe Aims and scope

Zusammenfassung

Die Behandlung des lokoregionär rezidivierten Mammakarzinoms ist eine interdisziplinäre Herausforderung. Neben operativen Maßnahmen, die in der Regel eine vollständige Resektion zum Ziel haben, sind Strahlentherapie und die Systemtherapie tragende Säulen in der Behandlung. In der neuen S3-Leitlinie wird das Thema in einem eigenen Kapitel behandelt. Als Neuerung im Vergleich zu den vorangegangenen Leitlinien wird betont, dass unter gewissen Voraussetzungen eine erneute brusterhaltende Operation (Re-BEO) möglich ist. Da je nach Tumorbiologie, Tumorstadium und Vorgeschichte ganz unterschiedliche Therapiekonzepte möglich sind, werden individuelle Risikobewertung und Aufklärung in der Leitlinie explizit hervorgehoben.

Abstract

Treatment of locoregionally relapsed breast cancer is an interdisciplinary challenge. In addition to surgical procedures, which usually aim for a complete resection, radiotherapy and systemic therapy are essential pillars of treatment. The topic is dealt within a separate chapter in the new German S3 guidelines. Compared to previous guidelines, it is emphasized that under certain conditions breast-conserving can be reconsidered. Depending on tumor biology, tumor stage and medical history, various therapy concepts are possible. This is why individual risk assessment and patient information are highlighted in the guidelines.

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Authors and Affiliations

  1. Department für Frauengesundheit, Universitätsklinikum Tübingen, Calwerstr. 7, 72076, Tübingen, Deutschland

    Sara Y. Brucker & Andreas D. Hartkopf

  2. Frauenheilkunde und Geburtshilfe, Universitätsklinikum Ulm, Ulm, Deutschland

    Wolfgang Janni

Authors
  1. Sara Y. Brucker
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  2. Andreas D. Hartkopf
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  3. Wolfgang Janni
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Correspondence to Sara Y. Brucker.

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Interessenkonflikt

S.Y. Brucker, A.D. Hartkopf und W. Janni geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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A. Wöckel, Würzburg

R. Kreienberg, Mainz

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Brucker, S.Y., Hartkopf, A.D. & Janni, W. S3-Leitlinie Mammakarzinom: das lokoregionäre Rezidiv. Gynäkologe 51, 556–559 (2018). https://doi.org/10.1007/s00129-018-4277-6

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  • DOI: https://doi.org/10.1007/s00129-018-4277-6

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