Breast cancer

Nadia Harbeck1, Frédérique Penault-Llorca2, Javier Cortes3,4

  • 1LMU Munich, University Hospital, Department of Obstetrics and Gynecology, Breast Center and Comprehensive Cancer Center (CCLMU), Munich, Germany. nadia.harbeck@med.uni-muenchen.de.

Insights

Breast cancer is a heterogeneous disease with varying treatability based on stage and molecular subtype. Advances include targeted therapies and immunotherapy, but global access to these innovations remains a challenge.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Breast cancer is the most common female malignancy, with early stages being curable but advanced, metastatic disease remaining incurable.
  • The disease is molecularly heterogeneous, characterized by subtypes such as HER2-activated, hormone receptor-positive, and BRCA-mutated.
  • Current management involves a multidisciplinary approach combining locoregional treatments and diverse systemic therapies.

Purpose of the Study:

  • To provide an overview of the current understanding and treatment landscape of breast cancer.
  • To highlight the importance of molecular subtyping in guiding treatment strategies.
  • To discuss emerging therapeutic concepts and future challenges in breast cancer care.

Main Methods:

  • Review of current literature on breast cancer epidemiology, molecular classification, and treatment modalities.
  • Analysis of systemic therapies including endocrine therapy, chemotherapy, anti-HER2 therapy, and immunotherapy.
  • Discussion of future directions in personalized medicine and treatment de-escalation/escalation.

Main Results:

  • Treatment strategies are tailored to specific molecular subtypes of breast cancer.
  • A range of systemic therapies are available, including endocrine therapy, chemotherapy, anti-HER2 agents, PARP inhibitors, and immunotherapy.
  • Individualization of therapy based on tumor biology and early response is a key future concept.

Conclusions:

  • Breast cancer management requires a multidisciplinary approach tailored to molecular subtypes.
  • Ongoing research is driving innovations in systemic therapies, including immunotherapy.
  • Ensuring equitable global access to advanced breast cancer treatments is a critical future challenge.

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