Breast Cancer Continuum:
intervention possibilities
Prevention of ClinicallyPrevention of Clinically
Detectable Breast CancerDetectable Breast Cancer
Prevention of ClinicallyPrevention of Clinically
Detectable Breast CancerDetectable Breast Cancer
Pre-
Malignant
Conditions
LCIS 6.5%
ADH 5.1%
Women at
Increased
Risk
1.7 % to
14%
Non-
Invasive
Cancer
DCIS 7.2%
Prevention of ContralateralPrevention of Contralateral
Breast Cancer 3.2%Breast Cancer 3.2%
Prevention of ContralateralPrevention of Contralateral
Breast Cancer 3.2%Breast Cancer 3.2%
Tumors
< 1cm
11.8%
Early Stage
node neg
25.1%
Early Stage
node pos
47.1%
Prevention of Recurrence
Late Stage
Cancer
Recurrence
of Breast
Cancer
Prevention of
Progression
With thanks to Professor W.Jonat
Breast Cancer staging
With thanks to Professor W.Jonat
Breast Cancer staging 2
With thanks to Professor W.Jonat
Breast Cancer staging 3
Disease progrssion
Stages of tumour development
Malignant cell
Dissemination
of other organs
Invasion
Proliferation Angiogenesis
Neovascular
endothelial
maintenance
Invasion
Cytotoxics
Endocrine
EGFR inhibitors
HER2 antibodies
Anti-
angiogenics
Vascular
targeting
agents Novel
agents
Novel
agents
Metastatic
Cancer
of other
organs
Staging Classification of Breast Tumour

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Disease progrssion

  • 1. Breast Cancer Continuum: intervention possibilities Prevention of ClinicallyPrevention of Clinically Detectable Breast CancerDetectable Breast Cancer Prevention of ClinicallyPrevention of Clinically Detectable Breast CancerDetectable Breast Cancer Pre- Malignant Conditions LCIS 6.5% ADH 5.1% Women at Increased Risk 1.7 % to 14% Non- Invasive Cancer DCIS 7.2% Prevention of ContralateralPrevention of Contralateral Breast Cancer 3.2%Breast Cancer 3.2% Prevention of ContralateralPrevention of Contralateral Breast Cancer 3.2%Breast Cancer 3.2% Tumors < 1cm 11.8% Early Stage node neg 25.1% Early Stage node pos 47.1% Prevention of Recurrence Late Stage Cancer Recurrence of Breast Cancer Prevention of Progression
  • 2. With thanks to Professor W.Jonat Breast Cancer staging
  • 3. With thanks to Professor W.Jonat Breast Cancer staging 2
  • 4. With thanks to Professor W.Jonat Breast Cancer staging 3
  • 6. Stages of tumour development Malignant cell Dissemination of other organs Invasion Proliferation Angiogenesis Neovascular endothelial maintenance Invasion Cytotoxics Endocrine EGFR inhibitors HER2 antibodies Anti- angiogenics Vascular targeting agents Novel agents Novel agents Metastatic Cancer of other organs