Are There Any Statistics On Recurrence Rates Or Incidence Of Metastasis
As mentioned, it is very difficult to find statistics on metastatic breast cancer that has recurred after initial diagnosis. However, these cases represent a large proportion of Stage IV breast cancer cases and overall deaths.
Most of the statistical data on Stage IV or metastatic breast cancer is from those women presenting at diagnosis. According to the Metastatic Breast Cancer Network in 2012 new cases of Stage IV breast cancer were between 13,776 to 22,096.
The number of breast cancer recurrences at Stage IV is estimated to be between 20% and 30% of all breast cancer diagnoses.
Unique Challenges For Young Adults
Breast cancer in young adults is just different. We are at a different phase of our lives and encounter unique challenges compared to older persons. These challenges may significantly impact our quality and length of life. Some of the unique challenges and issues young adults face:
- The possibility of early menopause and sexual dysfunction brought on by breast cancer treatment
- Fertility issues, because breast cancer treatment can affect a womanâs ability and plans to have children
- Many young women are raising small children while enduring treatment and subsequent side effects
- Young breast cancer survivors have a higher prevalence of psychosocial issues such as anxiety and depression13
- Questions about pregnancy after diagnosis
- Heightened concerns about body image, especially after breast cancer-related surgery and treatment
- Whether married or single, intimacy issues may arise for women diagnosed with breast cancer
- Challenges to financial stability due to workplace issues, lack of sufficient health insurance and the cost of cancer care
What Is A 5
A relative survival rate compares women with the same type and stage of breast cancer to women in the overall population.For example, if the 5-year relative survival rate for a specific stage of breast cancer is 90%, it means that women who have that cancer are, on average, about 90% as likely as women who dont have that cancer to live for at least 5 years after being diagnosed.
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Survival Rates By Race
White women in the United States are most likely to be diagnosed with breast cancer. Between 2013 and 2017, 131.3 per 100,000 white women were diagnosed with the disease.
There is, however, variation within that group: non-Hispanic white women were far more likely to have been diagnosed than Hispanic white women.
Black women are the second most likely group to get breast cancer , followed by Asian and Pacific Island women , Hispanic , and American Indian and Alaska Native women .
Survival rates also vary according to race and ethnicity.
From 2013 to 2017, Asian and Pacific Islander women had the lowest death rate, at 11.4 per 100,000 women. This was followed by Hispanic women , American Indian and Alaska Native women , white women , and non-Hispanic white women .
Black women had the highest death rate, at 27.6 per 100,000 women, despite being the second most likely group to get breast cancer.
This could possibly be due to a lack of access to care. seem to affect disparity in breast cancer mortality. These include:
The most important factor that affects breast cancer survival is whether the cancer has metastasized, or spread to other body organs. The earlier the diagnosis, the greater the chance of treating breast cancer before it advances.
Some types of breast cancer are more aggressive than others. Five-year survival rates tend to be lower for women diagnosed with triple-negative breast cancer .
What Treatments Are Used For Metastatic Cancer
Metastatic cancer may be treated with chemotherapy, biological therapy, targeted therapy, hormonal therapy, radiation therapy, surgery, or a combination of these treatments.
The choice of treatment generally depends on the type of primary cancer the size, location, and the number of metastatic tumors. Also, the patients age and general health and the types of treatment the patient has had in the past.
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What Is Breast Cancer
Breast cancer is the most common cancer in women in Australia and the second most common cancer to cause death in women, after lung cancer.
Breast cancer is the abnormal growth of the cells lining the breast lobules or ducts. These cells grow uncontrollably and have the potential to spread to other parts of the body. Both men and women can develop breast cancer, although it is uncommon in men. Transwomen, non-binary people can also get breast cancer.
Transgender and gender-diverse people can also get breast cancer. A transgender woman taking medication to lower male hormones and boost female hormones may have an increased risk of developing breast cancer.
It is estimated that 19,866 women and 164 men in Australia will be diagnosed with breast cancer in 2021.
In Australia, the overall five year survival rate for breast cancer in females is 91%. If the cancer is limited to the breast, 96% of patients will be alive five years after diagnosis this figure excludes those who die from other diseases. If the cancer has spread to the regional lymph nodes, five year relative survival drops to 80%.
Treatment depends on the extent of the cancer.
Where Do These Numbers Come From
The American Cancer Society relies on information from the Surveillance, Epidemiology, and End Results database, maintained by the National Cancer Institute , to provide survival statistics for different types of cancer.
The SEER database tracks 5-year relative survival rates for breast cancer in the United States, based on how far the cancer has spread. The SEER database, however, does not group cancers by AJCC TNM stages . Instead, it groups cancers into localized, regional, and distant stages:
- Localized: There is no sign that the cancer has spread outside of the breast.
- Regional: The cancer has spread outside the breast to nearby structures or lymph nodes.
- Distant: The cancer has spread to distant parts of the body such as the lungs, liver or bones.
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Is A Preventative Double Mastectomy For Me
A woman newly diagnosed with breast cancer will often say, when discussing her surgical options, Why not just take them both off? These patients often express a desire to never have to worry about my breasts again, particularly those women who have had difficulty with screening procedures in the past or have a history of multiple breast biopsies. Women in whom the primary cancer was initially missed often lose faith in mammography and other screening methods and may feel that the only way to be sure this will not happen to them in the future is to remove both breasts.
Double mastectomies have been featured more in the mainstream media, increasing awareness of this option. Furthermore, the option of immediate reconstruction serves to make this route more appealing than in the past. But what is the real risk of developing a new cancer in the other breast? Do double mastectomies really save lives or improve quality of life? The answer is different for every woman. This article seeks to address these issues and assist individuals in making the most informed decision.
Understanding Breast Cancer Survival Rates
Prognosis varies by stage of breast cancer.
Non-invasive and early stage invasive breast cancers have a better prognosis than later stage cancers .
Breast cancer thats only in the breast and has not spread to the lymph nodes has a better prognosis than breast cancer thats spread to the lymph nodes.
The poorest prognosis is for metastatic breast cancer , when the cancer has spread beyond the breast and nearby lymph nodes to other parts of the body.
Learn more about breast cancer treatment.
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Pregnancy Diagnosed During Or After Breast Cancer
Studies of pregnancy after a diagnosis and treatment of breast cancer are retrospective and most are case-controlled investigations. Although one study showed an increased risk for relapse, most other studies show either no difference in recurrence or a decrease in risk of recurrence. Breast cancer survivors and their medical caregivers are advised to fully discuss the risk of recurrence when discussing post-cancer reproductive choices.
Breast Cancer Subtypes Hormonal And Her2 Status And Survival Rates
Many research studies over the years have shown that Estrogen-positive breast cancers have better survival rates than all of the Estrogen-negative subtypes.
Progesterone-positive breast cancer also appears to have improved survival rates in comparison to progesterone-negative cases.
For ER+ sub-types survival rates were significantly better than all other subtypes. For example, at stage 1b,
ER+ PR+ HER2- 5-year survival rates were 98.6%ER+ PR- HER2+ 5-year survival rates were 97.3%
The subtype triple negative breast cancer had the worst survival rates over all three stages. At stage I the 5-year survival rate was 92.9% and at stage III 48.9%.
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Survival Rates For Stage Iv Breast Cancer
Stage of breast cancer at diagnosis is one of the most important prognostic factors. Above is a bar chart from the National Cancer Institute statistics for 2012. As we can see, the 5-year survival rate for women diagnosed with Stage IV breast cancer was 22%.
Remember, these figures are still quite dated as it takes 5 years to determine survival rates and treatment is improving all the time.
A recent study found that 37% of women survived for three years after a Stage IV breast cancer diagnosis, although some women do survive longer.
However, although the 5-year survival rates are much higher for earlier stages of breast cancer at diagnosis, there is no predicting which cases will progress to metastatic breast cancer in the future.
Although it is important to be realistic regarding the survival of metastatic breast cancer, each individual situation is unique and ultimately, statistics are meaningless.
There is a small subcategory of people with Stage IV breast cancer who beat the odds and live for years. However, it is difficult to predict who will fall into this group.
All that is known is that people in this group have secondary spread to the bones. Furthermore, cancer is often estrogen positive and responds to hormone treatments.
What Are Risk Factors For Breast Cancer Recurrence
Anyone with a breast cancer diagnosis can have a recurrence. Your risk of cancer recurrence depends on several factors:
- Age: Women who develop breast cancer before age 35 are more likely to get breast cancer again.
- Cancer stage: Cancer stage at the time of diagnosis correlates with the risk of the cancer being able to recur. Several factors determine cancer stage: tumor size, cancer grade and cancer spread to lymph nodes or other parts of the body. Cancer grade indicates how unusual cancer cells look in comparison to healthy cells.
- Cancer type: Aggressive cancers like inflammatory breast cancer and triple-negative breast cancer are harder to treat. Theyre more likely to come back and spread.
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Ten Lifestyle Changes That May Help
All breast cancer survivors live with the concern about a recurrence or a new cancer. This fear is usually the biggest worry of all. Many women feel that their body has betrayed them and therefore it takes time to trust it again.
Learning how to cope with fears of recurrence is important. Though your body has gone through many changes as a result of a cancer diagnosis and treatment, most women become healthy, strong and optimistic once again.
What Are The Complications Of Breast Cancer Recurrence
Breast cancer that comes back can be harder to treat. The same therapy isnt always effective again. Tumors can develop a tolerance to certain treatments like chemotherapy. Your healthcare provider will try other therapies. You may be able to try drugs under development in clinical trials.
If breast cancer spreads to other parts of the body, your healthcare providers still treat it like breast cancer. For instance, breast cancer cells that move to the lungs cause breast cancer in the lungs not lung cancer. Metastatic breast cancer is more difficult to treat than cancer in only one part of the body.
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Can You Live 10 Years With Metastatic Breast Cancer
Doctors used to consider metastatic breast cancer , or stage 4, as rapidly progressing in all instances.
Now as many as 10 percent of people with stage 4 breast cancer can achieve long-term and relapse-free survival. This is because of new targeted treatments, like human epidermal growth factor receptor 2 drugs.
Stage 4 is cancer thats spread outside of breast tissue and nearby lymph nodes to other locations in the body.
Understanding more about manageable stage 4 cancer can help doctors know who can benefit from aggressive treatment. There are three categories of information that doctors assess:
- patient characteristics
, the chance of a woman dying from breast cancer is about 2.6 percent.
Breast cancer is common, but in many cases, its curable if its detected early.
Your outlook for breast cancer is better with early detection. Even so, there are people who survive metastatic disease.
According to the ACS , the 10-year relative survival rate for women with breast cancer is 84 percent, and the 15-year survival rate is 80 percent. These statistics include all stages of cancer.
Its important to remember that long-term statistics include people who received their diagnoses many years ago. This means that these statistics dont reflect the more recent improvements in cancer treatment.
How Is Prognosis Estimated
Prognosis is estimated by looking at what has happened over many years to large groups of people diagnosed with a similar cancer. However, everyones situation is different so no one can say for certain what will happen to you. Also, treatments and survival rates are constantly improving, which affects the accuracy of estimates for people being treated today.
Prognosis is described in different ways. It may be put into words or numbers. Its often expressed as a five- or ten-year survival rate. This is an estimate of how many people are likely to be alive five or ten years following their diagnosis.
A 90% five-year survival rate means that 90 out of 100 people diagnosed with breast cancer are likely to be alive five years after their diagnosis. It doesnt mean these people will only live for five years it just states how many people are likely to be alive at that point.
Cancer Research UK has general statistics on five- and ten-year breast cancer survival rates on their website. Remember, these statistics are based on large groups of patients and cannot predict what will happen in your individual case.
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Breast Cancer Statistics In Young Adults
Although breast cancer in young adults is rare, more than 250,000 living in the United States today were diagnosed under age 40. In young adults, breast cancer tends to be diagnosed in its later stages. It also tends to be more aggressive. Young adults have a higher mortality rate. As well as a higher risk of metastatic recurrence .
How Can I Prevent Breast Cancer Recurrence
Healthcare providers dont know why some people experience breast cancer recurrence. A recurrence isnt your fault. You didnt do anything wrong to cause it or fail to do something more to prevent it.
Certain medications may reduce the risk of breast cancer recurrence in people who have early stage breast cancer. For estrogen-receptive breast cancer, hormonal therapies including tamoxifen or aromatase inhibitors block either the activity of estrogen or the bodys production of estrogen. Chemotherapy may also be recommended to reduce risk of breast cancer recurrence.
Early diagnosis may make it easier to treat a recurrence. Follow your healthcare providers recommendations for mammograms and other screenings. You should also perform regular breast self-exams. Get familiar with how your breasts look and feel so you can see your provider quickly if you notice changes. And remember that most breast changes occur for reasons other than cancer.
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What Is The Life Expectancy Of Someone With Triple
In general, about91% of all women with triple-negative breast cancer are still alive 5 years after diagnosis. If the cancer has spread to the lymph nodes near the breast the 5 year relative survival rate is about 65%. If the cancer has spread to distant places, the 5 year relative survival rate is 11%.
Example Of Breast Cancer Risk Going Up
Many studies have shown that women who have two or more alcoholic drinks each day have a higher risk of developing breast cancer. You may hear this relative risk described as a percentage or a number:
- Compared to women who do not drink, women who have two or more drinks per day have a 50% higher risk of breast cancer. Put another way, they are 50% more likely to develop breast cancer over the course of a lifetime than nondrinkers are. This doesnt mean that their lifetime risk of getting breast cancer is 50% it means that their risk of getting breast cancer is 50% higher relative to people who dont drink. This percentage is how you are likely to see relative risk reported by television, the Internet, and newspapers.
- Compared to women who do not drink, women who have two or more drinks per day have a relative risk of 1.5. This number is how researchers and scientific papers would usually talk about relative risk. The number 1 is assigned to the baseline group , since their risk remains the same. The .5 describes the relative increase in risk for the other group it is another way of expressing the 50% higher lifetime risk .Another way of saying this is that women who drink two or more alcoholic drinks per day have 1.5 times the risk of developing breast cancer than women who do not drink.
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