Treatment FAQ

what factors affect prognosis and treatment for metastatic breast cancer

by Braxton Cronin Published 3 years ago Updated 2 years ago
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Many factors play a role in determining life expectancy for someone with metastatic breast cancer. These factors include: your age your overall health extent of cancer spread cancer response to treatment

This section has information on factors that affect prognosis and treatment of early and locally advanced breast cancer.
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Breast cancer staging
  • Lymph node status.
  • Tumor size.
  • Presence or absence of metastases.
  • Tumor grade.
  • Estrogen receptor status.
  • Progesterone receptor status.
  • HER2 status.

Full Answer

What is the prognosis for metastatic breast cancer?

9 rows · Nov 15, 2021 · Learn about factors that affect treatment for metastatic breast cancer. Breast cancer ...

What is the prognosis for Stage 4 breast cancer?

Feb 14, 2013 · People may be affected by fatigue the whole time they are having treatment, and sometimes even longer. It is most likely caused by physical and psychological reactions to the disease and the treatment. Fatigue can be very distressing and make people feel (more) down. Even small tasks may become impossible or very difficult to perform.

What does it mean when cancer metastasizes?

Abstract. Breast cancer spinal metastases (BCSM) are common and require proper treatment that leads to an improvement of the quality of life and contributes to the quod vitam prognosis. Surgical treatment is often required for intractable pain, spinal cord compression or spinal instability. The aim of this retrospective study is to identify which prognostic factors could …

What happens if a biopsy finds breast cancer?

16 hours ago · Healthline says, treating metastatic breast cancer is typically the same as treating breast cancer in its early stages. Some treatments include surgery, radiation, chemotherapy, and hormone therapy. Your doctor may also recommend lifestyle changes to make living with your symptoms more manageable. When to Prepare for Hospice or Palliative Care

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What factors affect prognosis of breast cancer?

Traditional prognostic factors, ie, those that predict the risk of recurrence or death from breast cancer, include number of positive axillary nodes, tumor size, tumor grade (histologic or nuclear), lymphatic and vascular invasion, and the estrogen-receptor (ER) and progesterone-receptor (PR) positivity.Jan 15, 2004

What is the most important prognostic factor in breast cancer?

Involvement of axillary nodes has been the most important prognostic factor for breast cancer. Decisions regarding the use of adjuvant treatment in breast cancer have also largely been based on axillary node involvement.

Which of the following prognostic factors is the most important predictor of recurrence and survival in breast carcinoma?

Whether or not cancer has spread to lymph nodes is the most important prognostic factor for breast cancer. Breast cancer that has spread to lymph nodes has a higher risk of coming back and a less favourable prognosis than breast cancer that has not spread to the lymph nodes.

What is the prognosis of metastatic breast cancer?

The 5-year survival rate for women with metastatic breast cancer is 29%. The 5-year survival rate for men with metastatic breast cancer is 22%. It is important to remember that breast cancer is treatable at any stage.

What can affect prognosis?

Most of the factors that affect the prognosis relate to the diagnosis, the extent of disease, the patient, and particular circumstances that belong to the individual patient.Apr 15, 2001

What is a prognosis factor?

Listen to pronunciation. (prog-NOS-tik FAK-ter) A situation or condition, or a characteristic of a patient, that can be used to estimate the chance of recovery from a disease or the chance of the disease recurring (coming back).

What are breast prognostic markers?

The markers thus indicating 'high risk' group or poor prognosis in breast cancer are, negative immunostaining of ER, PR, nm23 and; positive staining of c-erb-B2, cathepsin D and MIB-1 antibody. The diametrically apposite pattern of staining of these parameters on the other hand indicates better prognosis.Jun 26, 2017

Is it better to be HER2-positive or negative?

Is HER2-positive breast cancer good or bad? HER2-positive cancer tends to be poorer in terms of prognosis than HER2-negative cancer because: It grows faster. It is more likely to spread to the lymph nodes fast.May 5, 2021

What does grade 3 invasive ductal carcinoma mean?

A low grade number (grade 1) usually means the cancer is slower-growing and less likely to spread. A high grade number (grade 3) means a faster-growing cancer that's more likely to spread.

What is the prognosis for stage 4 metastatic breast cancer?

Between 20 and 30 percent of women with early stage breast cancer go on to develop metastatic disease. While treatable, metastatic breast cancer (MBC) cannot be cured. The five-year survival rate for stage 4 breast cancer is 22 percent; median survival is three years. Annually, the disease takes 40,000 lives.

How is metastatic cancer treated?

Typically, metastatic cancer requires systemic therapy, or medications given by mouth or injected into the bloodstream to reach cancer cells throughout the body, such as chemotherapy or hormone therapy. Other treatments may include immunotherapy, radiation therapy, surgery, or a combination of these.Mar 2, 2022

What causes death in metastatic breast cancer?

The most common cause of death was metastatic disease to various organs, accounting for 42% of all deaths. Infection was the second most common cause of death; however, only 27% of the patients with infection had significant neutropenia. In patients dying of hemorrhage, only 9% were thrombocytopenic.

What are the prognostic factors for breast cancer?

There are several factors that can impact the prognosis of metastatic breast cancer, these include: 6  1 Age 2 General health 3 Hormone receptors on cancer cells 4 The type of tissue involved 5 The number of tumors/extent of metastasis 6 A person’s overall attitude and outlook on the prognosis

How long do women with metastatic breast cancer live?

In fact, today it’s reported that some women with metastatic breast cancer are predicted to live 10 or more years after diagnosis. 4 

How long does it take to live after cancer diagnosis?

For those at stage 2 (the cancer is local or has spread only to local lymph nodes) there is an expected five-year survival rate of over 90%.

Can you predict the prognosis of breast cancer?

Of course, no factors can accurately predict the exact prognosis for a person with metastatic breast cancer. These statistics are based on many clinical research studies, looking at survival rates for people diagnosed with breast cancer at all stages.

How long does it take to live with stage 4 breast cancer?

For stage 4 (metastasized cancer that has spread to distant organs or other body parts) there is an expected five-year survival rate of 22%. Because the earlier stages of breast cancer have much longer survival rates, early detection and treatment are important.

Is there a cure for metastatic breast cancer?

Although there is no cure for metastatic breast cancer (also referred to as stage IV breast cancer) it is treatable. Treatment is aimed at slowing down the rate at which the cancer spreads in the body. Receiving proper treatment is one of the most important factors in the overall prognosis of metastatic breast cancer.

How long does metastatic breast cancer last?

Although metastatic breast cancer (MBC) is unlikely to be cured, meaningful improvements in survival have been seen, coincident with the introduction of newer systemic therapies [ 1-3 ]. Median overall survival (OS) approaches two years, although this can range from a few months to many years, dependent on molecular subtype and treatments received ...

What is a prognostic factor?

By definition, a prognostic factor is capable of providing information on clinical outcome at the time of diagnosis, or at various times during the patient’s course with metastatic disease, independent of therapy.

Is breast cancer a prognostic factor?

Although they can be separately classified, several factors in breast cancer are both prognostic and predictive (eg, the presence of over-expression ...

Why is it important to treat breast cancer early?

Because survival rates are higher in the early stages of breast cancer, early diagnosis and treatment is crucial. But remember: The right treatment for stage 4 breast cancer can improve quality of life and longevity.

How does chemotherapy help with breast cancer?

chemotherapy, where drugs given orally or through an IV travel through your bloodstream to fight cancer cells.

What are the facts about breast cancer?

There are a few general facts that are helpful to know about breast cancer outlook: 1 Breast cancer is the most common cancer diagnosis in the United States, according to the National Cancer Institute (NCI). 2 Many people with breast cancer live longer than they used to. Over time, the number of deaths from breast cancer has dropped substantially. 3 The American Cancer Society estimates approximately 281,550 new diagnoses of breast cancer in 2021.

What is HER2 in cancer?

HER2-positive cancers. Human epidermal growth factor receptor 2 (HER2) is a protein on the surface of breast cells. With HER2-positive breast cancer, there are abnormally high levels of HER2 proteins, causing cancer cells to quickly grow and spread.

What is HER2 negative cancer?

HER2-negative cancers in women with a PIK3CA gene mutation. The PIK3CA gene produces the protein p110 alpha (p110α), which is essential for cell growth and other important functions. If this gene is mutated, cells may replicate uncontrollably, causing various cancers. This includes breast cancer.

Can breast cancer cause memory problems?

Breast cancer most commonly spreads to your ribs, spine, pelvis, or arm and leg bones. If it has spread to your brain, you may experience headaches, vision or speech changes, or memory problems. Breast cancer that has spread to your lungs or liver usually causes no symptoms.

Does HER2 cause breast cancer?

HER2-negative breast cancer doesn’t have a high amount of HER2 proteins. A BRCA (an abbreviation for BReast CAncer) gene mutation is caused by damage to the DNA that makes up the gene.

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Prognosis

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New breast cancer treatment is aimed at improving the survival rate and increasing the longevity of those who are diagnosed with metastatic breast cancer. In fact, today it’s reported that some women with metastatic breast cancer are predicted to live 10 or more years after diagnosis.4
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Stage 4 Survival Rates

  • To get a perspective on the difference in survival rates during different stages of cancer, according to the American Cancer Society (ACS) the rate of survival after diagnosis is:1 1. For those at stage 2 (the cancer is local or has spread only to local lymph nodes) there is an expected five-year survival rate of over 90%. 2. For those at stage 3 (advanced breast cancer—the cancer …
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Factors Influencing Metastatic Breast Cancer Prognosis

  • There are several factors that can impact the prognosis of metastatic breast cancer, these include:6 1. Age 2. General health 3. Hormone receptors on cancer cells 4. The type of tissue involved 5. The number of tumors/extent of metastasis 6. A person’s overall attitude and outlook on the prognosis
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Studies

  • A 2015 study was conducted in the Netherlands.8 It involved 815 study subjects with metastatic breast cancer were divided into three groups, including: 1. 154 participants with de novo metastatic breast cancer (a condition that occurs when metastasis is diagnosed when the breast cancer is initially detected). 2. 176 participants with a metastatic free interval of fewer th…
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