Helen Forristal
Director of Nursing Services, Marie Keating Foundation
Metastatic breast cancer (also known as secondary, advanced or stage 4 breast cancer) is cancer that has spread to another part of the body.
Metastatic breast cancer (MBC) can be advanced at first diagnosis; known as ‘de novo’ cancer. It can also come back sometime after the initial diagnosis; known as ‘recurrence.’ Breast cancer can spread anywhere, but it most commonly spreads to bones, lungs, lymph nodes, the liver or brain.
Metastatic breast cancer in Ireland
Being diagnosed with MBC as a first cancer diagnosis is not common, but it can be incredibly difficult to process this news. With almost 3,400 female and 29 male cases of breast cancer diagnosed in Ireland each year, approximately 30% will present with MBC. It is not a curable cancer; treatment aims to control it, relieve symptoms and maintain quality of life.
Unmet needs for people with metastatic breast cancer
There are many unmet supportive care needs of individuals with MBC. It can happen to anyone, including men and LGBTQI groups. A lack of services contributes to unmet needs for patients themselves, as well as supportive care for their families. Existing services are oversaturated, and healthcare systems fall short of meeting these care needs.
The Marie Keating Foundation provides a safe place for people to come together to explore their own cancer journey and identify the physical, practical and emotional aspects of living with MBC, professionally facilitated by an oncology nurse.
Breast cancer can spread anywhere,
but it most commonly spreads to bones,
lungs, lymph nodes, the liver or brain.
Supportive group for metastatic cancer patients
The ‘Positive Living’ programme aims to help those who have metastatic cancers share the ups and downs of life — addressing things that both support them and impinge upon them.
There are many commonalities shared in this space; many are now more aware of the stage and subtypes of their cancers. This allows an appreciation for the various available treatments (or not, as the case may be); the complexities of MBC treatment; and living longer despite cancer, with an improved quality of life.
Positive outlook on metastatic breast cancer
Positively, survival rates are also climbing. According to an analysis published in 2020 in the Journal of Cancer Research and Clinical Oncology, which included more than 1,030 women with metastatic breast cancer, survival rates rose from 24.42 months to 37.8 months over the last two decades. Positive Living provides specialised support and connects patients with both experts and those affected similarly. We have witnessed empowerment and motivation to live their best lives, as they live for today, make special memories and plan ahead.