America received a shocking piece of news in March 2007. John Edward’s wife, Elizabeth, had been diagnosed with metastatic breast cancer. She spoke calmly, with inner strength, about how she had asked her husband to continue his presidential campaign, and how she wanted to campaign by his side. She did not want to be best known by her illness; she wanted, in fact, needed, to carry on as normally as she could.
Her diagnosis gave a face to this illness. Americans began to discuss Elizabeth and John Edward’s decisions. Globally, people talked about how deeply cancer affects families. Breast cancer is something that affects many, and almost everyone has known someone who has died from it. Her announcement gave a face to it and it made people think. It brought the topic out in the open.
Women who have stage IV breast cancer usually receive chemotherapy and or hormonal therapy to destroy cancer cells and control the disease. They may have surgery or radiation therapy to control the cancer in the breast. Radiation may also be useful to control tumors in other parts of the body. The symptoms of metastatic breast cancer varies depend on where the cancer is and how large it is.
The most common places for breast cancer to spread are within the breast or to the nearby chest wall or to the liver, lungs, or bones. Common symptoms include a lump in your breast or on your chest wall, bone pain, or shortness of breath. It is also possible that you will not have any symptoms and that the only way to keep yourself healthy is to be proactive and to take an active role in your health care. It may be necessary to have continuous laboratory tests and x-rays to determine whether or not the cancer has spread.
In it, cells break away from the breast, circulating through the blood and lymphatic system. The body’s immune system attacks these circulating cancer cells. Most do not survive, but if the immune system malfunctions or is weak, or for another, unknown reason, will usually spread to the bone, then lung and liver next. The cells that have metastasized are still breast cancer cells, no matter where they are found in the body.
Treatment choices may include surgery, medicines like chemotherapy or hormone therapy, and radiation. Sometimes a mix of these treatments is used and there can be side effects. Your doctor can tell you what problems to expect and can help you find ways to manage and live with them during the treatment phase.
There may come a time with metastatic breast cancer when you make a decision that quality of life is more important than quantity. If the medical treatments are not working and the effects of them are more devastating than the actual disease, you may have a choice to make.
As far as anyone knows today, metastatic cancer can’t be cured. Sometimes, treatments can actually stop the cancer from growing for months or years. When Elizabeth Edwards asserted that she thought her own might be treatable, people listened. She gave a face to this illness - a loving, brave, wise, face - that no one will forget.
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