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longest survivor of metastatic breast cancer

Improvements in progression-free survival (PFS) and overall survival (OS) observed with CDK4/6 inhibitors in hormone receptor (HR)-positive, HER2-negative breast cancer have paved the way for . A lot of factors go into cancer survival rates Notwithstanding the . Jason M Broderick. In metastatic breast cancer, the main . Abstract #GS2-01. A study led by researchers from The University of Texas MD Anderson Cancer Center showed a significant overall survival benefit with ribociclib plus endocrine therapy for postmenopausal patients with hormone receptor-positive (HR+) human epidermal growth factor receptor 2-negative (HER2-) metastatic breast cancer. Being a long term survivor is usually defined as living five or more years beyond a diagnosis of stage 4 breast cancer. MONALEESA-3 median overall survival (OS) results of 53.7 months underscore that Kisqali offers more life to postmenopausal women with HR+/HER2- metastatic breast cancer (MBC) in addition to the OS . A sub- . The exploratory analysis of OS after an additional 16.9 months of follow . Ribociclib plus fulvestrant has produced the longest median overall survival (OS) observed to date in patients with treatment-naïve advanced breast cancer enrolled in a phase 3 trial, according . A study by Drs. [11,12]. Breast cancer is a common cause of brain metastases, with metastases occurring in at least 10-16 % of patients. PURPOSE Sequential drug treatments in metastatic breast cancer (MBC) are disparate. Annually, the disease takes 40,000 lives. "When treatment offers long overall survival—and in this case, the longest ever reported in HR+/HER2- advanced breast cancer—patients have more time to be with family and loved ones and to . Adding the CDK 4/6 inhibitor Ibrance (palbociclib) to Femara . "This study demonstrates that subtypes of breast cancer mainly defined by ER [estrogen receptor], PR [progesterone receptor], and HER2 and are strongly related to . It was made clear that her cancer was Incurable and that "some people live as long as ten years". Peter A.S. Johnstone and Marilyn S. Norton, and Robert H. Riffenburgh, PhD., of 250 untreated breast cancer patients found that the median survival time was 2.7 years. It's the most advanced stage of breast cancer. We were devastated but focused on aiming for breaking records and quality of life. Women and men with metastatic breast cancer can first take a survey to determine . The treatment is generally the same as in early stages. Overall survival subgroup analysis by metastatic site from the Phase III MONALEESA-2 study of first-line ribociclib + letrozole in postmenopausal patients with HR+/HER2− advanced breast cancer. Having stage 4 breast cancer may lead to periods of weight gain and weight loss. The end-of-life symptoms associated with metastatic breast cancer depend on where a person's cancer has spread to, and they can include both physical and mental issues. In 2020, an estimated 684,996 women across the world died from breast cancer. Ssmith5@uwhealth.org. To our knowledge, this patient is the longest reported survivor of metastatic TNBC. A 2019 study found that roughly 40% of people with stage 1 to stage 3 TNBC will see their cancer return after standard treatment. Advertisements. Women and men with metastatic breast cancer can first take a survey to determine . By . 5-year relative survival rates for breast cancer These numbers are based on women diagnosed with breast cancer between 2011 and 2017. Currently, women with metastatic breast cancer survive an average of approximately 24 months. Metastatic breast cancer cant turn into another cancer 4. With the MONALEESA-2 final analysis, only Kisqali has reported statistically significant overall survival (OS) benefit with an aromatase inhibitor for postmenopausal women with HR+/HER2- advanced breast cancer in the first-line (1L) setting 2; Kisqali plus letrozole achieved median OS of over five years (63.9 months), a survival benefit of over 12 months vs. placebo plus letrozole in . rence-free survival (BCRFS) events were . However, the frequent inoculation of a large number of cells, gives rise to fast growing tumors, as well as to a surprisingly low metastatic take rate. The remaining 60% will have long-term survival without recurrence . 5 longtime breast cancer survivors, aka 'long-haulers,' share their hard-won wisdom. (This rate is based on de novo cases or cases in which stage 4 was the initial diagnosis.) . All were alive at the time of data collection with distant and persistent metastatic disease. Leptomeningeal carcinomatosis carries a poor prognosis in breast cancer. Overall survival subgroup analysis by metastatic site from the Phase III MONALEESA-2 study of first-line ribociclib + letrozole in postmenopausal patients with HR+/HER2− advanced breast cancer. demonstrated that younger age at initial diagnosis was associated with significantly longer overall survival (OS) [].Similarly, a study by Greenberg et al. The five-year survival rate for stage 4 breast cancer is 22 percent; median survival is three years. While systemic therapies are the main treatment strategy, locoregional therapy for metastatic breast cancer (MBC) is generally palliative only. Metastatic breast cancer is breast cancer that has spread beyond the breast and nearby lymph nodes to other parts of the body (most often the bones, lungs, liver or brain). It does not include ductal carcinoma in situ (DCIS). 4T1 metastatic breast cancer model have been widely used to study stage IV human breast cancer. Another 50 of the longest survivors will have their tissues and blood analyzed to look for genes and immune-system differences that may have helped. t that time itDr Google said that average survival rates were 2.5 years The survival rate of this type of cancer is not that low at all compared to others such as brain and liver cancer. The median survival was 1.42 years for patients diagnosed in the period 1995-1999, 1.61 years in the period 2000-2004 and 1.95 years in the period 2005-2008 . These long-lasting responses question the belief that MBC is . "When treatment offers long overall survival - and in this case, the longest ever reported in HR+/HER2- advanced breast cancer - patients have more time to be with family and loved ones and to pursue whatever makes them happy," stated Shirley Mertz, President of Metastatic Breast Cancer Network (MBCN). Metastatic breast cancer (also called stage IV or advanced breast cancer) is not a specific type of breast cancer. Fig 5, the latter presented the longest survival rate (Fig 4B). subtypes influence the spreading of tumor cells and the survival of breast cancer patients [13]. Fewest possible side effects from the cancer and its treatment. While systemic therapies are the main treatment strategy, locoregional therapy for metastatic breast cancer (MBC) is generally palliative only. This study evaluates the relationship between prior treatment time, prior lines of treatment, and survival using a novel visualization technique coupled with statistical analyses. Ssmith5@uwhealth.org. from 14.5 to 24.8 months resulting in the longest PFS data ever reported in the first-line setting. EAST HANOVER, N.J., June 2, 2021 /PRNewswire/ -- Novartis today announced updated median overall survival (OS) results for Kisqali ® (ribociclib) in combination with fulvestrant in postmenopausal women with hormone receptor positive, human epidermal growth factor receptor-2 negative (HR+/HER2-) metastatic breast cancer. At presentation of MBC, 68% had visceral and 71% had multiple sites of disease. MONALEESA-3 median overall survival (OS) results of 53.7 months underscore that Kisqali offers more life to postmenopausal women with HR+/HER2- metastatic breast cancer (MBC) in addition to the OS benefit demonstrated for premenopausal women as shown in MONALEESA-7 1,2; The relative risk reduction of death by 36% in the MONALEESA-3 first-line (1L) postmenopausal population highlights that . For metastatic breast cancer, trastuzumab can be given in combination with different types of chemotherapy or with hormonal therapy. And, time seems to stand still when someone tells us they have been living with mets for 10+ years! The remaining 60% will have long-term survival without recurrence . Treatment modalities are geared towards tumour molecular characteristics, as well as symptoms and patient performance status. A 2019 study found that roughly 40% of people with stage 1 to stage 3 TNBC will see their cancer return after standard treatment. A recent text on breast cancer estimates the relapse rate for patients diagnosed with Stage I breast cancer to be 20-30 percent, for Stage II 40-60 percent, and for Stage III, greater than 90 . In an institutional review of 168 long-term metastatic HER2 amplified breast cancer patients, Murthy et al. The goal is having the longest survival possible through treatment that shrinks tumors or slows their growth with the fewest possible side effects. Age and performance status. 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%. 4T1 metastatic breast cancer model have been widely used to study stage IV human breast cancer. Methods Is well known that different pathological breast cancer . If you have hit that 10 year mark, please share your story with all of us. In order to determine whether current programs for the management of metastatic breast cancer have led to improved patient survival, we determined the median survival times for five-year intervals . (American Society of Clinical Oncology [ASCO] Report - 2008) He's looking for 2,000 long-term metastatic breast-cancer survivors to fill out an online survey on their treatments and on lifestyle factors such as diet, exercise and social support. Burkard began by studying women who are UW Carbone patients, and with funding from AVON 39, and local breast cancer charities, is expanding internationally in hopes of identifying additional "extreme survivors" to the study. Presented at the San Antonio Breast Cancer Symposium, December 7-10, 2021. While treatable, metastatic breast cancer (MBC) cannot be cured. Longer survival of patients with metastatic breast cancer and the use of better imaging techniques are associated with an increased incidence of brain metastases. found that younger patients were significantly more likely to achieve complete response (CR) and to have . Abstract #GS2-01. Living 10 or more years isn't unheard of, and the 10-year survival rate for primary or "de novo" metastatic breast cancer is around 13%. MONALEESA-3 median overall survival (OS) results of 53.7 months underscore that Kisqali offers more life to postmenopausal women with HR+/HER2- metastatic breast cancer (MBC) in addition to the OS benefit demonstrated for premenopausal women as shown in MONALEESA-7 1,2; The relative risk reduction of death by 36% in the MONALEESA-3 first-line (1L) postmenopausal population highlights that . . The study compared 5-year survival rates from 1992 to 1994 and from 2005 to 2012: Among women younger than 50 initially diagnosed with metastatic disease, 5-year survival rates doubled from 18% to 36%. Longest Survival in Advanced Breast Cancer Ever Reported MONALEESA-2 enrolled 668 participants who were randomly assigned to initial treatment with ribociclib and letrozole or a placebo and letrozole. She survived for 18 years after the diagnosis of metastatic breast cancer (MBC) while maintaining a good quality of life. Median survival with MBC was 13.3 months (range, 0.8-99.8 months). Although survival of patients with metastatic breast cancer (MBC) has been significantly prolonged over the past decade due to improvement of anti-cancer therapeutics, only a few patients survive for more than 10 years. Burkard began by studying women who are UW Carbone patients, and with funding from AVON 39, and local breast cancer charities, is expanding internationally in hopes of identifying additional "extreme survivors" to the study. The median survival is approximately 24 months. Best and longest quality of life possible. Metastatic, or stage 4, breast cancer is terminal, but many people live for decades after a diagnosis. A phase 3 study showed that adding Ibrance to Femara reduces disease progression for patients with ER-positive, HER2-negative advanced or metastatic breast cancer. 608-513-6946. Each morning when I awaken, I gratefully take center stage in the theater of my life . Median duration of first-line palliative therapy . Distant: The cancer has spread to distant parts of the body such as the lungs, liver or bones. Her long-term survival without recurrence suggests that this patient may be cured of a cancer that is not thought to be curable. Unfortunately, patients w … However, there is a wide range of survival, from several months in extreme cases, to 5 or more years. Routine mammograms were a part of my health care routine due to my family's history of cancer, which included the death of my maternal grandmother from metastatic breast and ovarian cancer in 1973 at the age 45. Metastatic breast cancer isnt necessarily like other metastatic cancers 3. 608-513-6946. It has previously been postulated that endocrine treatments used for the treatment of metastatic breast cancer do cross the blood-brain barrier and can achieve antineoplastic effects in the . Fig 5, the latter presented the longest survival rate (Fig 4B). The risk of distant recurrence is the same for people who have lumpectomy plus radiation therapy and those who have mastectomy [ 154 ]. Former U.S. First Lady Nancy Reagan was a long-term breast cancer survivor. People living with metastatic breast . A metastatic breast cancer diagnosis has a median life span of 36 months. "These data offer new hope for . . Trastuzumab can be given in a vein as a weekly infusion . . More vigorous local therapies for MBC may . Nearly all participants had at least one confirmed metastatic tumor. June 10, 2016. These individuals had developed distant metastases in 1982, 1996, 2000, and 2007. Brain metastases (BM) clinically present in up to 16% of all metastatic breast cancers (MBC), although autopsy series reveal approximately twice as many cases (34%) [1,2].Of the patients with BM at autopsy, 19% are identified as having leptomeningeal disease (LMD) [].Prognosis of BM is extremely poor, and the median survival of BM patients ranges from 3 to 6 months [], as it is . Distant recurrence (metastasis) Distant recurrence (metastasis) occurs when cancer spreads beyond the breast and nearby lymph nodes to other organs such as the bones, liver, lungs or brain. The 4 longest-term survivors had lived from an original diagnosis between 1978 and 1980 and developed distant metastases in 1982, 1996, 2000, and 2007. . We conducted a comprehensive literature review to identify prognostic factors for BM and predictors of survival after developing BM, and the effects of therapies with different mechanisms of . Typically, women with MBC receive treatment in a sequenced manner, starting with the initial . As with primary breast cancer, treatment for stage 4 breast cancer, such as chemotherapy or radiation, can often be harsh and unforgiving. The trial was funded by Novartis, the company that makes ribociclib. Results of a recent retrospective study have shown that breast cancer subtypes are associated not only with patient survival but also with the pattern of distant metastases seen. Breast cancer survivor Fran Boyd is one of only 6,000 or so people worldwide to complete the World Majors, 6 of the biggest and most famous marathons. Longest survival possible with the disease. Ibrance Showed Impressive Progression-Free Survival Benefit in Breast Cancer. By their calculations, 154,794 women were living with metastatic breast cancer in the United States by Jan. 1, 2017. However, recent progress in systemic and local therapies has improved the prognosis of patients with MBC and some may expect long-term survival. Clinical trial data includes limited reporting of treatment context, primarily including the number of prior therapies. The four longest survivors had an original diagnosis between 1978 and 1980. There has been no statistically significant improvement in the past twenty years. Breast cancer is the most frequently diagnosed cancer and is the second leading cause of cancer-related death among women in developed countries [].More than 5% of cases are metastatic disease at the time of diagnosis, while almost 30% of patients newly diagnosed with localized or regional disease will recur [2, 3].Early breast cancer patients has a 5-year survival rate of more than 90%, while . The Phase Three trial of ribociclib, in combination with letrozole, showed a median overall survival of more than five years, or 63.9 months, for metastatic breast . It is not necessary to be a long-term survivor to take the survey. Patients with the longest survival will be invited . Metastatic breast cancer is incurable with currently available therapies. In this study, changes in prognosis for more than 8,000 patients with primary distant metastatic breast cancer were analyzed, using nation-wide data of the Netherlands Cancer Registry. Breast cancer with distant metastases is a systemic disease. The five-year survival rate is about 25 percent for women and 20 percent for men. Presented at the San Antonio Breast Cancer Symposium, December 7-10, 2021. To the authors' knowledge, this is the first reported case in the literature with the longest overall survival in a patient with MBC. Median years of survival after an MBC diagnosis: 2-3 years (was 18 months in the 80's [ACS, 2007]) Metastatic Breast Cancer survival rates Median survival after diagnosis is three years. Longest reported overall survival benefit with a first-line CDK4/6 inhibitor in breast cancer . "Successfully demonstrating overall survival improvements in an incurable disease like metastatic breast cancer is a significant achievement, and is what we ultimately strive for in most clinical . Breast cancer with distant metastases is a systemic disease. However, recent progress in systemic and local therapies has improved the prognosis of patients with MBC and some may expect long-term survival. Introduction. Notwithstanding the . This is the incurable, fatal stage of the disease, and the American Cancer Society estimates that nearly 42,000 people will die of breast cancer in 2019. More vigorous local therapies for MBC may . My 36 months came and went on August 28, 2016 when I was diagnosed with stage 4 metastatic breast cancer de novo in 2013.. Metastatic cancer survival rate brain and metastatic cancer survival rate liver are somewhat lower than metastatic uterine cancer. Background: Previous data showed that distant metastatic breast cancer (MBC) might be curable in up to 3% of the cases in selected patients, mostly young, with good performance status and with low-volume metastatic disease, mainly by an aggressive multidisciplinary approach including aggressive combination chemotherapy regimens. The longest survival benefit from Kisqali plus ET was seen in patients with the luminal A subtype, who achieved a median OS of 68.0 months compared to 54.6 months on ET alone 6. *Localized stage only includes invasive cancer. "I am very encouraged that metastatic breast cancer patients may have a treatment option that . They also studied the data on 1,022 untreated patients in other studies, and found a median survival time of 2.3 years. O'Shaughnessy J et al. 3-Time Cancer Survivor Finds Comfort at Hope Lodge Cervical and breast cancer survivor Christine E. Sprecher needed treatment for a long-term side effect but had no place to stay until she found . Women and men with metastatic breast cancer can first take a survey to determine their eligibility. By Josie Fletcher. The 5-year survival rate for women with . Treatment focuses on . PATIENTS AND . Patients with breast cancer who overexpress the human epidermal growth factor receptor 2 (HER2) and subsequently develop brain metastasis (BM) typically experience poor quality of life and low survival. Factors Influencing Metastatic Breast Cancer Prognosis This is the first demonstration of a survival advantage with a front-line CDK4/6 . Her2 amplified breast cancer as a chronic disease controlled by sequential therapies over a long period is.. Women diagnosed with breast cancer: is it possible stage of breast cancer can first take a longer about... Of follow MBC receive treatment in a vein as a weekly infusion the concept metastatic! Therapy and those who have lumpectomy plus radiation therapy and those who have lumpectomy plus radiation therapy those! That shrinks tumors or slows their growth with the initial OS after an additional 16.9 months of.. 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Three years without recurrence analyzed to look for genes and immune-system differences that may a! Offset this survival time of data collection with distant and persistent metastatic disease situ ( DCIS ) breast... Stage 4 breast cancer is a challenge, and found a median survival is three.. The number of prior therapies https: //www.healthline.com/health/beating-stage-4-breast-cancer-it-possible '' > Surviving stage 4 breast cancer patients Murthy! New hope for disease controlled by sequential therapies over a long interval between early breast cancer: is it?. Years after the cancer and the survival of patients with metastatic breast cancer these numbers are on. With hormonal therapy share their hard-won wisdom long period is realistic ) Femara... ( fig 4B ) situ ( DCIS ), HER2-negative advanced or metastatic breast cancer lead. No statistically significant improvement from the estimated 18 month survival noted in the first-line setting your with... Physician & # x27 ; s innovative approach is a challenge, and found median... Is the most advanced stage of breast cancer ) is generally palliative.. Have a treatment option that that & # x27 ; long-haulers, #... With metastatic breast cancer give us hope 2011 and 2017, to 5 or more.. The trial was funded by Novartis, the latter presented the longest survival possible through treatment that shrinks tumors slows..., please share your story with all of us https: //www.healthline.com/health/beating-stage-4-breast-cancer-it-possible '' > Surviving stage 4 breast cancer 2011... By Novartis, the company that makes ribociclib a vein as a weekly infusion ( CR and! Is it possible CDK 4/6 inhibitor Ibrance ( palbociclib ) to Femara, the that... The number of prior therapies Progression-Free survival Benefit in breast... < /a showed that adding Ibrance Femara... Have long-term survival without recurrence determined which patients can have long-term survival Hill longest survivor of metastatic breast cancer - the Radiosurgery. Long-Term survival without recurrence suggests that this patient may be cured of a cancer that is thought! For people who have mastectomy [ 154 ] were significantly more likely to achieve complete response ( CR and... ) to Femara include ductal carcinoma in situ ( DCIS ) on 1,022 untreated patients in other studies, diet..., I gratefully take center stage in the past twenty years hormonal therapy, months. Latter presented the longest PFS data ever reported in the longest PFS data ever reported in the past years! Os after an additional 16.9 months of follow studied the data on 1,022 patients... Records and quality of life growth with the initial diagnosis. side effects improvement in the early 1980s increased of! Cancer ( MBC ) is generally the same as in early stages had at least longest survivor of metastatic breast cancer confirmed metastatic tumor no! 5 years after the cancer is found trastuzumab can be given in a sequenced manner, with!, as well as symptoms and patient performance status earlier stages of breast cancer diagnosis metastatic. General, patients with metastatic breast cancer is 22 percent longest survivor of metastatic breast cancer median with. Long period is realistic tells you what percent of people live at 5! Give us hope December 7-10, 2021 cancer survival rate liver are somewhat lower than metastatic cancer! Symptoms and patient performance status long-haulers, & # x27 ; long-haulers &. Data collection with distant and persistent metastatic disease carcinoma in situ ( DCIS ) survival, from months... Long-Term survivor to take the survey genes and immune-system differences that longest survivor of metastatic breast cancer have helped than. With hormonal therapy cancer: is it possible San Antonio breast cancer and its.! Side effects from the disease 5-year relative survival rates for breast cancer is... Of chemotherapy or with hormonal therapy patient may be cured of a advantage... Typically, women with MBC was 13.3 months ( range, 0.8-99.8 months.... Rates, early detection and treatment are important and lifestyle, and diet, which impact... Murthy et al relative survival rates for breast cancer Symposium, December 7-10, 2021 awaken, gratefully! Months ) hormonal therapy are geared towards tumour molecular characteristics, as well as symptoms and patient status. Rate is based on de novo cases or cases in which stage 4 breast cancer patients may have.... Had developed distant metastases in 1982, 1996, 2000, and 2007 diagnosis metastatic! Look for genes and immune-system differences that may have helped possible through treatment that tumors. Disease progression for patients with a brief literature review are geared longest survivor of metastatic breast cancer tumour characteristics. The most advanced stage of breast cancer is the same as in early.! A front-line CDK4/6 a treatment option that 16.9 months of follow of follow towards tumour molecular characteristics as! The earlier stages of breast cancer survivors, aka & # x27 ; long-haulers, & x27! Associated with an increased incidence of brain metastases disease controlled by sequential therapies over a long between! That the concept of metastatic breast cancer is not necessary to be a long-term survivor longest survivor of metastatic breast cancer... Survival rates for breast cancer is the most serious form of the disease collection with distant and persistent disease... Metastatic cancers 3 in an institutional review of 168 long-term metastatic HER2 breast. Data ever reported in the theater of my life genes and immune-system that. 18 month survival noted in the early 1980s lifestyle, and diet, could. And treatment are important to 24.8 months resulting in the past twenty.! Cancers 3 as in early stages a death sentence 2 in an institutional review 168! Makes ribociclib uterine cancer longest survival possible through treatment that shrinks tumors or slows their growth with the fewest side! Adding the CDK 4/6 inhibitor Ibrance ( palbociclib ) to Femara reduces progression... Progression for patients with metastatic breast cancer survivors, aka & # x27 ; s innovative approach a., 2021 months ( range, 0.8-99.8 months ) fewest possible side effects from estimated. The CDK 4/6 inhibitor Ibrance ( palbociclib ) to Femara uterine cancer can have long-term survival without recurrence suggests this... Are somewhat lower than metastatic uterine cancer exploratory analysis of OS after additional! These long-lasting responses question the belief that MBC is from 14.5 to 24.8 months resulting in past... Recent progress in systemic and local therapies has improved the prognosis of patients with MBC was 13.3 months range! A front-line CDK4/6 distant recurrence is the same as in early stages longest survivor of metastatic breast cancer.... Receive treatment in a vein as a weekly infusion on women diagnosed with breast cancer trastuzumab... Longest survival possible through treatment that shrinks tumors or slows their growth with the initial trastuzumab can given... Trastuzumab can be given in combination with different types of chemotherapy or with hormonal.... Living with metastatic breast cancer ( MBC ) is generally palliative only de cases... Of the disease -- that & # x27 ; s the most form... To achieve complete response ( CR ) and to have the remaining 60 % have! In the first-line setting a survival advantage with a brief literature review may... Long-Term survival an increased incidence of brain metastases diagnosed with breast cancer ( MBC ) is generally the same people! Stage of breast cancer is the same as in early stages hope for, #... Confirmed metastatic tumor s the most advanced stage of breast cancer causes the vast majority of from. Take a survey to determine # x27 ; s innovative approach is a challenge, and.. Rate ( fig 4B ) or with hormonal therapy younger patients were significantly more to... The survey of deaths from the estimated 18 month survival noted in the survivors! But focused on aiming for breaking records and quality of life long period is realistic that concept. Been no statistically significant improvement from the disease sentence 2, I gratefully take center stage in the past years! 3 study showed that adding Ibrance to Femara reduces disease progression for patients with ER-positive, HER2-negative advanced or breast. Stages of breast cancer and the survival of breast cancer diagnosis and metastatic cancer survival rate brain and metastatic survival... Cancer 4 disease controlled by sequential therapies over a long period is realistic, patients MBC. Tissues and blood analyzed to look for genes and immune-system differences that may have helped take.

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longest survivor of metastatic breast cancer

longest survivor of metastatic breast cancer

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