Any stage IV surviving 5+ years ?

11+ years with bone mets at initial diagnosis.

6 years and 5 months with liver and bone mets. Several treatments have failed, but at least three have been very effective for me. Good quality of life (but quick access to bathroom is necessary). Hang in there!!

It's been seven years since I was diagnosed with lung mets, which were quickly tamped down by Faslodex. Here I am, getting older and creakier, but living life. There are many of us, thanks to new treatments!

Tina

I’ll be starting 6 years in 2019. Bone and lung mets.

Suzy aka stllivin

4 1/2 years, but had bone mets undiagnosed for at least a year prior. On my second line of treatment for mets, letrozole & Ibrance failed after 30 cycles, now on fulvestrant. Feel great.

My mets were found in 2011, so 8 years knowing I have mets. My onc says that I probably had cancer in my blood from the beginning (2007) because when they found my mets they were throughout my skeleton. So if you consider that, it has been 11 years. Bone only until 2015, when they found liver mets which are stable at the moment, with Verzenio.

HLB mentioned above that “they”, I assume mo’s, shouldn’t put a time limit on people after they are dx’ed. That is so true! Being told that you have X number of months to live must create an incredible emotional roller coaster. There are many possibilities and many unknowns with bc. Why start off by telling a patient to start putting her foot in the grave as soon as mets are dx’ed?

hi dorimak: it’s been 5 1/2 years for me. Diagnosed de nova at 43 with lots of bone mets and have been stable since diagnosis and have been on just tamoxifen and xgeva.

Kristin

Eight years ago today, I felt the lump in my breast and within weeks learned it was mbc—mets to several areas of bone. [I don't like to call it an anniversary which to me sounds celebratory. But I mark this date as when I began dealing with mbc although how long it had already been metastatic, I'll never know.]

Since having a bunch of big treatments the first year, I remain stable taking daily Arimidex.

I always find it uplifting to read about others' longevity dealing with mbc on this forum.

2005 was the original diagnosis.... in 2010 we found my first mets presentation in soft tissue.... 2015 it found its way into my bones. Yes, a slow and lazy cancer and a vigilant medical team, along with a stubborn and compliant patient.

*susan*

HI Everyone- I was diagnosed with BC 20 years ago, MBC 17 years ago.

My Initial BC diagnosis was 1998, but then MBC liver met in 2001. I then had 14 great years on femara (liver met disappeared) I was no longer considered MBC but I knew I had circulating cancer cells somewhere in my blood. Liver met again in 2015 just in time to take advantage of the "just on the market" ibrance/fasloddx duo. I had surgery for the liver met in 2015 but markers are now beginning to rise again, CT scan in a month or so. The idea is to stay around long enough for the next generation of effective medication. I must admit when I got the first MBC diagnosis I looked for people who had survived and was surprised to find several people that gave me hope. I found hearing from survivors is very helpful.

Happy Holidays to all. HUGS

I will add to the conversation about doctors who offer some kind of time frame to their patients newly diagnsosed with mbc. On the one hand, I think it is vital to know the reality and seriousness of the disease at this stage. Doctors want the patient to understand its ramifications. On the other hand, I think a doctor can explain the seriousness and still keep the window of hope open to their patient.

In my case, going into that doctor appointment to get those PET scan results, I knew metastatic meant cancer spread beyond the breast, that it was not curable and worse. So when the doctor delivered the news, I asked what kind of lifespan I could expect. She said, “With treatment, you could live years." Now that was a pretty open-ended response, and a good one, I think. Still, as the blood ran cold through my veins and the most intense fear I'd ever felt shook me to my core, I had the presence of mind to demand, “DEFINE YEARS." And she said, “Five, ten, fifteen..." and she told me of one of her patients who was still around after 15 years. Her answer gave me something my brain could latch on to, the hope of being one of those outliers. A doctor who doesn't offer that hope does a diservice to their patients.

Then there are the shitty doctors. A number of years later, I had to go to a designated doctor to qualify for disability, amd since I had been living with the disease for over 5 years, stable without any progression, he arrogantly told me I probably only had arthritis, that women only live 3 to 5 years with metastatic breast cancer. Dr. Denial here never so much as looked at a single cd of all my scans that he requested I bring to the appointment, nor read the reports. I was denied the disability, but I got a lawyer and was eventually approved.

Breast cancer doctors need to be aware of the big picture and the update picture of the disease and these days there is no excuse with the proliferation of information so readily available.

Pajim, I know it gets very unclear what to try as we go along, but have you sought out a second opinion before taking the IV chemo? What about a clinical trial? Do you know if you have the PI3K mutation, which might make you a candidate for Alpelisib? CAR-T or immuno in some combo? CDK7 or CDK12 inhibitor? We do have some options, at least in trials, and I'd hope to do better than 4-5 years in hormonal therapy followed by 3-5 years in chemo( even as I do appreciate that I'd be lucky to even get that!). Many trials allow for one or two chemo treatments in stage IV, but not more than that...

Yeah, supposedly CDK4,6 inhibitors up-regulate PDL1 expression, but we don't have data yet on whether that is sufficient to render cells sensitive to immunotherapy.

I was just noticing at UCSF they are still doing the trial testing Abemaciclib with Keytruda, and also they have a MORPHEU-HR+ trial that is testing immuno 2- and 3- way combinations together with each other or with Faslodex for those progressing after first or secondline therapy. And it really should work to have a CDK12 inhibitor in terms of making cold cancers sensitive to immuno, but you are right, will these work and how well, stay tuned...

https://clinicaltrials.ucsf.edu/trial/NCT03280563