By Jerilyn Young My body is a vessel Navigating ocean waves Pushing Pulling Flowing sensations of unknown Preparing for rough seas ahead No land in sight No anchor to drop I must become the waves ~ Living in their movement Their swells Their surges I pray to rest in the breeze of their ripples Washing away the internal sludge Only to be morphed back into the surf Rising Falling Embracing the current I become a wavelet ~ Gently tossed to shore I feel my hands grasp tightly What wasn’t there Solid ground My existence About Jerilyn: I was diagnosed with triple negative breast cancer (TNBC) in April 2022. I wrote this poem in the throes of my chemo treatment in the summer of 2022. I took this photo the year before I was diagnosed. Little did I know how symbolic that picture became. Share your poetry: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetups Free Events

By Joanna Kreisel I thought I couldn’t bear any more Then I expand Time slips away, slowly Awake with grief I dig deeper, heart heavy Mine, scars His, wounds Lean on me, I will take you through I tighten my grip, but it continues to take A strength stronger than before I wish I didn’t need to be Moments of deep despair We share tears You are home, where I need to be I am yours I long for before or after But there is only now About Joanna: I am a breast cancer survivor and caregiver to my partner who is undergoing treatment for a rare kidney cancer. Connect with Joanna on Instagram Share your poetry: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetups Free Events

By Dania Francis Read Dania’s breast cancer story: Thoughts on October: Breast Cancer “All Too Aware” Month Every morning for 5 weeks. I park my car, walk down the long path, check in while patients much older than me can’t help but stare, and I smile as I stick out my right wrist to get my ID band placed by the nice front desk staff. I walk down the hall. The first day I was a bit lost with each turn, but now I know exactly where to go. I find my locker, lucky number 23, and I grab my XXL gown and get changed. I take the same seat every morning and look around the waiting room. Some women are reading, some are there for the first time, and some are almost done. I smile at whoever is looking, and make a connection. A 41-year-old woman just like me with the same diagnosis of triple negative breast cancer (TNBC), she’s from Italy originally and has a beautiful accent. We talk about our Italian culture and how hard this has all been. We exchange numbers and offer each other comfort and good wishes for the day. We are on the same schedule and will end our radiation within two days of one another. She is struggling with knee pain from immunotherapy and I offer her some advice to talk to her doctor about. A 35-year-old woman is holding a big tub of chocolate biscotti to give to the radiation team, because she heard that’s what you should do. I tell her I’m a nurse and that we always appreciate that. We smile at each other and I learn that she is halfway through her treatment for triple positive breast cancer. I wish her luck as the tech calls my name. An 85-year-old woman is here for her first day of treatment for HR+ breast cancer. She is nervous and unsteady on her feet. Her daughter comes back with her to help her get into her gown. She sits down next to me. I smile at her and tell her everything will be okay. She smiles at me and I can tell she feels sorry I am so young. She reaches her hand to my arm and squeezes gently. The tech calls her name and I wish her luck. I look forward to seeing her tomorrow. I only have five more mornings in this waiting room after today... and I will remember the connections I made forever. Maybe it’s the nurse in me, or the desire to connect with others on this path. The waiting room is a special place for me. About the author: Dania is 41 and lives in NY with her husband and two small children. She is a Family Nurse Practitioner, Yoga teacher, and certified Reiki healer. She is a stage 2 Triple Negative Breast Cancer Thriver. Read More: Thoughts on October: Breast Cancer “All Too Aware” Month Different Types of Breast Cancer Breast Cancer in Young Women: Common Questions Answered On the Podcast: Breast Cancer Conversations Radiation Therapy: What Every Breast Cancer Thriver Needs To Know Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetups Free Events

Partnerships Make It Possible For All Of Us To Bloom Breast Cancer is a 'wicked' problem. Wicked problems are challenges with many interdependent factors making them seem impossible to solve. Solving wicked problems requires a deep understanding of the stakeholders involved, and an innovative approach. ​ The United Nations Sustainable Development Goals (SDGs) target a one-third reduction in non-communicable disease (NCD) mortality between the years 2015 and 2030. Cancer accounts for 22% of NCD deaths, and breast cancer is the leading global cause of female cancer mortality, despite its high survivability. ​ Given the social and economic burden of cancer, reducing the global cancer and NCD burden is a prerequisite for addressing social and economic inequity, stimulating economic growth and accelerating sustainable development. ​ Let's develop wicked solutions together to solve some of the world's most challenging problems Our Partners Become a Partner. Explore the many ways you can partner with Survivingbreastcancer.org through non-profit alliances to cause-related marketing opportunities. Just like no one tumor or diagnosis is the same, neither are the personal relationships that we develop with our partners.

Surviving Breast Cancer Apr 14 2 min Breast Cancer Stories The Waiting Room Surviving Breast Cancer Apr 11 3 min Breast Cancer Stories Next Thing Next, Following Your Heart Surviving Breast Cancer Mar 28 3 min Breast Cancer Stories Cancer Threads Of My Life Surviving Breast Cancer Mar 13 3 min Breast Cancer Stories Cancer Don’t Care Surviving Breast Cancer Mar 7 8 min Breast Cancer Stories The new me. The reality of my situation. Surviving Breast Cancer Mar 6 6 min Breast Cancer Stories A New and Unexpected Life Surviving Breast Cancer Mar 5 3 min Breast Cancer Stories Thoughts on October: Breast Cancer “All Too Aware” Month Surviving Breast Cancer Feb 16 2 min Breast Cancer Stories In the Year 2017… Surviving Breast Cancer Feb 7 1 min Breast Cancer Stories Self-Portrait Surviving Breast Cancer Feb 2 4 min Genetics My Previvor Story Surviving Breast Cancer Jan 23 2 min Breast Cancer Stories Cancer Sucks, and That’s Okay Surviving Breast Cancer Jan 4 4 min Breast Cancer Stories Find One Good Thing in Every Little Moment Surviving Breast Cancer Dec 8, 2023 4 min Breast Cancer Stories Moving Through Treatment and Survivorship Surviving Breast Cancer Nov 22, 2023 2 min Breast Cancer Stories Turning 50 and Celebrating 5 Years in Remission from Breast Cancer Surviving Breast Cancer Oct 31, 2023 6 min Breast Cancer Stories Life anticipated her collapse, but she arrowed ahead and stood strong. Surviving Breast Cancer Oct 10, 2023 4 min Breast Cancer Stories Hearing the words “You have cancer” is heavy Surviving Breast Cancer Sep 27, 2023 2 min Breast Cancer Stories Lactation Consultant Turned Breast Cancer Survivor: Updates from Treatment and Beyond Surviving Breast Cancer Aug 29, 2023 4 min Breast Cancer Stories Chapter Three of My Breast Cancer Journey Surviving Breast Cancer Jun 2, 2023 4 min Blog My De Novo MBC Story: I’m Not Going to Give Up on My Diagnosis Surviving Breast Cancer Apr 19, 2023 3 min Blog They Were My Blessing: Facing Breast Cancer With Young Kids Surviving Breast Cancer Apr 7, 2023 5 min Blog My Lobular Breast Cancer Story: Not a “Journey” Surviving Breast Cancer Apr 5, 2023 4 min Blog The Choice to Go Flat Surviving Breast Cancer Mar 22, 2023 8 min Blog HOPE is my Favorite Four-Letter Word Surviving Breast Cancer Feb 14, 2023 8 min Blog Developing a stronger mind, body and soul for facing my worst enemy: breast cancer Surviving Breast Cancer Jan 27, 2023 3 min Breast Cancer Stories No Less of a Woman: Standing Tall Through Hardships Surviving Breast Cancer Jan 11, 2023 5 min Breast Cancer Stories Not the Same, But Stronger and Wiser. Surviving Breast Cancer Jan 6, 2023 6 min Blog Breast Cancer at 33: A Young Mom’s Story of Self-Advocacy Surviving Breast Cancer Dec 20, 2022 6 min Breast Cancer Stories Sometimes, Hope Is All We Have To Get Us Through Surviving Breast Cancer Dec 20, 2022 14 min Breast Cancer Stories Making the Most of Every Mile Surviving Breast Cancer Nov 23, 2022 6 min Breast Cancer Stories Prioritizing Myself 1 2 3 4 5 Inspiring Breast Cancer Stories Everyone's breast cancer diagnosis is different. Everyone responds differently to treatment. Everyone makes different decisions based on personal preferences and circumstances. There is no right or wrong. Just experiences. We are experts in our own experience! Below you will find many inspiring stories including but not limited to: Submit Your Story

What is Breast Cancer? What is Breast Cancer? ​ Breast cancer is an uncontrolled growth of breast cells. To better understand breast cancer, it helps to understand how any cancer can develop. Cancer occurs as a result of mutations, or abnormal changes, in the genes responsible for regulating the growth of cells and keeping them healthy. The genes are in each cell’s nucleus, which acts as the “control room” of each cell. Normally, the cells in our bodies replace themselves through an orderly process of cell growth: healthy new cells take over as old ones die out. But over time, mutations can “turn on” certain genes and “turn off” others in a cell. That changed cell gains the ability to keep dividing without control or order, producing more cells just like it and forming a tumor. A tumor can be benign (not dangerous to health) or malignant (has the potential to be dangerous). Benign tumors are not considered cancerous: their cells are close to normal in appearance, they grow slowly, and they do not invade nearby tissues or spread to other parts of the body. Malignant tumors are cancerous. Left unchecked, malignant cells eventually can spread beyond the original tumor to other parts of the body. The term “breast cancer” refers to a malignant tumor that has developed from cells in the breast. Usually breast cancer either begins in the cells of the lobules, which are the milk-producing glands, or the ducts, the passages that drain milk from the lobules to the nipple. Less commonly, breast cancer can begin in the stromal tissues, which include the fatty and fibrous connective tissues of the breast. ​ Breast Anatomy. A breast is made up of three main parts: lobules, ducts, and connective tissue. The lobules are the glands that produce milk. The ducts are tubes that carry milk to the nipple. The connective tissue (which consists of fibrous and fatty tissue) surrounds and holds everything together. Most breast cancers begin in the ducts or lobules. Over time, cancer cells can invade nearby healthy breast tissue and make their way into the underarm lymph nodes, small organs that filter out foreign substances in the body. If cancer cells get into the lymph nodes, they then have a pathway into other parts of the body. The breast cancer’s stage refers to how far the cancer cells have spread beyond the original tumor (see the Stages of breast cancer below for more information). Breast cancer is always caused by a genetic abnormality (a “mistake” in the genetic material). However, only 5-10% of cancers are due to an abnormality inherited from your mother or father. Instead, 85-90% of breast cancers are due to genetic abnormalities that happen as a result of the aging process and the “wear and tear” of life in general. ​ There are steps every person can take to help the body stay as healthy as possible, such as eating a balanced diet, maintaining a healthy weight, not smoking, limiting alcohol, and exercising regularly (learn what you can do to manage breast cancer risk factors ). While these may have some impact on your risk of getting breast cancer, they cannot eliminate the risk. Developing breast cancer is not your or anyone's fault. Feeling guilty, or telling yourself that breast cancer happened because of something you or anyone else did, is not productive. ​ Stages of Breast Cancer Staging is a standard term used across the medical profession to communicate how widespread or advanced the cancer is in the breast tissue and possibly other parts of your body. If you are diagnosed with breast cancer, doctors and pathologists will examine biopsy and imaging results to determine the stage — also known as the progression — of the disease. The process is complicated but necessary to determine the best treatment plan for your particular type of cancer. The most common staging system is the TNM (Tumor, Node, Metastasis - more on this below), which focuses on tumor size, lymph node involvement and metastatic spread of the cancer. It also factors in details related to hormone receptors, the protein HER2 and growth rate of the cells. The staging of your tumor is utilized by doctors to explain the breadth and scope of the cancer and helps them determine how to move forward with treatment, including surgery, if needed. Doctors use diagnostic tests to find out the cancer's stage, so staging may not be complete until all the tests are finished. The stage of a breast cancer is determined by the cancer’s characteristics, such as how large it is and whether or not it has hormone receptors. The stage of the cancer helps you and your doctor: ​ • figure out your prognosis, the likely outcome of the disease • decide on the best treatment options for you • determine if certain clinical trials may be a good option for you Breast cancer stage is usually expressed as a number on a scale of 0 through IV — with stage 0 describing non-invasive cancers that remain within their original location and stage IV describing invasive cancers that have spread outside the breast to other parts of the body. ​ Clinical vs. Pathological Staging Clinical staging is based on the results of tests done prior to surgery. If your biopsy comes back positive, your doctor may order additional tests to garner a better understanding if and where the cancerous cells have spread. This data gathering period may include physical examinations, mammogram, ultrasound, and MRI scans. In some cases your doctor may also order a bone or CT scans. Pathologic staging is based on what is found during surgery to remove breast tissue and lymph nodes. While a lot of the aforementioned tests can provide your oncological team with lots of information and data points, it is not until surgery is performed whereby the surgeons can remove the tumor and possible lymph nodes in order to confirm the size of the tumor, the number of lymph node involvement, and whether or not the cancer has metastasized. Early Stage Breast Cancer Early stage breast cancer refers to stages 0-III. Stage 0 Stage 0 cancers are called “carcinoma in situ.” Carcinoma means cancer and “in situ” means “in the original place.” Types of “in situ carcinoma” include • DCIS – Ductal carcinoma in situ • LCIS – Lobular carcinoma in situ • Paget disease of the nipple Stage I Stage I can be divided into Stage IA and Stage IB. The difference is determined by the size of the tumor and the lymph nodes with evidence of cancer. Stage II Stage II means the breast cancer is growing, but it is still contained in the breast or growth has only extended to nearby lymph nodes. This stage is divided into groups: Stage IIA and Stage IIB. The difference is determined by the size of the tumor and whether the breast cancer has spread to the lymph nodes. Stage III Stage III cancer means the breast cancer has extended beyond the immediate region of the tumor and may have invaded nearby lymph nodes and muscles, but has not spread to distant organs. This stage is divided into three groups: Stage IIIA, Stage IIIB, and Stage IIIC. The difference is determined by the size of the tumor and whether cancer has spread to the lymph nodes and surrounding tissue. Stage IV In Stage IV, the cancer has spread to other organs and parts of the body beyond the breast. This stage is often referred to as metastatic breast cancer (MBC) and is more difficult to treat due to the impact on other organs. Stage IV cancer symptoms include visible swelling in the breast and armpit; dry, flaky skin; red, dimpled skin; nipple discharge; breast pain; fatigue; insomnia; loss of appetite; weight loss; shortness of breath and other symptoms related to the specific organs involved. Although Stage IV breast cancer is not curable, it is treatable to a certain extent and current advances in research and medical technology mean that more and more women are living longer by managing the disease as a chronic illness with a focus on quality of life as a primary goal. With excellent care and support, as well as personal motivation, Stage IV breast cancer may respond to a number of treatment options that can extend one’s life for several years. TNM Staging System Doctors use the TNM system to ensure that medical professionals are using the same language and system to describe the tumor. T refers to the size of the tumor measured in centimeters and where it is located. N refers to the number of lymph nodes which were positive for cancer. If no lymph nodes were involved, the pathology report would state N(0). M refers to whether or not the cancer has traveled to distant part of the body such as the bones or organs. If it has spread, it will state where and how much. As an example, stage IIB may read something like this: (T3, N0, M0) meaning the tumor is greater than 55mm and has not spread to the lymph nodes or other parts of the body. Updated Staging Guidelines The American Joint Committee on Cancer (AJCC) established the way cancer is communicated. Clinicians and the surveillance community count on the AJCC for the most comprehensive anatomic staging data available, I.e., the Cancer Staging Manual and Cancer Staging Atlas. In 2018 the AJCC updated the breast cancer staging guidelines to add other cancer characteristics to the T, N, M system to determine a cancer’s stage. In addition to knowing the stage of your cancer, breast cancer is also classified according to other characteristics. These include how sensitive it is to the hormones estrogen and progesterone as well as to the level of certain proteins that play a role in breast cancer growth, such as HER2. It is also classified by the cancer’s genetic makeup. • Tumor Grade: a measurement of how much the cancer cells look like normal cells • Estrogen- & Progesterone-Receptor Status: do the cancer cells have receptors for the hormones estrogen and progesterone? • HER2 status: are the cancer cells making too much of the HER2 protein? • Oncotype DX score, if the cancer is estrogen-receptor-positive, HER2-negative, and there is no cancer in the lymph nodes. The above amended guidelines have helped to create and reinforce ontological/surgical treatment advances. As you can imagine Staging is a complex undertaking and these latest AJCC guidelines allow for a more cohesive and universal diagnosis and treatment options. References and additional information on staging can be found on the resource links below: https://www.cancer.net/cancer-types/breast-cancer/stages https://www.breastcancer.org/symptoms/diagnosis/staging https://www.nationalbreastcancer.org/breast-cancer-stage-3 Breast Cancer Stages Early Stage Breast Early stage breast cancer refers to stages 0-III Late Stage or Advanced Stage Breast Cancer Late stage breast cancer refers to stage IV, or Metastatic Breast Cancer (MBC) Types of Breast Cancer Breast cancer is not just one disease — it can be classified into different types depending on how the cells in the breast look under a microscope. Different types of breast cancer include: ​ 1. Ductal Carcinoma In Situ (DCIS): DCIS is considered a non-invasive form of breast cancer, meaning it has not spread beyond the milk ducts into any surrounding normal tissue. Check out Jennifer's story being diagnosed with DCIS after a clear mammogram. 2. Invasive Ductal Carcinoma (IDC): This is the most common type of breast cancer, where cancer cells have invaded the surrounding tissue. 3. Inflammatory Breast Cancer: This type of breast cancer is considered aggressive and can often be hard to diagnose because it does not always form a lump. 4. Lobular Carcinoma In Situ (LCIS): LCIS is considered a non-invasive type of breast cancer which means that the cancer cells are contained within the lobules and have not spread to surrounding normal tissue. 5. Invasive Lobular Carcinoma (ILC): This type of cancer starts in the milk-producing lobules and can spread beyond them into other parts of the breast. 6. Mucinous Carcinoma: This type of breast cancer is slow growing and therefore often less aggressive. It starts in the main cells of mucus, called mucin. Although this type of cancer can develop anywhere, it's most common in your breast. 7. Metaplastic Breast Cancer: MpBC is an aggressive and invasive type of cancer, meaning that it multiplies quickly and can spread throughout the body. MpBC tends to spread or metastasize more than other breast cancers. ​ 8. Angiosarcoma: This type of cancer is very rare and can occur in any part of the body, but it is most commonly found in the breast tissue. 9. Phyllodes Tumor: This type of tumor is not considered cancer, but it can still be dangerous if not treated promptly. 10. Paget's Disease: This is a rare form of breast cancer that starts in the nipple and can spread to other parts of the breast if left untreated. ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ > Questions to Ask Your Surgeorn Download PDF Understanding the Different Types of Breast Cancer Read On Connect with Others during our Weekly Virtual Meet-Up Learn More