Our breast cancer poetry lab is a space for patients and survivors to express their emotional journeys. Read from others' works and share yours! Breast Cancer Poetry Writing is a great form of therapy and healing. Enjoy the original compositions from our Survivingbreastcancer.org Community! Be Inspired. Submit Your Poem Expressive Writing How can we dial down the noise in our daily lives to listen to the story emerging within ourselves? In this interactive session, we will come together to reflect on the personal narratives that give shape and meaning to our lives and find community in the experiences we share. Open Mic Poetry Night Wed, Apr 22 Online More info RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, Apr 24 Online Event More info RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, May 08 Online Event More info RSVP Multiple Dates Expressive Writing with Thomas Dooley Mon, May 11 Online Event More info RSVP Multiple Dates Expressive Writing with Thomas Dooley Mon, May 11 Online Event More info RSVP 1 2 3 4 5 Welcome to the Poetry Lab Welcome to the Poetry Lab Welcome to the Poetry Lab Welcome to the Poetry Lab Dream Dream Dream Dream Create Create Create Create Express Express Express Express Open Mic Poetry Night Wed, Apr 22 Online More info RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, Apr 24 Online Event More info RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, May 08 Online Event More info RSVP Multiple Dates Expressive Writing with Thomas Dooley Mon, May 11 Online Event More info RSVP Multiple Dates Expressive Writing with Thomas Dooley Mon, May 11 Online Event More info RSVP

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The Carfang Group presents eleven issues that will change the financial world.  We call these the “Megatrends”.  This article presents the eleven megatrends and invites your feedback and discussion.  Subsequent articles will explore each of these in detail. Megatrends in Treasury, Money and Banking Megatrends in Treasury, Money and Banking Anthony J. Carfang, The Carfang Group Innovation, technology, regulation and geopolitics are intersecting and are about to change the face of treasury, money and banking as never before. Issues that appear small or incremental today could be seismic in the longer term. As markets, institutions and governments deal with these cross-currents, we could be witnessing the beginning of a transformation on a grand scale in finance. In this series, The Carfang Group presents eleven issues that will change the financial world. We call these the “Megatrends”. This article presents the eleven megatrends and invites your feedback and discussion. Subsequent articles will explore each of these in detail. These are the eleven Megatrends which we believe will reshape our financial world over the next decade. Central Bank roles are scaled back. Asset Managers overtake banks. Deposit Banking diminishes in importance. Deposit Insurance becomes universal. Private Liquidity Funds emerge as a major asset class. Technology disintermediates the intermediaries. Truly immediate payments eclipse “faster payments”. 20th century institutions and structures are realigned. Currency takes on a new role. Alternative currencies gain acceptance. Solutions for the underbanked take shape. About the author: Anthony J. Carfang is Managing Director of The Carfang Group and has a distinguished background in consulting, writing, speaking, thought leadership and advocacy in the area of treasury, payments and liquidity. He encourages you to provide feedback on this article or any other issues to tony_carfang@carfang.com . You can follow Tony at https://www.linkedin.com/in/carfang/ Central Bank roles are scaled back. To receive a pdf version of this white paper, email tony_carfang@carfang.com ." Central Bank roles are scaled back. Without question, many central banks functioned superbly during the financial crisis in the dual roles of lender of last resort and payment guarantor of last resorts. They forcefully took on powers necessary to prevent a worldwide depression. Instead of reverting to their historical role after the crisis abated by 2011, they continued to function in crisis mode and now seem to have taken for themselves an entirely new mandate of economic support. We believe that this will come under close scrutiny over the next decade and the missions of central banks world-wide will be scaled back. Consider the following “last resort” moves that remain in place ten years post-crisis: Central bank balance sheets remain at levels which make them THE dominant players, distorting the financial markets rather than merely facilitating those markets. Securities on their balance sheets now stand at $23 trillion, up from $4 trillion pre-crisis. The Federal Reserve began paying interest on bank excess reserves in a not so subtle effort to inject capital into banks and to fund its swollen balance sheet. Long after the crisis, it still pays market interest, thereby competing for private capital while quashing the intrabank Fed Funds market. Operation Twist was a specific program designed to lower long term rates relative to short term rates. Many of these OT securities remain on the Fed balance sheet, impacting the shape of the yield curve today. Quantitative Easing and Quantitative tightening are direct attempts by central banks to impact growth levels, still ongoing today, and are not a direct part of their mandate. Combined, these activities distort the important market signals that are necessary in robust markets. Central bank roles will come under close examination. The debate will be intense but healthy. Should central banks be limited to their "first principles" of currency stability and lender of last resort? Or should they proactively manage world economies? We expect a tilt back toward the former. Asset Managers overtake banks. Commercial banks have historically been the primary conduit through which depositors and borrowers clear the market. Most individuals and businesses maintain bank accounts to facilitate transactions and savings. Similarly, for individuals and all but the largest businesses, these banks are also the primary source of loans. Asset managers, on the other hand, provide investment management services primarily by deploying their investors’ capital via the secondary markets. That is abruptly changing in ways that are just beginning to emerge. We believe that over the next decade, asset managers will overtake banks as the primary financial institutions in both the retail and wholesale markets. Commercial banks, long the dominant market players, saw their competitive advantage sharply curtailed following the financial crisis. They became subject to SIFI supervision, Basel III’s liquidity requirements, tiered capital requirements and much more. Over the past ten years, total assets of the largest banks have been relatively flat. Asset managers not subject to these requirements, in particular the largest three companies, have grown enormously. The “Big 3” have nearly tripled in assets since the crisis and are now larger than the largest commercial banks. We expect that these supersized asset managers will be able to muscle into all aspects of the commercial banking franchise and radically alter the playing field. It is true that commercial banks enjoy the dual monopolies of deposit aggregation powers and payment settlement finality. However, technology will diminish those advantages (see below) to the point at which they cannot overcome their regulatory, capital and liquidity burdens. Deposit Banking diminishes in importance. The centuries-old deposit banking paradigm will not disappear anytime soon. But we believe it will radically change in the near future, creating significant winners and losers among financial and payments institutions. Deposits have long served two primary functions. They were a buffer to mitigate the uncertain clearing time for payments and they served as a repository for savings on the part of individuals who did not have direct access to the institutional markets. Rates paid on transaction deposits were negligible but that was part of the offset for transaction costs. Rates paid on savings were more competitive but slightly below market, given that banks provided the only way for retail savers to earn any return at all. Even today, banks aggressively compete for deposits across most wholesale and retail segments. Yet we believe this model is about to change as the cross currents of technology and regulation play out. On the transaction front, with faster (instant) payments will come greater certainty, leading to what we refer to as “just-in-time money”. In this new world, the need for a buffer vanishes. Fintech solutions will fund these accounts as necessary and will deploy all excess funds into the money markets. On the savings front, technology is eliminating the friction and transaction costs that stood in the way of savers directly accessing the markets. On-line brokers and internet banks are just the tip of the iceberg. Further, traditional commercial banks are saddled with Basel III related capital, liquidity and stable funding requirements that further erode their competitiveness. Deposits were once the holy grail of banking. That is about the change. Deposit Insurance becomes universal. Government insurance for bank deposits is a common safety net worldwide. By insuring a set level of deposits, governments boost depositors’ faith in the banking system and encourage capital formation. Banks are assessed premiums by the insuring government agency. These premiums are generally passed along to depositors in the form of slightly lower rates or higher transaction costs. At the onset of the financial crisis, the U.S. Congress raised the coverage amount from $100,000 to $250,000 per depositor per institution, and that has not been rolled back during the recovery. Temporarily, the limit was removed altogether for non-interest-bearing accounts. Taking deposit insurance well beyond the safety net aspect, financial institutions and tech companies are partnering to expand coverage to all of a customer’s deposits. A depositor can place funds well above the $250,000 limit with a lead participant. A servicer will take that large deposit, break it into $250,000 units and place one unit each with other banks in their network. Some networks include over 1,000 banks, enabling a depositor to place up to $250 million in a single deposit and have the entire amount insured. While this might seem to be at odds with the spirit of deposit insurance, neither the FDIC nor Congress have taken steps to limit the rapid spread of these deposits that now exceed $1 trillion, one-eighth of the total insured deposit base. In fact, in 2018 Congress passed legislation that gave regulatory support to “reciprocal” deposits, a subset of these types of programs. Consider, then, the rapidly approaching scenario in which ALL deposits are insured and the resulting moral hazard. A thin layer of bank shareholder capital is the only source of market discipline. The government is on the hook for all losses. That asymmetry likely leads to outsized risk taking. Ultimately, the government will be forced to step in and de facto nationalize the banks. Bills have been introduced in Congress, most recently in 2018, to allow the US Postal Service to take deposits and make loans. This could be the logical conclusion of unlimited deposit insurance. If the government is bearing all the risks of the banking system, the logical conclusion is that it takes over the banking system. USPS banks could be the first step in that direction. Private Liquidity Funds emerge as a major asset class. Like private equity funds a few decades ago, which provided a way to circumvent public markets for long term capital, Private Liquidity Funds will circumvent the public markets to enable the efficient provision of liquidity to both investors and borrowers. Technology is enabling “just-in-time money” which will redefine “liquidity”. Sweep accounts are now available at low cost to most savers and investors. Funds can be fully invested right up to the day they are needed. Thanks to fintech advances, funds can be drawn down at precisely the time they are needed. At the same time, regulators in the U.S. and around the world have hamstrung money market funds that focus on private sector liquidity. In 2016, US regulators implemented regulations that reduced the viability of prime money market funds. Prime funds invested in commercial paper and other private sector debt instruments. Thus, both the providers and users of liquidity were penalized. The bulk of prime fund assets flowed into government and treasury funds and are no longer available to provide liquidity to businesses. Similar regulations are currently being implemented in Europe. Unfortunately, because of the dramatic scale-back of prime funds, the most efficient conduit between providers and users of liquidity has been significantly curtailed. The upshot will be an entirely new asset class. Some forward-thinking asset managers have already established the first funds of this breed. They are similar to the pre-regulation 2a-7 funds but are limited to institutional investors. However, we expect these to morph into an asset class that will ultimately look very different from the current funds (MMFs, SMAs and Ultra Short Bond Funds) and incorporate the redefined “liquidity” and facilitate just-in-time cash. Forty years ago, no one envisioned the current structure and transformative role of private equity funds. We believe a similar transformation is about to overtake the liquidity market. Technology disintermediates the intermediaries. Historically, banks and other financial intermediaries filled the information gap between suppliers of capital (depositors, investors) and users of capital. They also bridged the gap between risk takers and risk avoiders. Banks knew both sides of the trade and could comfortably stand between providers and users of capital who did not know each other. If a single bank did not know the counter party of a transaction, it could easily locate a correspondent bank that did. These intermediaries lowered the transaction costs and risks (friction) that separated borrowers from lenders. The result was the rapid global expansion of trade and commerce. Fintech is changing all that in five key ways: Technology is fast closing that information gap. It is putting more reliable and more up-to-date information in the hands of all the parties in any given transaction, reducing the need for an intermediary. Social networks such as LinkedIn and others allow buyers and sellers to connect and investigate each other directly. Peer-to-Peer networks and microfinance schemes bypass the financial intermediary entirely. Technology is powering broad based sweep programs that move excess funds out of even the smallest investor or depositor accounts, the intermediaries, and directly into the financial markets. Intelligent technologies, such as robo-advisors, use sophisticated algorithms to bypass the traditional channels. The upshot is that the intermediary role of financial institutions is being displaced. Truly immediate payments eclipse faster payments. Over the past several decades, payments have become faster, cheaper and more reliable. Checks used to take days in the mail and then days to clear once deposited. International funds transfers would pass through several banks, each taking a “lifting” fee as the funds slowly passed from originator to recipient. Fortunately, those days are over. Now, central banks, commercial banks and payment networks are all racing each other to make payments even speedier. This is all very good since timing delays in payments and the attendant information flows create risk and uncertainty as well as wreaking havoc with cash forecasts and liquidity cushions. In the US the Fed launched its Faster Payments task force with this statement: “The task force calls upon all stakeholders to seize this historic opportunity to realize the vision for a payment system in the United States that is faster, ubiquitous, broadly inclusive, safe, highly secure, and efficient by 2020.” Around the globe, the UK announced its Faster Payments Service in 2008. In 2017, the European Central Bank kicked off its TIPS program (TARGET Instant Payment Settlement) with the goal of “instant” payments 24/7 within the euro area. The Monetary Authority of Hong Kong launched the Faster Payments System initiative in 2018. No doubt, payments are becoming much faster, more secure and more universal. The benefits of these initiatives are immense. In faster payments, funds and information, however fast and efficient, must still flow between the originator, the originator’s payment processor and/or bank, a central bank, the recipient’s payment processor and/or bank before becoming settled funds in the recipients account with finality. Even the ECB, in its TIPS communique, defined instant payments as “a matter of seconds”. That is a huge improvement. However, as high-frequency traders and arbitrageurs know, “a matter of seconds” is an eternity in financial markets. We believe that there will be one more step beyond faster payments: truly immediate payments. These payments will settle instantly, anywhere, anytime. At present, it’s difficult to envision. Perhaps blockchain technology is providing us the first glimpse. This has the potential of eliminating the sequential process of moving money and information (however fast) among transactors, their intermediaries and their settlement network. Alternatively, the paradigm for instant payments might come from outside the industry. Consider this analogy with railroads. In the late 19th century, railroads competed with each other to provide faster, safer and cheaper options in moving both passengers and freight between two points. Yet, even in the heat of that competition, no one within the industry considered putting wings on rail cars. Ironically, most payment intermediaries today refer to their networks as “rails”. 20th century institutions and structures are realigned. Post-WWII, late 20th century institutions and structures are unraveling. But, because they are so ingrained in our psyche, these shifts seem incomprehensible. The magnitude and scope of their impact are difficult to assess. But we believe that this is a megatrend impacting Treasury, Money and Banking. Trade organizations and trade agreements are coming apart or are being realigned in material ways. To see just a few underway right now, look no farther than the Pacific trade agreements, NAFTA and the EU with Brexit. Countries are subtly shifting to bi-lateral rather than multi-lateral constructs. Structures are also giving way. SWIFT is caught in a tug of war between its nominal role as a funds transfer communication system and its externally imposed role of sanctions enforcer. LIBOR, the reference rate for several trillion dollars of actual debt and hundreds of trillions of dollars of derivatives is phasing out within the next two years. The financial world needs to be repapered! Government-Sponsored Enterprises (GSEs) are coming under scrutiny. Agencies such as Fannie Mae and Freddie Mac that provide government guarantees in order to meet a “social good” took shape following the early 20th century’s great depression. They have now grown into behemoths, and some lay the blame of the 2008 financial crisis at the doorstep of the housing GSEs. Although governments decried the size of these agencies and vowed to trim then, they have continued to grow since the crisis. Paradoxically, central banks need GSE to create the instruments that now sit on their swollen balance sheets. We believe that many of these agencies will be downsized over time. The 20th century financial and geopolitical world is changing, and all market participants must adapt. Currency takes on a new role. This megatrend is counter-intuitive, but the data are clear. For decades, we’ve heard that we’re moving toward a cashless society. One with everything on a card or in a chip. Not so. The evidence is that, over the last decade, currency in circulation as a percentage of GDP has nearly doubled worldwide. In the US, currency increased from $800 billion in 2006 to $1.7 trillion in late 2018. That’s hardly a cashless society. (Scandinavia is an exception we need to explore.) Central banks and academia are beginning to study this phenomenon. Some key hypotheses about factors contributing to this are currently being formulated. They include: Convenience – It’s easy to transact in cash. Low holding cost – In an ultra-low interest rate environment, cash is cheap. Privacy – Currency transactions (and barter) are the only types of economic activity that don’t inherently require a corresponding exchange of data. Historically, currency has defined the underground economy. We now see an emerging role for currency in the above-ground economy for market participants desiring and valuing privacy or anonymity. Store of Value – In negative interest rate environments we see in some parts of the world, there is actually an economic benefit to holding currency in order to retain value. More interestingly, in certain low interest rate environments, the low carrying costs, to many, seem like a small price to pay to hedge political or economic uncertainty. India is a fascinating case study in progress. In November 2016, India eliminated large denominated rupee notes that represented 86% of India’s currency. Citizens had the opportunity to exchange the notes for smaller denomination notes. The intent was to root out the underground economy and raise tax revenue. The ramifications were far reaching and still playing out. But Bloomberg offers one interesting conclusion: “Cash remains the most popular form of tender in India. Currency with the public has increased to 18.5 trillion rupees in August 2018 from 17.9 trillion rupees before demonetization.” That is a 3% increase in currency in spite of an 86% drop in large denominated notes! Again, economists at present are trying to understand the factors behind this trend. Obviously, however, this creates a nightmare for regulators and those managing monetary policy. The trend is both real and “Mega”. Alternative currencies gain acceptance. This megatrend challenges the definition of money itself – the gaining acceptance of alternative currencies including crypto currencies. In ancient times, post-barter, precious commodities were the prevailing instrument of exchange and store of value. These commodities had intrinsic value that resulted in their reliability and acceptance. The middle ages saw the emergence of fiat currencies. They had value because a government said they had value. The problem with pre-modern fiat currencies is that they could be easily debased. A ruling body could simply turn on the printing press. Current fiat currencies such as the dollar, euro, pound, etc. are much more stable than their predecessors. That’s because they are issued and backed by the full faith and credit of sovereign governments. They are managed with a “goal” of price stability by central banks. The track record is far from perfect and debasement examples abound, but it is certainly improved. Crypto technologies are now enabling a new genre of fiat currency: crypto currencies like bitcoin and others. They are not the product of precious metals or scarce commodities. They are not issued by governments (yet). They are not “full faith and credit” instruments. They are not managed by central backs. Proponents insist that this litany of “they are nots” is actually a benefit, not a shortcoming. Following the Subjective Theory of Value, crypto currencies have value because buyers and sellers believe they have value. They are fiat currencies without governments or central banks. Adherents argue that frees them from manipulation by governments or central banks and creates a universal value. Air-BnB, Uber and Lyft offer instructive examples. After all, who would invite a total stranger to spend a night in their homes or jump into a stranger’s car. A key thing these companies provide to the gig economy is a decentralized mechanism of trust (in contrast to the trusted “central” bank). In doing so, they have transformed industries. This could be the trajectory of certain crypto currencies. We believe that some alternative currencies will become mainstream. While they might not be both a universal store of value and medium of exchange, some might take hold as settlement vehicles for specific types of payments. Others, because of their distributed processing security, could be liquidity vehicles. Still others, because of their global nature, could eliminate the need for foreign exchange in global trade. We’ll explore the profound implication in later megatrend articles. Solutions for the underbanked take shape. 30% of the world’s population do not have bank accounts. Many more do not have access to a basic set of banking services. They must either transact in cash, barter or use third party payment services, which tend to be very expensive. Check cashing services, payday lending, money orders, money transfer services, etc. provide the underbanked with some ability to make payments, but at a high cost. The economic impact is significant. In addition to the direct cost that the underbanked pay to access the financial system, there is an even greater cost in terms of lost economic activity. The inability to easily transact reduces the level of transactions and depresses commerce and trade. Fortunately, new technologies could provide economically viable solutions for the underbanked in the three most critical financial functions: Payment system access – Currently, people and businesses need a bank account to initiate or receive payments. Solutions developed by payments intermediaries and enabled by blockchain will provide the underbanked with payment services, conceivably bypassing the banking system altogether. Store of value – Blockchain could become the system of record for certain types of financial assets. This promises to allow the underbanked to safely and securely accumulate financial assets without having bank accounts. Assets could even be denominated in traditional central bank currencies or in crypto currencies. Access to capital – Peer to peer lending and micro finance are already providing non-traditional access to capital for the underbanked. Technology will accelerate this trend and make these services available to a larger population. Bringing the underbanked into the mainstream of the world’s economies creates opportunities that are difficult to fully appreciate. Increased economic activity, improved standards of living, expansion of markets are just some of the benefits that await. In Conclusion , this paper has presented eleven megatrends impacting treasury, money and banking on a global scale. Some of these trends are natural extensions of technological innovation, others are regulatory work-arounds or the result of geopolitical forces well beyond the control of any single jurisdiction. The Carfang Group believes that each of these megatrends, individually, are transformational and collectively point to a potential radical change to the financial system. Future articles will consider each of these megatrends in greater depth. We welcome your feedback as we embark of this exploration. About the author: Anthony J. Carfang is Managing Director of The Carfang Group and has a distinguished background in consulting, writing, speaking, thought leadership and advocacy in the area of treasury, payments and liquidity. He encourages you to provide feedback on this article or any other issues to tony_carfang@carfang.com . You can follow Tony at https://www.linkedin.com/in/carfang/ © 2019 The Carfang Group, LLC. All rights reserved.

Apply for a Scholarship Fund a Scholarship SBC Educational Scholarship Program Education Is Empowerment. Community Is Healing. Each year, SurvivingBreastCancer.org awards Educational Scholarships to individuals impacted by breast cancer — providing access to national conferences where learning, connection, and transformation happen. Why This Matters While metastatic breast cancer is lifelong, this program provides short-term relief during high-intensity treatment periods — ensuring responsible stewardship while delivering meaningful, timely support. Increased confidence in treatment decision-making Improved understanding of metastatic and early-stage care Stronger peer-to-peer support networks Decreased isolation among participants Participants returning home feeling informed, connected, and empowered How To Apply Applications open annually and will be published on this website and announced in our weekly newsletter. Scholarships are available to individuals diagnosed with breast cancer and we encourage individuals who have not previously attended these conferences and who are involved in our SBC community to apply. Application Cycle: Applications are now open for the Living Beyond Breast Cancer (LBBC) Conference on MBC. What Scholars Receive Conference registration Shared accommodations A Visa gift card to assist with travel, meals, and incidentals Pre-conference connection with other SBC scholars Post-conference integration support through SBC programming Apply Conferences our SBC Scholars have attended include: Living Beyond Breast Cancer (LBBC) Conference on MBC The Young Survival Coalition (YSC) Summit The San Antonio Breast Cancer Symposium (SABCS) If you are living with breast cancer and seeking education and community, we encourage you to apply. Fund a Scholar When you fund an SBC Educational Scholarship, you are not simply covering a registration fee. You are funding: Health literacy Confidence in medical decision-making Peer connection Emotional resilience Leadership development within the survivor community $1,500 sponsors one full scholar experience at a 3-day conference $3,000 sponsors one full scholar experience at the week long SABCS symposium. " The SBC Educational Scholars Program is invaluable. SBC is providing an amazing opportunity to breast cancer survivors and advocates by offering this kind of financial support." ~Megan B. Donate Today

Your generosity gives hope. Find out how you can get involved and make an impactful and meaningful difference. Donate to breast cancer and make a difference. Lifestyle & Wellness Resources Programs Content Library Podcast Download the App Subscribe to the Newsletter Make a Gift More Make a Difference Through Asset Based Giving & Charitable Bequests Donating assets and making charitable bequests to SurvivingBreastCancer.org holds significant value and contributes immensely to our mission of providing comprehensive support, resources, and advocacy for those battling breast cancer. Below are several key points highlighting the importance and advantages of asset-based donations: $50 $100 $250 Making a Meaningful Difference: Your asset donations directly contribute to providing essential services, financial aid, emotional support, and educational resources to breast cancer patients, survivors, and their families. Each donation helps in fostering a community of hope and resilience. Tax Advantages and Financial Benefits: Because we are a federally recognized 501(c)(3) non profit donating appreciated assets, such as stocks, real estate, automobiles or other investments, may offer substantial tax advantages. It can result in tax deductions for the fair market value of the donated assets, potentially reducing capital gains taxes and providing significant financial benefits to the donor. Supporting Ongoing Programs and Initiatives: Asset-based donations contribute to sustaining and expanding SurvivingBreastCancer.org's programs, including support groups, awareness campaigns, research initiatives, and access to vital resources for underserved communities. Creating Lasting Legacies that live on: A legacy gift is a deeply personal way to ensure that your values, compassion, and commitment to community continue to make an impact—today and for generations to come. By including SurvivingBreastCancer.org (SBC) in your estate plans or making a legacy gift during your lifetime, you help ensure that no one faces breast cancer alone. Your generosity sustains free education, community connection, and integrative oncology–inspired programs for individuals and families navigating breast cancer at every stage. Encouraging Others to Give: Your donations serve as an inspiring example, encouraging others within our community and beyond to contribute, fostering a culture of generosity and philanthropy. The people in this community are so warm and welcoming. The conversations transcend beyond breast cancer stories, thus creating even stronger connections. I finally found my tribe! Your donation transforms lives How to Donate I encourage you to consider the significant impact of donating assets to SurvivingBreastCancer.org. Your contributions, whether large or small, play a pivotal role in our collective efforts to support and uplift those affected by breast cancer. Together, let's continue our mission of bringing hope, support, and strength to individuals and families facing the challenges of breast cancer. Or contact William at 603.361.7018 Email William Today Contact William directly to discuss the endless possibilities and to set up your donation. More Ways to Give If you would like to schedule an appointment and discuss legacy donations or endowments, please contact SBC. We are happy to partner with you! Donate by Check Survivingbreastcancer.org 5 Cedar Street, Suite 1 Roxbury, MA 02119 Checks can be made out to "Survivingbreastcancer.org" Donate by Venmo @Survivingbreastcancerorg Donate Securities Contact SBC Donate Now English Español

Financial Reports Financial Transparency and Accountability At SurvivingBreastCancer.org, we believe in complete transparency and accountability to our donors, sponsors, and the community we serve. We are proud to share our financial information and demonstrate our commitment to responsible stewardship of the resources entrusted to us. Financial Reports We provide access to our financial documents to ensure full transparency: IRS Form 990s: Our annual federal informational returns are available for public review. Financial Audits: We undergo regular independent audits to verify our financial integrity. These documents are available for download on this page, showcasing our dedication to openness and accountability. Charity Navigator 4-Star Rating We are honored to have earned a prestigious 4-Star rating from Charity Navigator, America's largest and most trusted nonprofit evaluator. This exceptional designation sets SurvivingBreastCancer.org apart and signifies that we: Exceed industry standards Outperform most charities in our field Demonstrate strong financial health Show a commitment to accountability and transparency A 4-star rating is the highest possible score, given only to organizations that score 90 or above in Charity Navigator's comprehensive review. Our Commitment By maintaining high standards of financial management and transparency, we ensure that your donations are used effectively and efficiently to further our cause. We are dedicated to maximizing the impact of every dollar received in our efforts to support breast cancer survivors and their families. Thank you for your trust and continued support. Together, we are making a difference in the lives of those affected by breast cancer. Financial Documents 2024 990 2023 Audit 2023 990 2022 Audit 2022 990 2021 990 2020 990 2019 990 2018 990 Donate Thank You to Our Donors and Sponsors We extend our heartfelt gratitude to all our donors and sponsors whose generosity makes our mission possible. Your support enables us to provide vital resources and support to those diagnosed with breast cancer and their caregivers.

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Discover empowering on-demand movement classes designed for breast cancer thrivers. Heal, strengthen, and thrive with expert-led exercises tailored to support your journey. Access flexible, self-paced classes today On Demand Classes On Demand Classes On Demand Classes On Demand Classes Flexible Practice for Busy Lives Pilates Fire Ceremony Expressive Art Forest Bathing Meditation Reiki Circle of Care Qi Gong Restorative Yoga Diep Flap Yoga Breathwork Pilates Fire Ceremony Expressive Art Forest Bathing Meditation Reiki Circle of Care Qi Gong Restorative Yoga Diep Flap Yoga Breathwork Pilates Fire Ceremony Expressive Art Forest Bathing Meditation Reiki Circle of Care Qi Gong Restorative Yoga Diep Flap Yoga Breathwork Meditation Movement Classes Expressive Art Empower Your Experience Empower Your Experience Empower Your Experience Empower Your Experience Thriving Through Movement Thriving Through Movement Thriving Through Movement Thriving Through Movement On-Demand Movement Classes for Thrivers Unlock the power of movement with our on-demand classes designed for breast cancer thrivers. Whether you’re looking to strengthen your body with Pilates, restore balance with gentle Yoga, or deepen your practice with DIEP Flap Yoga, our expert-led sessions provide the flexibility and support you need on your healing journey. Start thriving today! Practice Now Restorative yoga is a gentle practice focused on deep relaxation and healing, making it ideal for breast cancer survivors and those undergoing treatment. By using props for support, restorative yoga helps release tension, restore energy, and promote emotional healing. It can alleviate stress, improve sleep, and enhance flexibility, supporting physical and mental well-being during recovery. This practice fosters peace and balance, empowering individuals to reconnect with their bodies and promote healing. #RestorativeYoga #BreastCancerWellness #HealingThroughYoga #StressRelief #MindBodyConnection #SurvivingBreastCancer #EmotionalHealing #QiGong #BreastCancerWellness #EnergyHealing #MindBodyConnection #SurvivingBreastCancer #EmotionalHealing #StressRelief Pilates is a low-impact exercise that focuses on strengthening the core, improving flexibility, and enhancing posture, making it a great practice for breast cancer survivors. It helps build endurance, restores balance, and promotes physical rehabilitation, especially post-surgery or treatment. Pilates can reduce stress, improve body awareness, and foster overall well-being, supporting both physical and emotional healing throughout the recovery journey. #PilatesForBreastCancer #BreastCancerRecovery #CoreStrength #PostSurgeryWellness #PhysicalRehabilitation #SurvivingBreastCancer #HealingThroughMovement Pilates is a gentle yet powerful exercise method that helps breast cancer survivors, thrivers, and those living with metastatic breast cancer (MBC) rebuild strength, improve flexibility, and restore balance. Designed to enhance core stability, posture, and overall well-being, Pilates offers a low-impact way to support physical and emotional healing after surgery, treatment, or recovery. #RestorativeYoga #BreastCancerWellness #HealingThroughYoga #StressRelief #MindBodyConnection #SurvivingBreastCancer #EmotionalHealing #QiGong #BreastCancerWellness #EnergyHealing #MindBodyConnection #SurvivingBreastCancer #EmotionalHealing #StressRelief DIEP Flap Yoga is a specialized practice tailored for individuals recovering from breast cancer surgery, specifically DIEP flap reconstruction. This gentle yoga focuses on restoring mobility, improving posture, and promoting healing in the body after surgery. By combining mindful movement with breathwork, DIEP Flap Yoga helps alleviate tension, reduces stress, and enhances emotional well-being. It supports the recovery process by fostering strength, flexibility, and a deeper connection to the body, empowering individuals to reclaim their health and balance. #DIEPFlapYoga #BreastCancerRecovery #PostSurgeryWellness #HealingThroughYoga #SurvivingBreastCancer #MindfulMovement #BreastCancerSupport Yoga with chair assistance offers a gentle yet empowering way for breast cancer survivors, thrivers, and those living with metastatic breast cancer (MBC) to experience the benefits of yoga with added support. Using a chair for stability, this practice helps improve balance, flexibility, strength, and relaxation while being accessible to all levels and abilities. Qi Gong is a gentle, meditative movement practice that helps breast cancer survivors, thrivers, and those living with metastatic breast cancer (MBC) restore balance, reduce stress, and enhance overall well-being. Rooted in traditional Chinese medicine, Qi Gong combines slow, intentional movements, breathwork, and mindfulness to promote energy flow (Qi) and support physical and emotional healing. EXPRESSIVE ARTS EXPRESSIVE ARTS EXPRESSIVE ARTS EXPRESSIVE ARTS ART GALLERY View classes Breast Cancer Conversations MBC Webinar Series Meditation Reflections Meditation On Demand Discover Watch Over 600 Videos On-Demand: Breast Cancer Thrivers Unite! Welcome to our On-Demand Video Library, your ultimate destination for breast cancer resources and inspiration.

Clinical trials for breast cancer research allow patients to receive innovative treatment methods while opening up healing possibilities for future patients. Transforming Your Breast Cancer Care Clinical Trials are an excellent option. Watch Now on Breast Cancer Conversations, the podcast Meet the People Behind the Amelia Study! Clinical Trials 101 Breast cancer clinical trials offer hope to many women and men diagnosed with the disease. They provide access to cutting-edge treatments that are not yet available to the general public. Explore 1. Our Specialties You get a tailored curated list of clinical trials from experts who are doing cutting edge research and have partnered with SBC to bring these trials to you! 2. Featured Projects Relationships are key for any cancer care. We have taken the time to meet with the scientists, the researchers and the principle investigators engaging in the research and trials we bring to you, our SBC community members! 3. Resources We are not just highlighting trials, we are providing you with an in-depth look at the trial through interviews with the researchers, expert blogs and fireside chats with the scientists, and access to reliable opportunities. 4. The Latest Clinical trials provide you with access to the lastest resources and access to some of the best people in the world who are dedicating their lives to ending cancer. You don't just get the standard of care, you get above and beyond the standard! ARETHA-1 Study for Metastatic Triple Negative Breast Cancer A Phase II Study of Evexomostat plus Eribulin for People with Triple-Negative Breast Cancer Phase 2 Randomized Control Trial of Evexomostat (SDX-7320) in Combination with Eribulin for Patients with Metastatic Triple-Negative Breast Cancer and Metabolic Dysfunction: The ARETHA Study This study is being conducted at Memorial Sloan Kettering Cancer Center. Learn More Amelia 1 for HR+ (estrogen or progesterone), Her2-, metastatic breast cancer with a PIK3CA gene mutation and previously treated with a CDK 4/6 inhibitor (e.g., Ibrance®) in1st line setting The Amelia 1 clinical study is testing a new, experimental cancer treatment called Evexomostat to see if it prolongs patient treatment when combined with Piqray® and Faslodex® and if it helps control blood glucose spikes. Learn More PROTECT-BC (PROton Therapy to Eliminate Cardiac Toxicity for Breast Cancer) A study to assess the safety and effectiveness of a condensed course of radiation delivered daily over approximately 1-2 weeks instead of 5-6 weeks. Learn More Get In Touch Our Clinical Trial Partners Food for Thought Study of Food and Brain Health in women being treated for Triple Negative breast cancer A research team at The Ohio State University in Columbus, OH, is recruiting participants for a remote study of diet and cognition among breast cancer patients. You might be eligible for this study if you:  Are female  Were recently diagnosed with stage II-III triple-negative breast cancer  Have just started, or soon will start systemic therapy (e.g. chemotherapy, targeted or endocrine therapies)  Are 40-65 years old Enrolled participants will be randomized to receive a personalized 12-week nutrition intervention for cognitive health with a registered dietitian-nutritionist or a 12-week general healthy lifestyle program, and will complete all study visits remotely. Participants will be contacted 6 months after the intervention for data collection. If you are interested in this study and would like to find out if you are eligible to participate, please complete a brief screening survey and someone from the research team will contact you directly. Complete the Screening Survey Sexual Health And REhabilitation Online (SHAREonline): A Research Study for Young Female Cancer Survivors Facing Changes in Sexual Health & Sexual Function Researchers at the Dana-Farber Cancer Institute are conducting a research study: “Sexual Health and Rehabilitation Online” (SHAREonline), for women age 19-49 who are experiencing changes in sexual functioning after cancer treatment. For more information visit sharesurvivorship.com or email share@dfci.harvard.edu . Learn More Get In Touch Cognitive Behavioral Therapy for Cancer Survivors with Insomnia Up to 30–50% of cancer survivors experience chronic, often untreated insomnia. This study is evaluating a virtual cognitive behavioral therapy for insomnia (CBT-I) program designed specifically for cancer survivors. Delivered online by a trained clinician, the Survivorship Sleep Program aims to address cancer-related barriers to sleep using an evidence-based approach. By expanding access to CBT-I across survivorship stages, this research seeks to better understand how targeted, virtual care can improve sleep and overall quality of life after cancer. Learn more SURGE Study: Virtual Exercise Program for Cancer Survivors The Survivors Uniting for Remote Guided Exercise (SURGE) Study is exploring how online exercise programs can support individuals living with and beyond cancer. This fully virtual study compares live, group-based exercise classes with recorded exercise sessions to understand how they impact physical activity levels, physical fitness, quality of life, and loneliness. All study activities are completed 100% online, including virtual exercise sessions, brief surveys, fitness assessments, and the use of a physical activity monitor during the study. Learn more Who We Work With Are you designing a clinical trial and looking for a patient advocacy organization to partner with? Let’s connect! When patient advocates are given a seat at the table, everyone benefits. Get In Touch

Why Movement Matters During and After Breast Cancer Join us Weekly, Monthly, and On Demand! Upcoming Movement and Exercise Classes Multiple Dates Mon, Apr 20 Restorative Yoga: A Monthly Journey Into Calm, Comfort & Inner Healing / Online Event RSVP Apr 20, 2026, 5:30 PM – 6:30 PM EDT Online Event Step into a space of deep relaxation and gentle healing with our Restorative Yoga class, offered year-round by SurvivingBreastCancer.org. Designed for all experience levels, this cozy, nurturing practice invites you to slow down, breathe deeply, and reconnect with your body. +38 more Multiple Dates Fri, Apr 24 Pilates for Breast Cancer Recovery / Online Event RSVP Apr 24, 2026, 10:00 AM – 11:00 AM EDT Online Event Did you know that Pilates can specifically address post-surgical tightness and lymphatic health? From restoring range of motion after a mastectomy to strengthening the "powerhouse" following flap reconstruction, Pilates offers a low-impact solution to post-treatment side effects. +16 more Multiple Dates Wed, Apr 29 Tai Chi & Qi Gong for Breast Cancer Thrivers / Online Event RSVP Apr 29, 2026, 8:00 PM – 9:00 PM EDT Online Event Slow down. Breathe. Move with intention. In this gentle Tai Chi & Qi Gong session, you’ll be guided through flowing movements designed to release tension, restore energy, and support healing from within. No experience needed,just bring your body, exactly as it is. +17 more Multiple Dates Tue, May 12 Yoga Stretching for DIEP Flap / Online Event RSVP May 12, 2026, 6:00 PM – 7:00 PM Online Event Join us for our Online DIEP Flap Yoga Classes, a gentle, supportive, and guided movement series created specifically for individuals preparing for or recovering from DIEP flap breast reconstruction surgery. +20 more

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Metastatic Breast Cancer Financial Assistance Program Short-term, high-impact financial support during the most vulnerable phases of treatment. Apply Aplicar Grounded in Dignity. Designed for Impact. Our financial assistance model is built on three core principles: Short-Term, High-Impact Support Whole-Person, Wrap-Around Care Equity-Centered, Dignified Access While metastatic breast cancer is lifelong, this program provides short-term relief during high-intensity treatment periods — ensuring responsible stewardship while delivering meaningful, timely support. Health outcomes are shaped not only by clinical care, but also by transportation, nutrition, housing stability, mental health, and caregiving support. SBC’s model addresses these interconnected needs. Eligibility is not based on income alone. SBC recognizes that treatment-related financial toxicity affects individuals regardless of income levels. Apply Donate Financial Assistance Categories Applicants may request support in one or more of the following areas: Transportation & Access to Care Food & Nutrition Assistance Daily Living & Caregiving Support Rent/Mortgage & Utility Stabilization To ensure responsible allocation of funds, this program does not cover medical co-pays, medication costs, health insurance premiums or deductibles. Eligibility Criteria Applicants must: Be diagnosed with metastatic (Stage IV) breast cancer Be receiving oncology care within Mass General Brigham Be experiencing a high-need treatment period such as: Treatment initiation or change Disease progression Radiation therapy Severe or cumulative side effects Recent hospitalization related to treatment Apply Aplicar Apply Application & Review Process • Applications are accepted year-round • Review time: approximately 2–3 weeks • Reviewed by SBC staff based on treatment phase, support category, and available funds. Funds are primarily distributed via gift cards, with SBC retaining discretion over disbursement method. Apply Financial Toxicity Is Real. Metastatic breast cancer is not just a medical diagnosis — it is a long-term economic burden. Frequent appointments. Ongoing therapies. Lost wages. Increased caregiving costs. Transportation challenges. Your support helps reduce stress, improve access to care, and preserve dignity during the most vulnerable phases of treatment. Provide Support Today

Cancer bereavement Support Understanding and Coping Strategies for patients and caregivers Explore different ways on navigating grief following a cancer diagnosis. Discover expert insights, coping mechanisms, and support resources to help you through this challenging experience. Prioritize self-care and find solace in community understanding. After a breast cancer diagnosis, we often feel as though the world is crumbling around us. The shock of hearing such news about a loved one can be overwhelming, leaving us grappling with a whirlwind of emotions ranging from fear and sadness to anger and confusion. Learning to cope with the realities of the diagnosis is a journey filled with uncertainty and challenges. It requires resilience, strength, and a willingness to navigate through the unknown. Yet, amidst the darkness, there is also hope – hope for moments of joy amidst the struggle, and for the unwavering support of family, friends, and medical professionals. Each step forward, no matter how small, is a testament to our determination to confront and overcome the obstacles that lie ahead. Articles Our blog serves as a beacon of knowledge, offering valuable insights, personal stories, and practical advice Podcast Tune in to insightful discussions featuring experts, survivors, and caregivers sharing invaluable insights, practical tips, and heartfelt stories.

A variety of breast cancer treatment options exist to help patients in their fight, including chemotherapy, surgery, radiation, and hormonal therapy. Breast Cancer Radiation Treatment Options Chemotherapy, Surgery, Radiation & Hormonal Therapy When you meet with your oncology team, it is always important to remember that this is a partnership; a partnership between you and your doctors. It is ok to ask questions, to ask for clarification and to ensure you are 100% comfortable with your treatment options. Depending on the type of breast cancer you have (Triple Negative, Lobular, Inflammatory, etc. ), and the stage of your breast cancer, your treatment options will vary. In some cases people will start with chemotherapy, while others may have surgery first. In some cases, if your cancer has spread to the bones or organs, surgery may not be necessary. The point is, treatments vary, and if you read our breast cancer stories , you'll see the wide range of experiences our members share. What's the Difference between Diet and Nutrition? On Breast Cancer Conversations, the Podcast Listen Now Radiation Therapy Video Library Welcome to our Radiotherapy Video Library, where we provide expert insights, real patient experiences, and practical tips to help you navigate radiation therapy for breast cancer. Whether you're preparing for treatment, currently undergoing radiotherapy, or managing side effects, our videos offer clear, compassionate guidance every step of the way. Radiation Therapy: What Every Breast Cancer Patient Needs To Know | With Dr. Rachel Jimenez TOPICS COVERED IN THIS EPISODE -People who refuse aspects of therapy including radiation. -What to expect when going in for radiation-Planning appointment -What is radiation and why would I need it? -Radiation and skin care -Proton Beam Radiation (the science behind protons; a number of clinical trials exploring proton beam radiation in the breast cancer community to minimize cardiac toxicity). -Risks association with radiation, but we still sign the consent. As a young breast cancer survivor, I ask Dr. Jimenez to explain the 10, 20 and 50 year plan for women who go through treatment. HEALTH RISKS -Cardiac toxicity -Field of cardio oncology partners and have mapped out the ideal -Herceptin and anthracyclines. After 5 years of survivorship, you should have a cardiac stress test. -Getting a baseline with an ultrasound of the heart so if there are changes, doctors can track them. -Our job (in Radiation Oncology) in follow up is to open up and make sure that referrals are made. How is your nutrition? Are you exercising? Did you schedule your next mammogram? QUOTES: "Your providers are your providers for life". "You are never a bother, it is our job and privilege to take care of you! " Listen Now Radiation Therapy for Metastatic Breast Cancer (MBC) with Dr. Rachel Jimenez and Dr. Kim Corbin. Listen Now Tales from the Radiology Tech Amy Ellen Parliman lives life by faith and enjoys spreading kindness. 26 years ago, she went to school to become a radiology technologist. She enjoys performing diagnostic imaging on her patients, she prides herself in safe and quality care. About 12 years ago she became a leader in her field and has moved into a leadership role in the Diagnostic Imaging Department. She worked in mobile imaging for 13 years, she recently changed jobs to reenter the hospital scene. She enjoys sharing her skills in diagnostic imaging with newer technologist. Her thoughts are to create an environment that is warm and inviting for patients during some of the worse times of their lives. She lives by a code to treat all of her patients like she wants her parents treated. Her goal is a smile or maybe a laugh while caring for her patients. Over the years she has been able to learn from her patients and team. On January 29, 2014 Amy became a Cancer patient. She underwent treatment for stage III breast cancer during 2014. She lived with NED until January 29, 2019 then she was told she had MBC. She is currently on her first line treatment. If the opportunity presents, she will share her various experiences of living after diagnosis. Listen Now Stories to Explore Tripple Negative Breast Cancer in your 20's and 30's >

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A breast cancer diagnosis is life-changing for patients and their families. The SBC community will support you through every step of your treatment journey. Lifestyle & Wellness Resources Programs Content Library Podcast Download the App Subscribe to the Newsletter Make a Gift More Newly Diagnosed with Breast Cancer. Now What? What brings you to this website is most likely a breast cancer diagnosis. Perhaps you found a lump, noticed swelling or experienced pain; maybe you are awaiting test results; or you just heard the words that you've been diagnosed with breast cancer; or perhaps you are experiencing a recurrence. Whatever the reason, I want you to know that you will be supported and that our Surviving Breast Cancer (SBC) community is here for you! We are here to help! A breast cancer diagnosis disrupts our lives and throws us into a whirlwind of doctors appointments, follow ups, tests, scans, and the like. Each and every one of us have unique experiences, and what our SBC platform and community provides is education, support, and resources for you as a complement to your medical care. We are not medical professionals, nor provide medical advice. But what we do offer is content, stories, and community when you need it most! What I mean by that is you are welcome to dive in to absolutely everything we offer today, or, you can take bite size approaches to get the information and support when you feel ready for it. We've listed a few links and resources to help get you started and to hopefully make things a bit less overwhelming. Download. Questions to Ask Your Surgeon Download PDF Questions to Ask Your Radiologist Downlod PDF Questions to Ask Your Oncologist Download PDF Burning Questions Latest News Who Should I Tell? Learning that you have been diagnosed with breast cancer can set you into a whirlind of uncertainty and that is to be expected. There is probably a lot of information you do not yet know. At this time, you may want to start thinking about who you should tell. While this can also be difficult for loved ones, family, and friends to hear, you are actually in the process of cultivating your support team! Remember, you do not need to tell everyone all at once. Perhaps starting with close family, let friends know how they can help support you during this time. It is a personal decision on how private or public you want to be and completely your choice in how much information you choose to share. You may want to have seperate conversations with your children depending on their ages. We also recommend speaking with your medical team about your treatment options and getting a plan in place for when you may need to take time off from work or be out of the office. Should I Get A Second Opinion? You may consider receiving a second opinion from another medical oncologist or breast surgeon. In some cases, people get multiple opinions before making any decisions on their care and medical treatment plan. Women in our Breast Cancer Support Group often share that it is important for them to feel comfortable with your doctors; that there is a rapport and trust. After all, your medical team is going to be your primary caregiver throughout treatment so it is important you feel comfortable with the person, able to ask questions, and feel confident in your plan of action. Your Medical Care Team may consist of one or several of the following: Breast Oncologist Breast Surgeon Breast Plastic Surgeon Radiation Oncologist Social Worker Psychologist What Treatment Options Do I Have? Thanks to continued research taking place in Breast Cancer, people diagnosed today have a variety of treatment options and are able to live long healthy lives. Treatment options will be tailored to your specific diagnosis and dependent on the stage of your breast cancer (1-4) and it's characteristics. For example, is it HER2 positive or negative, is it triple negative meaning it is estrogen receptor negative, progesterone receptor negative and HER2 negative. Your oncologist will also take into consideration how advance the cancer is. During this phase you may be getting more tests and scans. During this phase, you may also consider genetic testing. Genetic testing is helpful for a multitude of reasons including helping to make surgery decisions. If you end of testing positive for a genetic pre-disposition to developing breast cancer, your surgeon may recommend a full double mastectomy. Traditional standard of care includes: Surgery (not always required if you are diagnosed with metastatic stage IV breast cancer, that is, your cancer has spread beyond your breast to your bones, lungs, liver, or brain) Radiation (not always required) Chemotherapy (not always required) Hormonal Therapy (not always required) Oftentimes people will also consider integrative therapies as a complement to the standard treatments which also has been shown to reduce some of the side effects of treatment: Acupuncture Yoga Meditation Additionally speak to your oncologist about Clinical Trials and if you would be a candidate. Will I Need Chemotherapy? Not everyone diagnosed with breast cancer will need chemotherapy. There are several factors that go into this determination and should be a conversation you have with your oncologist. For example, your doctor will take into consideration the stage of cancer that you have (i.e., stage 1, 2, 3, 4) and the characteristics of your tumor, (i.e., if it is hormonal positive or negative) etc. In some instances, chemotherapy will be an option for people prior to surgery. This is called neo-adjuvant chemo. Other times, chemotherapy may be prescribed after surgery which is referred to as adjuvant chemotherapy. . Join our community SBC offers a safe space to build community. We provide reliable information and offer what you most need during the diagnosis: understanding. English Español

Círculo de Mujeres Un espacio recurrente diseñado especialmente para mujeres diagnosticadas con cáncer que buscan trabajar en sí mismas, descubrir nuevas herramientas de crecimiento personal y fortalecer su bienestar emocional. A través de dinámicas de coaching, reflexión y acompañamiento grupal, cultivamos juntas la resiliencia, el empoderamiento y una nueva mirada hacia la vida. Multiple Dates Thu, Apr 23 Círculo de Mujeres: Apoyo Emocional y Crecimiento Personal / Zoom RSVP Apr 23, 2026, 8:00 PM – 9:00 PM Zoom Círculo de Mujeres es un encuentro recurrente creado especialmente para mujeres diagnosticadas con cáncer que buscan trabajar en sí mismas, descubrir nuevas herramientas de crecimiento personal y fortalecer su bienestar emocional. +3 more Multiple Dates Thu, May 07 Círculo de Mujeres: Apoyo Emocional y Crecimiento Personal / Zoom RSVP May 07, 2026, 8:00 PM – 9:00 PM Zoom Círculo de Mujeres es un encuentro recurrente creado especialmente para mujeres diagnosticadas con cáncer que buscan trabajar en sí mismas, descubrir nuevas herramientas de crecimiento personal y fortalecer su bienestar emocional. Multiple Dates Thu, May 21 Círculo de Mujeres: Apoyo Emocional y Crecimiento Personal / Zoom RSVP May 21, 2026, 8:00 PM – 9:00 PM Zoom Círculo de Mujeres es un encuentro recurrente creado especialmente para mujeres diagnosticadas con cáncer que buscan trabajar en sí mismas, descubrir nuevas herramientas de crecimiento personal y fortalecer su bienestar emocional. Multiple Dates Thu, Jun 04 Círculo de Mujeres: Apoyo Emocional y Crecimiento Personal / Zoom RSVP Jun 04, 2026, 8:00 PM – 9:00 PM Zoom Círculo de Mujeres es un encuentro recurrente creado especialmente para mujeres diagnosticadas con cáncer que buscan trabajar en sí mismas, descubrir nuevas herramientas de crecimiento personal y fortalecer su bienestar emocional. Multiple Dates Thu, Jun 18 Círculo de Mujeres: Apoyo Emocional y Crecimiento Personal / Zoom RSVP Jun 18, 2026, 8:00 PM – 9:00 PM Zoom Círculo de Mujeres es un encuentro recurrente creado especialmente para mujeres diagnosticadas con cáncer que buscan trabajar en sí mismas, descubrir nuevas herramientas de crecimiento personal y fortalecer su bienestar emocional. Multiple Dates Thu, Jul 02 Círculo de Mujeres: Apoyo Emocional y Crecimiento Personal / Zoom RSVP Jul 02, 2026, 8:00 PM – 9:00 PM Zoom Círculo de Mujeres es un encuentro recurrente creado especialmente para mujeres diagnosticadas con cáncer que buscan trabajar en sí mismas, descubrir nuevas herramientas de crecimiento personal y fortalecer su bienestar emocional. Multiple Dates Thu, Jul 16 Círculo de Mujeres: Apoyo Emocional y Crecimiento Personal / Zoom RSVP Jul 16, 2026, 8:00 PM – 9:00 PM Zoom Círculo de Mujeres es un encuentro recurrente creado especialmente para mujeres diagnosticadas con cáncer que buscan trabajar en sí mismas, descubrir nuevas herramientas de crecimiento personal y fortalecer su bienestar emocional. Load More Comunicación asertiva con familiares, médicos y cuidadores Aprender a establecer límites, expresar necesidades y tomar decisiones informadas es clave durante el proceso oncológico. En el Círculo de Mujeres, fomentamos la comunicación asertiva como una herramienta poderosa para mejorar las relaciones personales y el autocuidado. Las participantes desarrollan confianza para dialogar con su equipo médico, familiares y cuidadores desde un lugar de claridad, respeto y seguridad. Manejo emocional después del diagnóstico En el Círculo de Mujeres abordamos el manejo emocional tras un diagnóstico de cáncer como una parte fundamental del proceso de sanación. Reconocer, expresar y validar emociones como el miedo, la tristeza o la incertidumbre ayuda a liberar tensiones y a fortalecer el equilibrio emocional. A través de dinámicas grupales, técnicas de journaling y ejercicios de mindfulness, las participantes aprenden a cultivar una mentalidad más compasiva y resiliente. Autoestima y reconexión con el cuerpo El cáncer puede transformar la relación que una mujer tiene con su cuerpo. En este espacio, trabajamos la autoestima y la reconexión corporal desde la aceptación y el amor propio. Usamos herramientas de visualización, movimiento consciente y diálogo interior para recuperar la confianza, reconectar con la feminidad y honrar el cuerpo como un aliado en el camino de recuperación. Multiple Dates Círculo de Mujeres: Apoyo Emocional y Crecimiento Personal Thu, Apr 23 Zoom Círculo de Mujeres es un encuentro recurrente creado especialmente para mujeres diagnosticadas con cáncer que buscan trabajar en sí mismas, descubrir nuevas herramientas de crecimiento personal y fortalecer su bienestar emocional. +3 more RSVP

Your generosity gives hope. Donate to make a real difference in the breast cancer community, including through DAF and stock-based giving options. Lifestyle & Wellness Resources Programs Content Library Podcast Download the App Subscribe to the Newsletter Make a Gift More Community Our support groups provide a virtual community setting to allow those diagnosed to share personal experiences, ask questions, and foster connection. Our programs are tailored to early-stage breast cancer, those living with metastatic breast cancer, as well as inflammatory breast cancer which impacts less than 5% of those diagnosed. Your donation also enables us to provide complementary programs to help breast cancer survivors make sense of the trauma a breast cancer diagnosis brings through professionally led programs. Donate now Podcast, webinars & more! Knowledge is Power! Support accurate and trustworthy educational content in the form of blogs, articles, and research, to weekly podcast episodes and webinars where we interview the experts. Help us ensure that we are getting the information into the hands (eyes and ears) of those diagnosed who need it most! Donate now Trustworthy Information A breast cancer diagnosis at any stage is emotionally overwhelming, and it also comes with a lot of new information to absorb. At SurvivingBreastCancer.org, we've gathered resources to help new cancer patients and their families navigate this sea of information. We stay up to date with the latest clinical trials and curate content from trusted partners and providers so our community members can make informed decisions based on reputable sources. Donate now Hearing From The Experts Our travel grant program enables breast cancer patient advocates to attend important conferences and events such as the San Antonio Breast Cancer Symposium, the American Society of Clinical Oncology, Living Beyond Breast Cancer, and may others. Your generosity helps off set the cost of travel, registration, hotels, and meals so those diagnosed with breast can attend conferences, gain valuable information, and connect with survivors, thrivers, and patient advocates! Donate now In-Person Support Your contribution to our in-person breast cancer retreats provides those diagnosed with breast cancer to experience a much-deserved and needed respite for a long weekend. Participants on our SBC Retreats receive an all-inclusive weekend get-a-way to connect with others diagnosed with breast cancer, customized programming, delicious and nutritious meals, and opportunities to be in nature and make lasting connections. Donate now Donate to SurvivingBreastCancer.org At SurvivingBreastCancer.org (SBC), we believe everyone deserves free, compassionate support from the moment of diagnosis and beyond. Every day, people log on to connect with our global community of patients, survivors, thrivers, and caregivers who understand what it means to live with breast cancer. Your gift ensures this vital support is always within reach. Because of donors like you, SBC offers more than 400 free virtual programs every year to support mental, emotional, and physical health, from weekly meditation sessions to support group meet-ups and educational webinars. Our on-demand library of 600+ videos, podcasts, and resources empowers survivors and caregivers to find strength, information, and hope at any time, from anywhere. Donor-Advised Funds (DAF) Giving SurvivingBreastCancer.org now supports DAF contributions through Funraise! If you'd like to donate stock through your DAF account, the process is simpler than ever. Just click the DAFpay button to get started. We appreciate all types of contributions helping to support the breast cancer community! Securities & Stocks Donor Advisor Fund (DAF) Direct Donation By Check or Venmo Donate to Programs Your generosity funds life-saving support programs, innovative research, and empowers survivors to thrive beyond breast cancer. You can: Donate to the program of your choice Automate monthly, quarterly or yearly donations Let us know who you are honoring with your donation Donate Now Donate by Check Survivingbreastcancer.org 5 Cedar Street, Suite 1Roxbury, MA 02119 Checks can be made out to "Survivingbreastcancer.org" Donate by Venmo @Survivingbreastcancerorg Make a one-time or schedule a recurring donation to SurvivingBreastCancer.Org whether it is a personal donation or on behalf of a company. Donate Now Donate Stock or other Securities Legacy Donations or Endowments Public Traded Securities Asset-based Donations Donor-Advised Funds Please contact us to schedule an appointment. We are happy to partner with you! Contact us Donor Advisor Fund (DAF) A Donor-Advised Fund (DAF) is one of the most flexible and tax-efficient ways to support SurvivingBreastCancer.org. How to Make a DAF Gift Contact your DAF provider and recommend a grant to: SurvivingBreastCancer.org EIN: 82-2953427 Address: 5 Cedar Street Unit 1, Roxbury MA, 02119 Use our legal name: SurvivingBreastCancer.org, Inc. Notify us so we can thank you and ensure your gift supports the programs you care about most. Please contact us to schedule an appointment. We are happy to partner with you! Your Tax-Deductible Donation Makes a Difference! By donating, you’re ensuring we can continue to offer life-changing programs and services. All contributions are tax-deductible, and every dollar goes directly toward our cause! Community Education Resources Travel Grants Retreats Support Groups Our support groups provide a virtual community setting to allow those diagnosed to share personal experiences, ask questions, and foster connection. Our programs are tailored to early-stage breast cancer, those living with metastatic breast cancer, as well as inflammatory breast cancer which impacts less than 5% of those diagnosed. Your generous donation also enables us to provide essential complementary programs to help breast cancer survivors make sense of the trauma a breast cancer diagnosis brings through professionally led programs in art therapy and expressive writing. These modalities foster healing beyond just the physical. They touch upon the mental and emotional well-being of breast cancer survivors. Donate Now Podcasts, webinars & more! Knowledge is Power! Support accurate and trustworthy educational content in the form of blogs, articles, and research, to weekly podcast episodes and webinars where we interview the experts. Help us ensure that we are getting the information into the hands (eyes and ears) of those diagnosed who need it most! Donate now Trustworthy information A breast cancer diagnosis at any stage is emotionally overwhelming, and it also comes with a lot of new information to absorb. At SurvivingBreastCancer.org, we've gathered resources to help new cancer patients and their families navigate this sea of information. We stay up to date with the latest clinical trials and curate content from trusted partners and providers so our community members can make informed decisions based on reputable sources Donate Now Hearing From The Experts Our travel grant program enables breast cancer patient advocates to attend important conferences and events such as the San Antonio Breast Cancer Symposium, the American Society of Clinical Oncology, Living Beyond Breast Cancer, and may others. Your generosity helps off set the cost of travel, registration, hotels, and meals so those diagnosed with breast can attend conferences, gain valuable information, and connect with survivors, thrivers, and patient advocates! Donate Now In-Person Support Your contribution to our in-person breast cancer retreats provides those diagnosed with breast cancer to experience a much-deserved and needed respite for a long weekend. Participants on our SBC Retreats receive an all-inclusive weekend get-a-way to connect with others diagnosed with breast cancer, customized programming, delicious and nutritious meals, and opportunities to be in nature and make lasting connections. Consider giving a life-changing experience to those in our breast cancer community. Donate Now Like Meet our Founders Meet our Founders Meet our Founders Meet our Founders DONATE TODAY DONATE TODAY DONATE TODAY Testimonials Testimonials Testimonials Testimonials Help us provide crucial resources and support for breast cancer survivors, thrivers and their families. Every donation makes a difference. Donate Today Breast cancer is a significant health issue, impacting the lives of millions. According to the American Cancer Society, approximately 1 in 8 women in the United States will be diagnosed with invasive breast cancer during their lifetime, which translates to an estimated 297,790 new cases expected in 2024 alone . Your generosity funds life-saving support programs, innovative research, and empowers survivors to thrive beyond breast cancer. You can: Donate to the program of your choice Automate monthly, quarterly or yearly donations Let us know who you are honoring with your donation Get started Mental & Emotional Support Your generous donation enables us to provide essential complementary programs to help breast cancer survivors make sense of the trauma a breast cancer diagnosis brings through professionally led programs in art therapy and expressive writing. These modalities foster healing beyond just the physical. They touch upon the mental and emotional well-being of breast cancer survivors. Donate Now Donate $50 Donate $100 Donate $250 Support Groups Our support groups provide a virtual community setting to allow those diagnosed to share personal experiences, ask questions, and foster connection. Our programs are tailored to early-stage breast cancer, those living with metastatic breast cancer, as well as inflammatory breast cancer which impacts less than 5% of those diagnosed. Now those diagnosed with Inflammatory breast cancer finally have a community they can call their own! The online experience enables us to reach rural communities, health centers, and patients who may not have access to support programs otherwise. Your contribution makes our weekly support groups truly THRIVE! Donate Now Donate $50 Donate $100 Donate $250 Wellness Programs Give the gift of wellness. SBC offers many wellness programs tailored for those diagnosed with breast cancer. We offer weekly online classes such as Yoga, Meditation, Qi Gong, Pilates, Mindfulness, Movement Classes, and more! Donate Now Donate $50 Donate $100 Donate $250 Educational Content to Empower Knowledge is Power! Support accurate and trustworthy educational content in the form of blogs, articles, and research, to weekly podcast episodes and ask the experts webinars. Help us ensure that we are getting the information into the hands (eyes and ears) of those diagnosed who need it most! Donate Now Donate $50 Donate $100 Donate $250 Educational Travel Grants Our travel grant program enables breast cancer patient advocates to attend important conferences and events such as the San Antonio Breast Cancer Symposium, the American Society of Clinical Oncology, Living Beyond Breast Cancer, and may others. Your generosity helps off set the cost of travel, registration, hotels, and meals so those diagnosed with breast can attend conferences, gain valuable information, and connect with survivors, thrivers, and patient advocates! Donate Now Donate $50 Donate $100 Donate $250 SBC RETREATS Bringing People Together to Share Connection, Forge Friendships, and Create Lasting Memories $100 $50 $250 More Ways to Give Your Tax-Deductible Donation Makes a Difference! By donating, you’re ensuring we can continue to offer life-changing programs and services. All contributions are tax-deductible, and every dollar goes directly toward our cause! Donate by Check Survivingbreastcancer.org 5 Cedar Street, Suite 1Roxbury, MA 02119 Checks can be made out to "Survivingbreastcancer.org" Donate by Venmo @Survivingbreastcancerorg To: Donate Stock or other Securities Legacy Donations or Endowments Public Traded Securities Asset-based Donations Donor-Advised Funds Please contact us schedule an appointment . We are happy to partner with you!

Our podcast, Breast Cancer Conversations, offers weekly episodes on current, educational, and informative topics emerging in the breast cancer community. Breast Cancer Conversations Breast Cancer Conversations is a podcast that discusses all things breast cancer! We share stories of those who have been diagnosed and interview medical professionals, doctors, radiologists, and oncologists. Our podcast episodes also include conversations with advocates and caregivers. Our podcast is a microphone for the entire breast cancer community to contribute to. If you have questions, we go out and seek answers! We break it down to understandable terms and build community for our thriving tribe. Welcome to the conversation.

SurvivingBreastCancer.org offers breast cancer support through online programs, resources, and a caring community for patients, survivors, and their families. Community.Education. Support When breast cancer becomes part of your life, we become part of your support. Get Support Fuel Cancer Survivorship into 2026 Donate Today! Our Impact in Numbers Facts & Figures +390 Programs offered Serving 8,000 individuals +51k Views of our digital content Video views from our digital content library Webinars, on-demand mindfulness & movement classes 190K Podcast Episodes Downloaded Providing education and inspiration 85% Demonstrated increased confidence Support, mental health, and health literacy This December, Your Support Matters! Fuel Cancer Survivorship into 2026 Resources. Community. Support 400+ Virtual Programs Explore Every week, hundreds of people impacted by breast cancer log on to connect, learn, and heal through our 400+ free virtual programs. From weekly support groups to wellness classes and expert-led webinars, experience how powerful community can be. SBC's On-Demand Video Library Watch Now Whether you’re newly diagnosed, living with metastatic breast cancer, or supporting a loved one, our 600+ videos are here for you 24/7. Explore expert talks, survivor stories, and wellness practices—all free and on demand. Real Stories. Real Voices. Real Support. Listen Now Our podcast, Breast Cancer Conversations, brings together survivors, thrivers, caregivers, and experts in candid conversations that educate, inspire. With over 250 episodes, it’s a trusted companion — whether you’re seeking answers, hope, or just a friendly voice. Donate Donate Today! About you Join Subscribe to Our Mailing List Thanks for subscribing! Recibe nuestro boletín en Español Registrate aquí Registrate Shop Now This October, SurvivingBreastCancer.Org is honored to partner with Madam Glam in our shared mission to support breast cancer awareness and action. For every pink gel sold from Madam Glam’s exclusive "Think Pink" Collection, $1 will be donated directly to SurvivingBreastCancer.Org.

Learn about Metastatic breast cancer, also called stage IV breast cancer, and the innovative treatments that are changing the story for patients. Living with Metastatic Breast Cancer Resources & Support So You Can Keep Living Life! Created in partnership with Abigail Johnston and the Grieving Together Project. In honor of the late Alyson Tischler. What is Metastatic Breast Cancer? Metastatic breast cancer—also called stage IV breast cancer—means that the cancer has spread beyond the breast and nearby lymph nodes to other parts of the body. Common sites of metastasis include the bones, liver, lungs, and brain. When breast cancer cells travel through the blood or lymphatic system to other organs, they can grow and form new tumors. Read More Advanced Treatment Options If you’ve recently been diagnosed with metastatic breast cancer (MBC), it can feel like you’re suddenly thrust into a new world filled with acronyms, treatment decisions, and unfamiliar terminology. We take a deeper look at four innovative categories of treatment that are changing the landscape of metastatic breast cancer care: CDK4/6 inhibitors, Antibody-drug conjugates , Immunotherapies, & PARP inhibitors Read More Understanding Survivor's Guilt Why Am I Still Here When Others Are Gone? If you’ve ever felt this way, you’re not alone. Many people living with metastatic breast cancer (MBC), or have no evidence of disease/ active disease, after treatment experience a complex emotional weight known as survivor’s guilt. Read More What is Metastatic Breast Cancer? Newly Diagnosed with MBC? Start Here Explore a wide variety of programs, virtual meet-ups, webinars, blogs, & podcasts curated specifically for those living with Metastatic Breast Cancer. Monthly Metastatic Breast Cancer Webinars Explore the Series Attend Upcoming Events &Programs Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, Apr 24 Online Event +12 more RSVP Multiple Dates MBC Peer to Peer Support | Thursday Night Thrivers Meetup Thu, May 07 Virtual +2 more RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, May 08 Online Event See All RSVP Multiple Dates Metastatic Breast Cancer (MBC) Support Group with Nancy Gaulin, PsyD Thu, May 21 Zoom +3 more RSVP No events at the moment See The Full Calendar Enhance your Advocacy Get involved and volunteer with SBC Today! Contact Us Handy Resouces File Name Description Download SBC MBC Legacy Workshop Handout Ideas, inspiration, and resources for leaving your legacy Estate Planning for the Terminally Ill A practical guide to the logistics and administration of estate planning. Financial Literacy & Breast Cancer Definition of terms, budget sheets, and financial considerations to help you navigate MBC MBC Resources (Recap from SABCS 2022) Breast Cancer Advocates, Stephanie Walker and Christine Hodgdon share a PDF with MBC resources. Read the Blog Join Our Mailing List and Receive Weekly Newsletters and Announcements Subscribe to Our Mailing List Join Thanks for subscribing!

Learn about what breast cancer is and its risk factors, symptoms, stages, and types to better understand your diagnosis or support those you love. 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 not considered a true cancer but rather a marker of increased risk for developing invasive breast cancer in either breast in the future. It occurs when abnormal cells are found in the lobules (milk-producing glands) of the breast but have not spread to surrounding tissue. LCIS is non-invasive and typically does not form a lump or cause symptoms. 5. Invasive Lobular Carcinoma (ILC): ILC is the second most common type of invasive breast cancer. It begins in the lobules and, unlike LCIS, has spread (invaded) into the surrounding breast tissue. ILC can be more difficult to detect on imaging due to its growth pattern and may require additional imaging or diagnostic techniques. 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

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