Tell cancer to take a hike! Join SurvivingBreastCancer.org on October 25th and share your own walk to encourage donations for breast cancer support programs. Achieving Growth TELL CANCER TO #TAKE A HIKE Join Tell Cancer to Take a Hike on Oct 24, 2026. Support breast cancer awareness, community, and free programs. Register and get involved today! Register Now Meet our Presenting Sponsors! Join now Where Can I Hike? You can join Tell Cancer to Take a Hike on October 24th, 2026—anywhere in the world. Choose a path you love and get outdoors to support breast cancer awareness, fundraising, and community wellness. Whether you walk, run, hike, or stroll, your participation helps generate critical donations and funding for free breast cancer programs. SurvivingBreastCancer.org has volunteers in select locations who organize local meet-up points and group hikes. We continue to expand our list of cities and volunteer-led events, making it easier to join a community near you. Don’t see a location nearby? No problem—you can participate from your own neighborhood, park, or favorite trail. Start your own group, invite friends and family, and make an impact from wherever you are. Every step helps raise awareness and support those affected by breast cancer. Get Your School Involved Get Your Company Involved Become a Sponsor Bring your school community together for a meaningful cause! Students, teachers, and staff can walk, run, or hike to support breast cancer awareness while raising funds for free programs and services. It’s a great way to promote wellness, teamwork, and giving back. Start a school team, set a goal, and make an impact—every step counts. Engage your team in a meaningful way while making a real impact. Encourage your employees to walk, run, or hike together to support breast cancer awareness, funding, and community programs. Corporate participation helps generate vital donations that sustain free support services, education, and wellness initiatives. Start a company team, match employee donations, or organize a workplace challenge—every step helps drive funding for those affected by breast cancer. Partner with us as a sponsor and help expand access to life-changing breast cancer resources. Your sponsorship provides critical funding to sustain our 100% free programs, while also supporting opportunities for grants, education, and patient services. As a sponsor, your organization will gain meaningful visibility while demonstrating a strong commitment to community impact and healthcare support. Join us in driving awareness, increasing donations, and making a difference. Contact us to Learn More Contact us to Learn More View Sponsor Opportunities Donate $65 Donate $100 What's Inside the Box? Make A Donation: $65 Seeds of Hope When you make a donation of $65, you’ll receive a beautifully curated Seeds of Hope box with three packets of seeds representing hope, strength, and renewal. Your gift helps support SBC’s education, community, and integrative wellness programming, creating space for connection, healing, and growth. Make A Donation: $100 Plant it Forward When you donate $100 or more, you’ll receive your Seeds of Hope box along with a special gift from SBC. Your donation helps expand access to SBC’s programs and access to support and wraparound services. A Look Inside Inside your Seeds of Hope box, you’ll find a curated collection of flower seeds including wildflowers, sunflowers, and a seasonal bloom. Each flower is chosen to represent hope, strength, and renewal. Alongside your seeds, you’ll receive a planting guide and a message from SBC, a small, and meaningful way to honor our breast cancer community. Donate $65 Donate $100 What's Inside the Box? Make A Donation: $65 Seeds of Hope When you make a donation of $65, you’ll receive a beautifully curated Seeds of Hope box with three packets of seeds representing hope, strength, and renewal. Your gift helps support SBC’s education, community, and integrative wellness programming, creating space for connection, healing, and growth. Make A Donation: $100 Plant it Forward When you donate $100 or more, you’ll receive your Seeds of Hope box along with a special gift from SBC. Your donation helps expand access to SBC’s programs and access to support and wraparound services. A Look Inside Inside your Seeds of Hope box, you’ll find a curated collection of flower seeds including wildflowers, sunflowers, and a seasonal bloom. Each flower is chosen to represent hope, strength, and renewal. Alongside your seeds, you’ll receive a planting guide and a message from SBC, a small, and meaningful way to honor our breast cancer community. Get Your School Involved Contact Us to Learn More Meet our Companies National Grid PFM Madam Glam OncoCare.io Get Your Company Involved Contact Us to Learn More Become a Sponsor Let's Tell Cancer To Go #TakeAHike together! View sponsorship options The Story Behind the Hike When Laura was going through early-stage breast cancer treatment at the age of 34, her husband would bundle her up each day and they would go for a walk. Sometimes that walk would be a mile, some days, after all of the steroid injections, it would be 5 miles. On other days, it would be to the end of the block, to the stop sign, the next red light, or even just down the steps of their condo building to only turn back around and go inside. William (the husband) knew that movement was essential for the mental, emotional, and physical well-being of his wife. Telling Cancer To Go #TakeAHike is a celebration of life, of honoring those we have lost to this horrendous disease, and for moving our bodies in recognition of what we can do. At SurvivingBreastCancer.org (SBC) we are Stronger Together!

Free resources for your cancer paitents. SurvivingBreastCancer.org provides weekly support groups, art therapy classes, movement classes and so much more. Free Programs in English Download the Brochures From Art Therapy and Expressive Writing, to Yoga & Meditation SBC provides the complementary care your patients deserve. Free Programs offered in English & Spanish Download the Flyer From virtual meet-ups to art therapy and webinars, our programs provide proven emotional support to assist your patients undergoing breast cancer treatment Free Educational Webinars Download the Flyer Offered in both English & Spanish, SBC provides educatoinal content through our livestreaming webinar series. Breast Self-Exam Tips Monthly breast checks are critical to detecting changes. Learn how to perform a breast self-exam with our tips! Download now Classes, Webinars, LiveStreams, and More! Order Materials For Your Office Looking for bulk flyers and brochures to put in patient packets or distribute at upcoming health fairs? We have you covered. You can shop at our store and we kindly ask for a donation to help support the cost of printing and shipping. Order Now What Sets Us Apart Our Story Download Flyers for your Office, Clinics, and Patient Packets Empowering Resources for your patients! Refer a Patient Download Brochures Building Strong Connections Through Online Support Groups All Stages. All Subtypes Download Flyers Join Our Medical Professionals Mailing List First name* Last name* Email* Company name Address Submit Refer Your Patients Let us bring hope and joy to the patients you serve. Looking to have a patient join one of our free online support groups, have them attend a workshop, or request a care package before your patient starts chemo or has surgery? SurvivingBreastCancer.org is here for you! Submit the Patient Referral Form below and we'll take it from there! Learn More Join Join Our Medical Professionals Mailing List Thanks for subscribing!

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

Listen to the Podcast: Breast Cancer Conversations Listen to the Latest Podcast Episodes Donate to SBC Donate Our song: "Then it hit me" ♪ Listen Now ♪ Breast Cancer Resources Join Our Mailing List Submit Your Story Resources for Newly Diagnosed Resources for Those Living With MBC Resources for Men with Breast Cancer Read the Latest Blog Articles Read the Blog Sign Up & Attend an Event, Program, or Webinar RSVP Now

Your mental health during breast cancer treatment is vital. Explore our resources for dealing with mental struggles accompanying a breast cancer diagnosis. Breast Cancer & Mental Health

Support groups designed for you! Real conversations. Real understanding. Support for every stage of breast cancer. Upcoming Support Groups Multiple Dates Tue, Apr 21 The Caregiver Huddle / Zoom RSVP Apr 21, 2026, 7:00 PM – 8:30 PM Zoom Monthly Virtual Support for Those Caring for a Loved One with Cancer Caring for someone with cancer can be overwhelming, isolating, and emotionally complex. You don’t have to carry it alone. See All Multiple Dates Thu, Apr 23 All Stages Breast Cancer Support Group | Thursday Night Thrivers / Zoom RSVP Apr 23, 2026, 7:00 PM – 8:00 PM EDT Zoom Join our All Stages Breast Cancer Support Group every Thursday night. A supportive, inclusive space for breast cancer thrivers at any stage to connect, share, and find community. See All 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 Sun, Apr 26 Metastatic Breast Cancer (MBC) Facilitator Training for Support Groups / Virtual RSVP Apr 26, 2026, 5:00 PM – 6:30 PM EDT Virtual Ready to make a difference? Join our SBC peer-2-peer support group facilitator training and help create a supportive space for those navigating a metastatic breast cancer diagnosis. Are you living with Metastatic Breast Cancer and have a desire to learn and support others? If so, this is your sign! +3 more Multiple Dates Tue, Apr 28 Grupo de Apoyo: Después de un Diagnóstico de cancer de Mama / Virtual RSVP Apr 28, 2026, 8:00 PM – 9:00 PM Virtual Encuentro en Español | Martes por la Noche ¡Únete a nuestro Grupo de Apoyo en Español: Después de un Diagnóstico de Cáncer de Mama, un espacio seguro, privado e inclusivo creado para acompañarte en cada eta¡Únete con nosotros para nuestro exclusivo Evento Martes - después del diagnóstico en español! Multiple Dates Thu, May 07 Early Stage Breast Cancer Support Group | Thursday Night Thrivers / Zoom RSVP May 07, 2026, 7:00 PM – 8:00 PM EDT Zoom Join our Early Stage Breast Cancer Support Group for thrivers every Thursday night. A safe, supportive space to connect, share experiences, and find emotional support after an early-stage breast cancer diagnosis. See All Multiple Dates Thu, May 07 MBC Peer to Peer Support | Thursday Night Thrivers Meetup / Virtual RSVP May 07, 2026, 7:00 PM – 8:00 PM EDT Virtual Join our MBC Peer to Peer Support group during Thursday Night Thrivers. A monthly breakout space for the metastatic breast cancer community to connect, share, and find support. +2 more Multiple Dates Thu, May 14 Inflammatory Breast Cancer Support Group (IBC) Online Meetup / Online Event RSVP May 14, 2026, 7:00 PM – 8:00 PM EDT Online Event Join our free monthly IBC Online Support Group to connect with others, share experiences, and find expert-guided emotional support. Hosted virtually, this group offers a safe space to discuss IBC symptoms, treatments, side effects, and real-life coping strategies. +3 more Multiple Dates Thu, May 21 Metastatic Breast Cancer (MBC) Support Group with Nancy Gaulin, PsyD / Zoom RSVP May 21, 2026, 7:00 PM – 8:00 PM EDT Zoom Join us for our Thursday Night Thrivers MBC Support Group, a warm and uplifting space created specifically for the Metastatic Breast Cancer community. This free, online support group is facilitated by the exceptional psychologist Nancy L. Gaulin, PsyD, MBA a specialist in cancer-related support +3 more

Art Therapy and Expresive Writing are excellent modalities for coping with a breast cancer diagnosis. Attend our free programs and events, meet those on a similar journey, and take a deep dive into managing breast cancer through the arts. 1 2 3 4 5 Healing Through The Arts A cancer diagnosis can ignite our deepest fears, and while navigating this life-altering experience, we often lose touch with the present moment. Through art, writing, and other creative modalities, we hold the power to manage our stress, make sense of our now, and relax into moments of stillness. Express yourself, get it out, connect with others, and find your breath again. Upcoming Events Multiple Dates Stitch & Share: A Mindful Crochet Gathering Wed, Apr 22 Online Event More info RSVP Multiple Dates Artistic Expression: Emotional Wellness & Self-Discovery Mon, May 04 Online Event More info RSVP Upcoming Events 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 Expressive Art: Unveiling my self Express your feelings, release tension, and explore your healing process without fear of judgment or perfection. Expressive Art: Season of Gratitude Adopting gratitude as a consistent practice helps transform a person's entire outlook, fostering optimism and resilience even in challenging circumstances. Expressive Arts: Honoring Your Life Celebrate resilience, courage, and self-expression through art. Expressive Arts Blossoming Beyond Embark on a transformative journey of renewal, where we blossom beyond challenges and embrace happiness through creativity and self-expression. Expressive Arts: Exploring Relationships In this class, we use art as a tool for healing, reflection, and self-discovery. Expressive Arts Class: Love Yourself Join us for a powerful Expressive Arts space focused on self-love, healing, and creativity. Expressive Arts: Creating Mandalas for Inner Peace and Reflection explore the power of mandalas as a creative tool for healing, mindfulness, and emotional expression. Expressive arts: Pebble Drawing Releasing the need to control is part of our learning process. We need to learn how to trust the flow, and find beauty in the unexpected. Expressive Arts: Write it, Feel it, Transform it Explore how expressive arts and creative arts can help breast cancer survivors process emotions, reduce stress, and foster healing. Expressive Art: Self Portrait This creative workshop is designed to help you explore your identity, emotions, and inner voice through the powerful tool of self-portraiture. Expressive Art Colors of my voice In this session, we invite you to explore the connection between emotion, voice, and color, using art as a gentle path to self-expression and healing. Expressive arts: Tree of Life Explore the Tree of Life as a tool for healing, reflection, and hope. Expressive Writing Art As Therapy Art As Therapy Art As Therapy Art As Therapy Read the Incredible Poems Coming Out Of Our SBC POETRY LAB Looking for more ways to support your healing journey? View Programs New to Expressive Art as Therapy? No worries, we have you covered! In the canvas of life, every stroke tells a story, and we believe that art can be a powerful medium for healing and self-expression. Join Elisa and other resilient individuals as we explore the therapeutic benefits of artistic expression, fostering a supportive community where stories are shared, and strength is discovered. Embrace the canvas of your life with bold strokes of self-discovery, and let the vibrant colors of your resilience paint a masterpiece of healing and growth.

Breast cancer stories can inspire hope, strength, and courage for fellow patients and survivors. Discover new perspectives and share your unique experiences. 1 2 3 4 5 Inspiring Breast Cancer Stories Everyone's breast cancer experience is different. People respond differently to treatment and even make other decisions based on their own personal preferences. We also understand that breast cancer extends well beyond the person who is diagnosed. It touches all aspects of life, including family members, friends, and loved ones. Below, you will find many inspiring breast cancer stories from our community. Submit Your Story

Learn how exercise, breast cancer risk, and recovery are connected. Regular activity can lower estrogen, reduce obesity, and support overall health. Lifestyle & Wellness Resources Programs Content Library Podcast Download the App Subscribe to the Newsletter Make a Gift More Fitness & Exercise Tips for Breast Cancer Survivors It is well documented that physically active women have a lower risk of breast cancer than do others who are not. Thus, it stands to reason that physically active breast cancer survivors may reduce the risk of cancer’s return, and dramatically improve quality of life. As always, consult your oncological team before starting out on your fitness program. According to Breastcancer.org, exercise can lower your risk of breast cancer coming back, as well as help you maintain a healthy weight, ease treatment side effects, boost your energy, and more! Exercise Is Safe Per Breastcancer.org (one of the attached links below), “a roundtable convened by the American College of Sports Medicine in 2010 reviewed available research and concluded that exercise is safe during and after all breast cancer treatments (as long as you take any needed precautions and keep the intensity low) and improves physical functioning, quality of life, and cancer-related fatigue. There also is evidence that exercise can help breast cancer survivors live longer and lead a more active life.” Risk Reduction According to Cancer.gov (link below) “studies show that physically active women have a lower risk of breast cancer than inactive women. Physical activity has been associated with a reduced risk of breast cancer in both premenopausal and postmenopausal women; however, the evidence for an association is stronger for postmenopausal breast cancer.” This study further elaborates on how exercise can reduce the risks of cancer, and, or its return: Exercise has a number of biological effects on the body, including: Lowering the levels of hormones , such as estrogen , and of certain growth factors that have been associated with cancer development and progression Helping to prevent obesity and decreasing the harmful effects of obesity Reducing inflammation Improving immune system function Cognitive Impairment (“chemo brain”) Furthermore, a new study (found in the Sciencedaily.com link below) “indicates that cancer patients and survivors have a ready weapon against fatigue and "chemo brain": a brisk walk. Their data suggests “that being more physically active could reduce two of the more commonly reported symptoms in breast cancer survivors: fatigue and cognitive impairment". Cognitive impairment, such as memory problems or shortened attention spans, is a common complaint among cancer patients and survivors, and is thought to be similar to decline due to aging. Fitness Recommendations With the above (and below) referenced studies in mind, we at Survivingbreastcancer.org are recommending the following exercise possibilities: Walking The health effects of a brisk walk cannot be overstated, notably for cognitive impairment, but also for muscular and circulatory systems. Yoga This discipline combines stretching, deep breathing, toning of the muscular system and offers a wonderful way to relax the nervous system. Meditation According to the Laura-Sage (link below), meditation can effectively reduce stress, anxiety, depression, fatigue, and fear of recurrence. It can also help reduce hot flashes. Weight Resistance & Training Program In another recent study study, researchers looked at data from the Physical Activity and Lymphedema (PAL) trial to determine whether slowly increased weight lifting could increase muscle strength among breast cancer survivors and help them avoid frailty and maintain physical function. Aerobic and Cardio Training (swimming, running, elliptical, stairmaster, etc.) Lastly, another recent study (for the NIH) showed that a “10 week moderate-intensity aerobic exercise program significantly improves quality of life and physical functioning in breast cancer survivors.” Please note that further long-term studies have been recommended Related Articles 1 2 3 Additional Resources We found the following links to be beneficial: https://www.cancer.gov/about-cancer/causes-prevention/risk/obesity/physical-activity-fact-sheet https://www.scribd.com/document/268275865/Breast-cancer-and-physical-activity https://www.acefitness.org/education-and-resources/lifestyle/blog/6753/exercise-for-breast-cancer-survivors https://www.sciencedaily.com/releases/2017/07/170725122242.htm https://www.cdc.gov/physicalactivity/basics/pa-health/index.htm#ReduceCancer https://www.cancer.org/treatment/survivorship-during-and-after-treatment/staying-active/physical-activity-and-the-cancer-patient.html http://www.breastcancer.org/tips/exercise https://community.breastcancer.org/forum/44/topics/836196 http://www.lbbc.org/building-and-restoring-physical-fitness-after-breast-cancer https://www.mindbodygreen.com/articles/what-you-need-to-know-about-exericse-and-cancer https://www.huffingtonpost.com/laura-sage/5-benefits-of-meditation_b_10617412.html https://www.cancer.org/.../study-weight-lifting-helps-breast-cancer-survivors-stay-health ... https://www.ncbi.nlm.nih.gov/pubmed/25313756

In Loving Memory We honor the brothers and sisters we have lost to Metastatic Breast Cancer and the 119 people we lose each day to this disease. We promise to: Say their names Talk about them often Share their stories and honor their legacy

Men can get breast cancer too. Male breast cancer diagnoses are rare but can be isolating for men, and appropriate treatment is vital for successful outcomes. News, Articles, & Stories Men Can Get Breast Cancer Too You are not in this alone. Breast Cancer In Men Breast cancer in men is a rare condition that affects men of all ages, though it is most commonly diagnosed in men over the age of 60. Male breast cancer makes up less than 1% of all breast cancers diagnosed each year. Male breast cancer usually starts in the milk ducts or lobules of the breast, and can metastasize (spread) male breast cancer is male breast cancer that has spread to the liver. Male breast cancer usually starts in the milk ducts or lobules of the breast, and can metastasize (spread) to other parts of the body, such as the lymph nodes, bones, brain, and liver. Early detection is key to successful treatment, so it is important for men to be aware of the signs and symptoms of male breast cancer. These include a lump or mass in the chest, discharge from the nipple, and changes in the appearance of the nipple or breast. If you experience any of these symptoms, be sure to see a doctor right away. With prompt treatment, male breast cancer can be successfully treated. Signs and symptoms of male breast cancer The most common symptom of male breast cancer is a lump or mass in the breast tissue. However, some men may also experience the following symptoms: -Pain or tenderness in the breast -Nipple discharge or changes in the nipple (such as redness, scaling, or inverted nipple) -Skin changes on the breast (such as dimpling or puckering) -Swelling of the breast -Lymph node enlargement (under the arm or around the collarbone) It is important to note that these symptoms can also be caused by benign conditions, such as gynecomastia (enlargement of male breasts due to hormonal changes). Therefore, it is important to see a doctor if you experience any of these symptoms. Only a doctor can properly diagnose the cause of these symptoms. Risk factors for male breast cancer include: -Increasing age -Family history of breast cancer (male or female relatives) in which case you may consider genetic testing in order to understand your lifetime risk of developing breast cancer. -Exposure to certain chemicals, such as radiation or estrogenic compounds -Klinefelter syndrome (a genetic condition that affects males) -Liver disease -Obesity There is no sure way to prevent male breast cancer and having a family history of breast cancer does not mean you will get breast caner either. However, you may be able to reduce your risk by avoiding exposure to known risk factors, such as certain chemicals and radiation. You should also see a doctor regularly for check-ups, so that any cancerous growths can be detected early. Male breast cancer treatment The treatment of male breast cancer will depend on a number of factors, including the stage of the cancer, the size of the tumor, and the patient's overall health. Treatment options may include surgery, radiation therapy, chemoherapy, hormone therapy, or a combination of these methods. Surgery is the most common treatment for male breast cancer. The type of surgery will depend on the stage of the cancer. If you develop breast cancer a lumpectomy (removal of the tumor without removing the entire breast) may be an option. For more advanced cancers, a mastectomy (removal of the entire breast) may be necessary. Radiation therapy treatment uses high-energy beams to kill cancer cells. It can be used alone or in combination with surgery. Chemotherapy uses drugs to kill cancer cells. It is often used in combination with radiation therapy. Hormone therapy uses drugs to block the effects of hormones that can promote the growth of breast cancer cells. It is often used in combination with other treatments, such as surgery, radiation therapy, or chemotherapy. Examples of hormone therapy include tamoxifen or a class of drugs referred to as aromatase inhibitors. Prevention of male breast cancer There is no sure way to prevent male breast cancer. However, you may be able to reduce your risk by avoiding exposure to known risk factors, such as certain chemicals and radiation. You should also see a doctor regularly for checkups, so that any cancerous growths can be detected early. Living with male breast cancer A diagnosis of male breast cancer can be overwhelming. You may feel scared, alone, and unsure of what the future holds. However, it is important to remember that you are not alone. There are many resources available to help you through this difficult time. The most important thing you can if you have been diagnosed with male breast cancer do is to learn as much as you can about your cancer and your treatment options. This will help you make informed decisions about your care. You should also talk to your doctor about your concerns and ask any questions you have. There are also many support groups available for people with breast cancer. These groups can provide emotional support and practical advice. You may find it helpful to talk to other people who are going through similar experiences and living with a male breast cancer diagnosis. Understanding the subsets of breast cancer In order to make informed decisions about your care, it is important to understand the different types of male breast cancer. The two main types of male breast cancer are ductal carcinoma and lobular carcinoma. Infiltrating Ductal carcinoma is the most common type of male breast cancer. It begins in the milk ducts and typically spreads to the surrounding tissue. Lobular carcinoma is a less common type of male breast cancer. It begins in the milk lobules and may spread to other parts of the breast. In addition to these two main types of male breast cancer, there are several subtypes. The most common subtypes are invasive ductal carcinoma, invasive lobular carcinoma, and ductal carcinoma in situ. Invasive ductal carcinoma is the most aggressive form of male breast cancer. It typically spreads quickly and can be difficult to treat. Invasive lobular carcinoma is less aggressive than invasive ductal carcinoma, but it can still spread quickly. Ductal carcinoma in situ is a non-invasive form of male breast cancer. It means that the breast cancer cells are present in the ducts, but have not spread to the surrounding tissue. In addition to the different types of male breast cancer, there is also a subtype known as inflammatory breast cancer. This type of cancer is rare, but it is more aggressive than other types of male breast cancer. Inflammatory breast cancer typically spreads quickly and can be difficult to treat. This type of cancer is rare, but it is more aggressive than other types of male breast cancer. Inflammatory breast cancer typically spreads quickly and can be difficult to treat. Symptoms of inflammatory breast cancer The most common symptom of inflammatory breast cancer is a change in the appearance of the breast. The breast may appear red, swollen, or have a rash. Other symptoms may include pain, nipple discharge, and changes in the size or shape of the breast. Treatment for inflammatory breast cancer There is no one-size-fits-all treatment for male breast cancer, as the best course of action will depend on the individual case. However, treatment typically includes a combination of surgery, radiation, and chemotherapy. In some cases, hormone therapy or targeted therapy may also be used. Inspiring stories of male breast cancer A diagnosis of male breast cancer can be devastating, but it is important to remember that there are many people who have been through similar experiences and gone on to lead happy and healthy lives. One inspiring story is that of Dale Oen, a world-champion swimmer from Norway. Oen was diagnosed with male breast cancer in 2011, but he continued to compete and went on to win a silver medal at the 2012 Olympics. He is now cancer-free and serves as an inspiration to other male breast cancer survivors. Another inspiring story is that of John Travolta, who was diagnosed with male breast cancer in 2010. Travolta underwent treatment and is now cancer-free. He has been very open about his experience with male breast cancer and has said that his main goal is to raise awareness about the disease. These stories show that a diagnosis of male breast cancer does not have to be a death sentence. With early detection and treatment, many people are able to lead long and healthy lives. Questions to ask your doctors about male breast cancer If you have been diagnosed with male breast cancer, you will probably have many questions for your doctors. Here are some important questions to ask: -What is the stage of my cancer? -What is the grade of my tumor? -What are my treatment options? -What are the side effects of each treatment option? -How likely is it that my cancer will come back after treatment? -What can I do to reduce my risk of recurrence? -What are the long-term side effects of my treatment? -How will my treatment affect my quality of life? -Is there anything I can do to improve my prognosis? Male Breast Cancer: Treatment Side Effects After a male breast cancer diagnosis, you will likely have many questions about your treatment options and the potential side effects. It is important to discuss these with your doctor so that you can make the best decision for your health. Some common side effects of male breast cancer treatment include fatigue, hair loss, nausea, and vomiting. These side effects can be difficult to deal with, but there are ways to manage them. Fatigue is a common side effect of male breast cancer treatment. It is important to get plenty of rest and to pace yourself. You may need to cut back on your activities or take a break from work. Hair loss is another common side effect of male breast cancer treatment. There are a number of ways to deal with hair loss, such as wearing a wig or using cold caps. Nausea and vomiting are other common side effects of male breast cancer treatment. There are medication that can help to control these symptoms. It is important to discuss the potential side effects of male breast cancer treatment with your doctor so that you can make the best decision for your health. BRCA1 and BRCA2: What You Need to Know The BRCA1 and BRCA2 genes are important in the development of male breast cancer. These genes are responsible for repairing damaged DNA. Mutations in the BRCA1 and BRCA2 genes can increase the risk of male breast cancer. Men with these mutations have a higher risk of developing male breast cancer, especially if they have a family history of the disease. There are a number of ways to test for the BRCA1 and BRCA2 mutations. A blood test can be used to look for the genetic mutation. If you have the BRCA1 or BRCA2 mutation, you may be able to take steps to reduce your risk of male breast cancer. For example, you may be able to take medication to lower your risk. You may also be able to have surgery to remove your breasts. If you are at high risk for male breast cancer, it is important to talk to your doctor about your options. You may be able to take steps to reduce your risk. Male Breast Cancer: Coping with a Diagnosis A male breast cancer diagnosis can be difficult to deal with. You may feel scared, overwhelmed, and alone. It is important to remember that you are not alone. Read Their Stories Every diagnosis is unique. Read their stories, hear their voices, feel inspired. Get the Facts Breast cancer in men is a rare condition that affects men of all ages Male breast cancer is a type of cancer that affects men. Though it is not as common as breast cancer in women, it can be just as deadly. Share Your Story

Breast cancer reconstruction surgery poses many questions and concerns for patients. Discover information on life-saving surgical options for breast cancer. Surgery Options Questions to ask your Surgeon Download PDF What should I expect during a consultation for breast reconstruction? During your breast reconstruction consultation, be prepared to discuss: Your surgical goals Medical conditions, drug allergies and medical treatments Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use Previous surgeries Your plastic surgeon will also: Evaluate your general health status and any pre-existing health conditions or risk factors Examine your breasts and take measurements of their size and shape, skin quality and placement of nipples and areolae Take photographs Discuss your options and recommend a course of treatment Discuss likely outcomes of breast reconstruction and any risks or potential complications Be sure to ask your plastic surgeon questions. It's very important to understand all aspects of your breast reconstruction. To help, we have prepared a checklist of questions to ask your breast reconstruction surgeon that you can take with you to your consultation. It's natural to feel some anxiety, whether it's excitement for your anticipated new look or a bit of preoperative stress. Don't be shy about discussing these feelings with your plastic surgeon. What options are available for breast reconstruction? If you've decided to have breast reconstruction, you'll still have many things to think about as you and your doctors talk about what type of reconstruction might be best for you. There are many different reconstruction techniques available. Take the time to learn about the breast reconstruction options and consider talking to others who have had that procedure before you make a decision. Breast reconstruction with implants Implant-based breast reconstruction may be possible if the mastectomy or radiation therapy have left sufficient tissue on the chest wall to cover and support a breast implant. For patients with insufficient tissue on the chest wall, or for those who don't desire implants, breast reconstruction will require a flap technique (also known as autologous reconstruction). The most common method of tissue reconstruction uses lower abdominal skin and fat to create a breast shape. There are several techniques that can be used for implant-based breast reconstruction. Make sure to discuss with your plastic surgeon which is appropriate for you. Immediate breast reconstruction above the pectoral muscle This procedure is performed in combination with the mastectomy and results in an immediate breast mound. After the mastectomy has been performed by the breast surgeon, the plastic surgeon will place the breast implant, wrapped in a biological mesh known as acellular dermal matrix (ADM), to help the implant maintain correct anatomic position, above the pectoralis muscle. With this procedure, recuperation may be more rapid because the muscle in the chest has not been elevated. Further, the breast implant itself is not influenced by the contraction of the muscle. Complications, while rare, may include skin loss, excess bleeding, infection, malposition of the implant so that asymmetry occurs, wrinkling or rippling of the implant, possible fluid collection underneath the implant and/or unfavorable scarring. This procedure may also require secondary autologous fat transfer to eliminate upper pole wrinkling and rippling over time, which will occur over secondary procedures. Immediate breast reconstruction under the pectoral muscle This procedure is also performed as a combination with the mastectomy and results in an immediate breast mound. The incision generally is performed through the mastectomy site. Once the mastectomy is completed, the plastic surgeon will elevate the pectoralis major muscle. This will allow the muscle to retract upward and allow a pocket to be developed underneath the muscle and at the bottom of the normal breast position. Delayed breast reconstruction utilizing tissue expander. The initial portion of this procedure entails the breast surgeon performing a standard mastectomy and possible axillary dissection. In many instances, a drain will be placed between the muscle and the skin of the mastectomy. Once these procedures have been performed, the plastic surgeon will divide the lower pole of the chest wall muscle, elevate the chest wall muscle and the lateral chest muscle together upwards towards the collarbone. After that is done, the muscle and tissue below is elevated together to form the pocket for the breast expander at the base of the breast or the inframammary crease. The pocket is made large enough for the expander to be placed and the muscle closed. Occasionally, there is a need for placement of a small amount of acellular dermal matrix (ADM) to assist in the closure of the muscle. There are two types of breast tissue expander ports. One, similar to a chemotherapy port, is placed separate from the tissue expander, usually along the rib cage. This will require a separate small incision for the port. The second type is a port that is contained within the expander itself. In both instances, the ports will be used to inflate the tissue expander over several visits with saline solution. The port is accessed with a small needle and saline is injected into the expander through the port site Tissue expansion usually occurs weekly according to patient tolerance. The volume of the tissue expanders commonly exceeds the weight of the mastectomy tissue. Once the final tissue expansion, or stretching, is completed there will be a time of passive expansion where little to no volume is added to the tissue expanders. This allows the muscle and skin to stretch and relax. The length of time will vary from patient to patient. Once this is completed, a second outpatient procedure will be necessary to remove the tissue expander and place the permanent breast prosthesis. Complications, while rare, may include skin loss, exposure of the expander, excess bleeding, infection, malposition of the implant so that asymmetry occurs, wrinkling or rippling of the implant, possible fluid collection underneath the implant, pain at the injection site, muscle spasms with expansion and/or unfavorable scarring. Lymphedema 101 On Breast Cancer Conversations, the Podcast Listen Now A biodegradable acellular dermal matrix (ADM) will be placed at the bottom of the breast or inframammary crease and attached to the muscle. The breast implant will be placed under the ADM and your own muscle. This allows the breast implant to settle in a normal position, and the ADM stretches into a pleasing, rounded lower breast shape. It is not uncommon to have drains placed with this procedure. They may be removed anywhere from 48 hours to 2 weeks after surgery. This procedure is a one-staged procedure, which allows the desired shape to result without any further surgical intervention. The muscle on top of the implant will help prevent the development of upper pole wrinkling. Complications, while rare, may include skin loss, excess bleeding, infection, malposition of the breast implant so that asymmetry occurs, wrinkling or rippling of the implant, possible fluid collection underneath the implant and/or prosthesis deflation. Immediate breast tissue expander placement The surgical process for saline breast tissue expanders and breast expanders following mastectomy are the same. Expanders with saline have been used for decades but recently, a new type of expander using air, which allows for more patient control, have been introduced. Expanders have some of the same complication rates and risks as the other types of breast reconstruction, which include infection, seroma, hematoma, extrusion and/or expander deflation. The expander is placed into a submuscular or subcutaneous space with no external filling ability. The expander will fill with compressed air contained within the expander itself. The patient will do self-controlled expander fills utilizing an external automatic activation device at home and will achieve similar results to the standard saline filled tissue expansion devices. It will be necessary to monitor the incisions and progress on your own and contact the physician if you feel there is something wrong. The advantage of the expander it that it may decrease doctor visits and decrease total expansion time. Immediate breast reconstruction utilizing latissimus dorsi muscle. This procedure is performed as a secondary operation immediately during the mastectomy or delayed after radiation. The latissimus muscle is a very large vascular muscle in the back that is attached at the base of the arm, extends onto the chest from the arm past the shoulder blade and attaches close to the spinal column. The latissimus muscle stretches to the tip bone and hallway into the axilla or armpit area and is supplied mostly by artery in the axilla. The latissimus flap is frequently used when the amount of soft tissue is limited secondary to surgery, the pectoralis muscle is absent, partially removed or damaged secondary to radiation. It entails undermining the skin on the back and releasing some of the skin allowing it to remain attached to the muscle. The main muscle and artery is called pedicle flap. This flap is released from the back, passed through a tunnel that is made underneath the axilla and into the anterior chest to fill the mastectomy defect site. The muscle is placed and sutured to the chest wall. An implant is then placed behind this flap and in front of the chest. One can also use a tissue expander and gradually increase to breast size. The advantage to this expander is it can completely replace the amount of breast tissue that has been removed and protect the latissimus flap. A completely inflated implant or a postoperative adjustable expander/implant can be immediately placed. It is not uncommon to require a secondary revision procedure to gain more accurate symmetry of both breasts. The latissimus flap is recommended for patients who have already had mastectomy and radiation. The use of radiation frequently limits the amount of implant surgery that can be performed. The secondary advantage of this flap is that it brings new blood flow and healthy skin to the radiated field. It is also recommended for patients who are very thin and have limited options for flap reconstruction. Complications, while rare, may include limited blood flow of the artery compromising the flap, skin loss, exposure of the expander, excess bleeding, infection, malposition of the implant so that asymmetry occurs, wrinkling or rippling of the implant, possible fluid collection underneath the implant, pain at the injection site, muscle spasms with expansion and/or unfavorable scarring. Breast reconstruction with abdominal-based flaps Sometimes a mastectomy or radiation therapy will leave insufficient tissue on the chest wall to cover and support a breast implant. In these cases, breast reconstruction usually requires a flap technique (also known as autologous reconstruction). This is the most common method of tissue reconstruction, using lower abdominal skin and fat to create a breast shape. A woman may also choose not to have an implant for personal reasons. The skin and fat used for this procedure is the tissue between your belly button and pubic bone that you can pinch. Once this tissue is taken to make a breast, you will typically have a scar from hip bone to hip bone and around your belly button. However, some women may not be candidates for abdominal-based flaps for various reasons: • Not enough donor tissue in the lower abdomen • Prior scars that may have damaged important blood vessels • Previous flaps that have failed and seeking an alternative Specific flap options Several different flaps use the tissue from the lower abdomen. The difference between each of them is related to blood vessels that supply these flaps. These flaps include the Pedicled TRAM (traverse rectus myocutaneous) flap, the free TRAM flap, the DIEP (deep inferior epigastric artery perforator) flap and the SIEA (superficial epigastric artery) flap. Pedicled TRAM flap A TRAM flap uses the muscle, fat and skin from your lower abdomen to reconstruct a breast. In order to survive on your chest in its new location, this tissue requires a blood supply. The blood supply to this tissue comes from the underlying rectus (six-pack) muscle. The flap remains attached to your rectus abdominis muscle and is tunneled up through the abdomen and chest to create the breast mound. Since your entire muscle is sacrificed, you may experience some abdominal weakness or have difficulty performing sit-ups. Free TRAM flap Like the TRAM flap, the free TRAM flap is also based on the blood vessels coming through the rectus abdominis muscle. However, in this flap the muscle above and below the blood vessels is divided, so that only a portion of muscle is removed. The entire flap is then transplanted to the chest. The blood vessels from the muscle are connected to blood vessels in the chest using a microscope. DIEP flap The DIEP flap utilizes the same lower abdominal skin and fat as the TRAM and free TRAM flap; however, it spares the rectus abdominis muscle and fascia. Rather than taking the entire muscle or a small portion of the muscle, the small blood vessels – an artery and a vein – that come through the muscle to the skin and fat are identified; these vessels are then dissected through the muscle prior to being divided. Once they are divided, the tissue is again transplanted to the chest and the vessels are connected to blood vessels in the chest. Since your muscle is preserved, there is a lower risk of abdominal weakness or hernias and less postoperative pain. SIEA flap The SIEA flap also uses the lower abdominal skin and tissue, but the blood vessels that supply this flap do not go through the abdominal muscle. Rather, they only go through the fat. Advantages of this flap include preservation of the abdominal muscles, resulting in less postoperative pain and a speedier recovery. However, these blood vessels may not be present in all women; and even when present, may be too small to provide a reliable blood supply for a flap. For these reasons, the SIEA flap is not performed as frequently as the DIEP or free TRAM flaps. Special notes regarding recovery Because the free TRAM, DIEP and SIEA flaps involve microsurgical tissue transfer, blood flow to the flap is closely monitored in a hospital setting after surgery. If there are concerns about the flap, a reoperation may be necessary to assess the blood flow. Breast reconstruction with thigh-based flaps Sometimes a mastectomy or radiation therapy will leave insufficient tissue on the chest wall to cover and support a breast implant. In these cases, breast reconstruction usually requires a flap technique (also known as autologous reconstruction). Thigh-based flaps may be a good option for women with small to medium volume breasts. To achieve a larger size, these flaps may be combined with an implant or another flap (called "stacked flaps," which are not widely available). All of these techniques require your plastic surgeon to have skill and training in microsurgery. However, some women may not be candidates for thigh-based flaps for various reasons: • Not enough donor tissue in the upper thighs • Prior scars that may have damaged important blood vessels • Previous flaps have failed and they are seeking an alternative Specific flap options Gracilis-based flaps are based on the gracilis muscle, located in the upper inner thigh. The gracilis muscle helps bring the leg toward the body, and its function will be lost after this type of surgery. During these procedures, a flap of skin, fat, muscle and blood vessels from the upper thigh is moved to the chest to rebuild the breast. Blood vessels are carefully reattached using microsurgery. Different names are used to describe the orientation of the resulting donor site incision on the upper inner thigh: • TUG flap: Transverse Upper Gracilis flap • VUG flap: Vertical Upper Gracilis flap • DUG flap: Diagonal Upper Gracilis flap The choice of incision depends on your unique thigh shape and your surgeon's experience. Most surgeons will try to conceal the scars in the crease at the top of the thigh, but the scar may end up a bit lower and be visible while wearing a bathing suit. These flaps result in a tighter inner thigh, similar to an inner thigh lift. Similar to the gracilis-based flaps, a PAP flap uses skin and fat from the back of the upper thigh to reconstruct the breast using microsurgery. PAP stands for Profunda Artery Perforator, which is a blood vessel that supplies this area of the thigh. No muscle is used, so a PAP flap is considered muscle-sparing. PAP flap scars are usually hidden in the crease between the lower buttock and upper thigh. Special notes regarding recovery Because these flaps involve microsurgical tissue transfer, blood flow to the flap is closely monitored in a hospital setting after surgery. If there are concerns about the flap, a reoperation may be necessary to assess the blood flow. Thigh-based flaps do tend to have more healing problems at the donor site than abdominal-based flaps due to the location of the incision. Lower leg swelling may occur but usually resolves with time. When one thigh-based flap is used to reconstruct one breast, asymmetry may result due to tightness and thinness of one thigh. Additional procedures may be recommended to improve symmetry between the thighs.

Breast Health Understanding Your Breast Health is the first step in being breast-aware and knowing your body so that you can proactively advocate for yourself when you sense that something is not quite right. Despite how well we eat, exercise, and maintain a healthy life-style, it is still possible to develop breast cancer. This information serves as strategies to empower you and reduce the risk of developing breast cancer. If you develop breast caner, know that it is not your fault. The founder of Surviving Breast Cancer was a vegetarian since the age of 16 later to become a vegan. Out of the blue she was diagnosed with breast cancer at the young age of 34. We don't have all of the answers nor know why some people get breast cancer while others do not. What we do know are tools we can use to be breast aware, get screened, and understand our family history. >

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Read Stories My name is Kyla Thompson, and I welcome you, kids, like me, to our space! My mom passed away of metastatic breast when I was 13. She was first diagnosed when I was two years old. I didn't know what breast cancer was then. 11years later, on October 21, 2014, a world that was filled with sports, homework, friends, and more shifted in a few seconds. My mom was gone. It was at a breast cancer walk just a few weeks later, with thousands of people, when I realized the need for #pinkkids. Of all the walkers, more than half were kids. I knew then I wasn’t alone. I knew we needed to connect with each others and #pinkkids is the place for that connection. We are starting by sharing stories on the blog and through podcasts, as well as a private Group (link below). We’ll keep you up to date through SBC emails, as well as our Instagram (_pinkkids_). Looking forward to talking! Do you have a mom or dad who has been diagnosed with breast cancer? Or perhaps you have lost a parent to MBC? Connect with Kyla, share your story, post your why, or just let her know how you are doing today, we're all here to listen, support, and be a resource! Email Kyla at pinkkids@survivingbreastcancer.org Lifestyle & Wellness Resources Programs Content Library Podcast Download the App Subscribe to the Newsletter Make a Gift More Resources For Children & Adolescents Resources For Children & Adolescents Resources For Children & Adolescents Resources For Children & Adolescents Share your story. Share Your Why. Share A picture. Share. Email Kyla at pinkkids@survivingbreastcancer.org

Join our expressive writing workshops designed for breast cancer patients and survivors. Reduce stress, process emotions, and find healing through the power of writing. RSVP for our upcoming virtual and in-person sessions. Expressive Writing for Breast Cancer Support & Healing Discover the power of words. Learn More What is Expressive Writing Expressive writing is a proven technique that helps people process emotions, reduce stress, and promote healing. At SurvivingBreastCancer.org, we offer expressive writing sessions tailored specifically for those navigating a breast cancer diagnosis, treatment, or survivorship. Why Expressive Writing Works Reduce anxiety and depression through storytelling Process complex emotions around diagnosis and survivorship Connect with others in a safe, supportive environment Improve overall emotional well-being and clarity Open Mic Poetry Night Wed, Apr 22 Online Sign Up RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, Apr 24 Online Event Sign Up RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, May 08 Online Event Sign Up RSVP Multiple Dates Expressive Writing with Thomas Dooley Mon, May 11 Online Event Sign Up RSVP Multiple Dates Expressive Writing with Thomas Dooley Mon, May 11 Online Event Sign Up RSVP "Expressive writing has been my outlet during treatment. I’ve never felt so seen and supported." Open Mic Poetry Night Wed, Apr 22 Online RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, Apr 24 Online Event RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, May 08 Online Event RSVP Multiple Dates Expressive Writing with Thomas Dooley Mon, May 11 Online Event RSVP Multiple Dates Expressive Writing with Thomas Dooley Mon, May 11 Online Event RSVP Backed by Research Expressive writing isn't just therapeutic—it’s backed by science. For decades, researchers have studied the emotional and physical health benefits of expressive writing, particularly for people coping with chronic illness and trauma. For those impacted by breast cancer, the act of writing can be a profound tool for reflection, resilience, and renewal. Improves Emotional Well-being: According to Dr. James Pennebaker, a pioneer in expressive writing research, writing about emotional experiences can lead to significant improvements in mental health, including reduced stress, anxiety, and depression [1]. Supports Immune Function: A landmark study showed that expressive writing may even improve immune system functioning and decrease the number of visits to the doctor [2]. Helps Process Trauma and Grief: A meta-analysis published in the journal Health Psychology found that expressive writing can be particularly helpful in reducing symptoms of PTSD and supporting emotional recovery after trauma, including illness-related trauma. Enhances Meaning-Making: Writing helps individuals make sense of their experiences, identify patterns, and find meaning—even during difficult health journeys. This sense of meaning has been linked to improved psychological resilience in cancer patients [4] as well as allowing individual to process complex emotions associated with one's diagnosis [5]. Open Mic Poetry Night Wed, Apr 22 Online RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, Apr 24 Online Event RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, May 08 Online Event RSVP Multiple Dates Expressive Writing with Thomas Dooley Mon, May 11 Online Event RSVP Multiple Dates Expressive Writing with Thomas Dooley Mon, May 11 Online Event RSVP Read the Incredible Poems Coming Out Of Our SBC POETRY LAB Looking for more ways to support your well-being? View Programs References: [1]. Pennebaker, J. W., & Beall, S. K. (1986). Confronting a traumatic event: Toward an understanding of inhibition and disease. Journal of Abnormal Psychology, 95(3), 274–281. [2]. Pennebaker, J.W. (1997). Writing about emotional experiences as a therapeutic process. Psychological Science, 8(3), 162–166. [3]. Frisina, P. G., Borod, J. C., & Lepore, S. J. (2004). A meta-analysis of the effects of written emotional disclosure on the health outcomes of clinical populations. Health Psychology, 23(6), 763–771. [4]. Stanton, A. L., et al. (2002). Randomized, controlled trial of written emotional expression and benefit finding in reast cancer patients. Journal of Clinical Oncology, 20(20), 4160–4168. [5]. Patient Education and Counseling. (2022). Using expressive writing to improve cancer caregiver and patient outcomes: A systematic review.

What is breast density, and how does it affect breast cancer screening? Mammograms and MRIs can be vital for ensuring you catch cancer early. Breast Density Are You Breast Dense Aware? What Is Breast Density Dense breast tissue makes it harder for radiologists to see cancer. On mammograms, dense breast tissue looks white, and breast masses or tumors also look white. So, the dense tissue can hide tumors. In contrast, fatty tissue looks almost black. On a black background it’s easy to see a tumor that looks white. So, mammograms can be less accurate in women with dense breasts. Survivingbreastcancer.org acknowledges that the above video is sited from our friends at beingdense.com (@Breastdense). The video may not be reproduced without Beingdense.com's permission. The FDA has announced important new steps to modernize breast cancer screening and help empower patients with information when they are considering important decisions regarding their breast health care. Not all U.S. states are required to notify their patient as to whether or not they have dense breast. Is your state one of them? View Data What is breast density and how does it affect screenings? Watch Now How to advocate for additional screenings Watch Now Why is Understanding Breast Density Important? Having dense breast tissue might increase your risk of getting breast cancer. Women who have dense breast tissue have a slightly higher risk of breast cancer compared to women with less dense breast tissue. It’s unclear at this time why dense breast tissue is linked to breast cancer risk. We know there are many risk factors for breast cancer – starting menstrual periods early, late menopause, first pregnancy after age 30, family members with breast cancer – just to name a few. The 2 most important risk factors are being a woman and getting older. Women who have a strong family history of breast cancer or the breast cancer genes (BRCA1 or BRCA2) are at high risk for breast cancer. Women at high risk should have MRIs each year along with their mammograms. Women with dense breast tissue are at moderate risk for breast cancer. MRIs are not recommended for women at moderate risk for breast cancer based on what’s known today. What is Dense Breast Tissue? Breasts are made up of lobules, ducts, and fatty and fibrous connective tissue. • Lobules produce milk and are often called “glandular tissue.” • Ducts are the tiny tubes that carry milk from the lobules to the nipple. • Fibrous tissue and fat give breasts their size and shape and hold the other tissues in place. Your breasts will be seen as dense if you have a lot of fibrous or glandular tissue and not much fat in the breasts. Some women have more dense breast tissue than others. For most women, breasts become less dense with age. But in some women, there’s little change. Breast density is very common, and is not abnormal. How do I know if I have Dense Breasts? Breast density is seen only on mammograms. Some women think that because their breasts are firm, they are dense. But breast density isn’t based on how your breasts feel. It’s not related to breast size or firmness. Radiologists are the doctors who “read” x-rays like mammograms. They check your mammogram for abnormal areas, and also look at breast density. There are 4 categories of breast density. They go from almost all fatty tissue to extremely dense tissue with very little fat. The radiologist decides which of the 4 categories best describes how dense your breasts are. Some mammogram reports sent to women mention breast density. At one time, doctors assigned a number to the density category, but it’s now worded in a way that’s easier to understand. Women whose mammograms show anything more than scattered areas of dense tissue may be told that they have “dense breasts.” Breasts are almost all fatty tissue. There are scattered areas of dense More of the breast is made of dense glandular and fibrous tissue. glandular and fibrous tissue. This can make it hard to see small tumors in or around the dense tissue. Breasts are extremely dense, which makes it hard to see tumors in the tissue. Why is Breast Density Important? Having dense breast tissue might increase your risk of getting breast cancer. Women who have dense breast tissue have a slightly higher risk of breast cancer compared to women with less dense breast tissue. It’s unclear at this time why dense breast tissue is linked to breast cancer risk. We know there are many risk factors for breast cancer – starting menstrual periods early, late menopause, first pregnancy after age 30, family members with breast cancer – just to name a few. The 2 most important risk factors are being a woman and getting older. Women who have a strong family history of breast cancer or the breast cancer genes (BRCA1 or BRCA2) are at high risk for breast cancer. Women at high risk should have MRIs each year along with their mammograms. Women with dense breast tissue are at moderate risk for breast cancer. MRIs are not recommended for women at moderate risk for breast cancer based on what’s known today. If I Have Dense Breasts, Do I Still Need a Mammogram? Yes. Most breast cancers can be seen on a mammogram even in women who have dense breast tissue. So, it’s still important to get regular mammograms. Mammograms can help save women’s lives. Even with a normal mammogram report, a woman should know how her breasts normally look and feel. Anytime there’s a change, she should report it to her health care provider right away. What should I do if I have dense breast tissue? If your mammogram report says that you have dense breast tissue, talk with your provider about what that means for you. Be sure that your doctor or nurse knows your medical history and whether there’s anything in your history that increases your risk for getting breast cancer. Any woman who’s already in a high-risk group (based on gene mutations, a strong family history of breast cancer, or other factors) should have an MRI along with her yearly mammogram. >

Meet the Team Medical Advisory Board Laura Carfang, M.A., Ed.D. William Laferriere, MBA Meghann Sweeney, J.D. Tony Carfang, MBA Board of Directors Laura Carfang, M.A., Ed.D. Chief Executive Officer, Founder, Board Member Laura@survivingbreastcancer.org William Laferriere, MBA Chief Visionary Officer & VP Business Development Founder, Board Member William@survivingbreastcancer.org Nancy Gaulin Psy.D. Board Member Tony Carfang, MBA Board Member Brad Carver Board Member SurvivingBreastCancer.org . Dr. Amy Commander, MD Medical Director, Mass General Cancer Center-Waltham Director, Breast Oncology Program at Newton-Wellesley Hospital Director, Lifestyle Medicine Dr. Rachel Jimenez, MD Dr. Rachel Jimenz,, MD Associate Program Director, Harvard Radiation Oncology Residency Program Dr. Jandie Posner Jandie Posner, DO FACS. board-certified surgeon Jefferson Health Our Incredible Administration The hands on the ground making the dream work! Laura Carfang, is a founder, strategist, and cancer survivor with a Doctorate in Education. Her work bridges leadership, systems design, and patient-centered care, grounded in the belief that meaningful work is built through honesty, intention, and collective action Laura Carfang M.A.,E.d.D Chief Executive Officer, Founder, Board Member Laura@survivingbreastcancer.org Meghan serves as Executive Assistant and oversees publications at SurvivingBreastCancer.org, including our weekly community newsletter and blog. She is a survivor of triple negative breast cancer and is passionate about supporting the breast cancer community with creativity and compassion. Meghan holds a master's degree in French to English translation. In addition to her work at SBC, she works as a freelance translator and writer. Meghan McCallum Excecutive Assistant meghan@survivingbreastcancer.org Elisa holds a Bachelor’s degree in Business Administration and a Master’s degree in Human Resources. She is bilingual in Spanish and English and plays a key role at SurvivingBreastCancer.org, where she offers Expressive Arts classes and oversees more than 400 programs each year. Her work focuses on creating supportive, inclusive spaces that foster connection, emotional expression, and meaningful engagement for the cancer community. Elisa Herrera Director of Programs and Events Director of Hispanic Outreach in Latin America elisa@survivingbreastcancer.org Itzel is a graphic design student with a strong passion for creativity and visual storytelling. She oversees social media and creates event graphics at SurvivingBreastCancer.org, bringing programs to life through thoughtful, engaging design. With a natural eye for aesthetics and a love for creative expression, she plays an essential role in shaping the organization’s visual presence and community connection. Itzel Herrera Social Media Coordinator @survivingbreastcancer.org Carl began working with SBC in August 2025 focusing mainly on search engine optimization. Since then, his scope of work has expanded to include outbound marketing operations and website development. Carl graduated from San Jose State University in 2023 with a B.S. in Marketing. He and his wife are now based in Sacramento, CA, working out of their home office alongside their clingy Welsh Springer Spaniel. Carl Roth Marketing, Communications & Growth Associate carl@survivingbreastcancer.org Brenda is an Industrial Engineer specializing in Supply Chain Management. She is bilingual in Spanish and English and serves as one of the leads for SBC’s Spanish-language programs through Después de un Diagnóstico. In this role, she is passionate about supporting and empowering Spanish-speaking communities by increasing access to education, resources, and culturally relevant support. Brenda Coronado Despues de un Diagnóstico brenda@survivingbreastcancer.org Lourdes D. Heras holds dual bachelor’s degrees in Community Health and Healthcare Administration and a Master of Public Health. She serves as a lead facilitator of Spanish-language programs through Después De Un Diagnóstico, expanding access to culturally responsive education and vital resources for underserved communities. Guided by the belief that education transforms fear into strength and isolation into connection, she creates inclusive spaces where individuals feel seen, empowered, and equipped to navigate their health journeys with confidence and dignity. Lourdes Heras Despues de un Diagnóstico lourdes@survivingbreastcancer.org Our Instructors The hands and hearts creating space for healing. Our Early Stage volunteer Leadership Team Pooja Jain Julie Cottril l Meghan Staskal-Bradt Carol Collins Denise Whittaker Meghan Aycock Our MBC Volunteer Leadership Team Amy Russell-Parliman Kathleen Friel Sheila Godreau Jo Lynn Collins

Join the Breast Cancer Survivors Creativity Challenge by SurvivingBreastCancer.org — a free, empowering experience of healing through art, writing, and expressive activities. Build confidence, reduce stress, and connect with a community of thrivers using creative tools for emotional wellness. Creativity Reset: A Night of Sharing & Celebration Live on Zoom | Friday, August 9th at 7:00 PM ET Join us for a special evening as we come together to celebrate the creativity, courage, and connection that flowed throughout SBC’s 5-Day Creativity Challenge. Whether you painted, wrote, danced, filmed, walked, or simply reflected—this is your space to share your art, your process, or what you discovered along the way. Achieving Growth Creativity Challenge Creativity Challenge Creativity Challenge Creativity Challenge August 4-8, 2025 Creativity Challenge Ready for a Creative Reboot? Join SBC’s 5-Day Creativity Challenge! Are you ready to shake up your routine and spark some fresh inspiration? SBC is excited to invite you to our 5-Day Creativity Challenge, running from August 4th through August 8th. Inspired by similar initiatives—like The New York Times’ recent challenge—we’re encouraging everyone to take a mental reboot and tap into their creative side! JoinNow What’s the Challenge? Each day, we invite you to engage in a creative activity of your choice. There are no strict rules—just let your imagination guide you. Creativity Reset Challenge Mon, Aug 04 Online Event Ready for a Creative Reboot? Join our SurvivingBreastCancer.org’s 5-Day Creativity Challenge! Are you ready to shake up your routine and spark some fresh inspiration? Details Art: Sketch, paint, collage, or craft something new. Expressive Writing: Pen a poem, short story, or journal entry. Playing Music: Pick up an instrument, sing, or compose a melody. Walking on a Beach or Mountain: Take a mindful walk and let nature inspire you. Or anything else! Creativity knows no bounds. How to Participate Choose Your Activity: Each day, pick a creative task that speaks to you. Record Your Experience: Take a video, record your music, snap a photo, or write about your challenge. Share Your Work: Submit your creation (video, audio, writing, or photo) to SBC for a chance to be featured on our platform. Why Join? Boost Creativity: Give your brain a break from routine and explore new ways of thinking. Connect with Community: Share your journey with others and be inspired by their creativity. Celebrate Self-Expression: There’s no right or wrong—just you, your imagination, and the joy of making something new. Ready to Get Started? Mark your calendars for August 4th–8th! Every day, we’ll share prompts and inspiration to keep you motivated. At the end of the week, submit your favorite creation to SBC for a chance to be published and celebrated. Let’s make this a week to remember—creatively, together! To join, simply start creating on August 4th and keep an eye on our social channels for daily inspiration. When you’re ready, submit your work to SBC for publication. We can’t wait to see what you create! Explore What Lies Beyond Take a moment to check in with yourself. What are you feeling right now—calm, joyful, overwhelmed, uncertain? Don’t worry about making it look “pretty” or perfect. Just pick a color, a shape, or a line that represents your mood. Let your hand move freely across the page. This is your space. No right or wrong—just honest expression. 🖌️ What does your heart want to say without words? Take 5–10 minutes. Breathe. Create. Let your feelings take shape. Creativity Reset: A Night of Sharing & Celebration Fri, Aug 08 Online Event Join us for a special evening as we come together to celebrate the creativity, courage, and connection that flowed throughout SBC’s 5-Day Creativity Challenge. Are you ready to shake up your routine and spark some fresh inspiration? +26 more Details Pebble Drawing Free Drawing Zen Garden