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Treatment of advanced breast cancer ?

• Hormone therapy like tamoxifen or an aromatase inhibitor and This may be combined with a targeted drug such as palbociclib, ribociclib , abemaciclib 

• Chemotherapy (chemo)
• Targeted drugs, such as trastuzumab and pertuzumab
• Some combination of these
• Surgery and/or radiation therapy may be useful in certain situations

important points you should know:

• Unlike breast cancer that remains in the breast or nearby lymph nodes, you cannot get rid of all the cancer that has spread to other organs.

• However, this doesn’t mean metastatic breast cancer can’t be treated.
• Treatment of metastatic breast cancer focuses on length and quality of life.
• Your treatment plan is guided by many factors, including:

1.     The biology of the tumor (characteristics of the cancer cells)
2.     Where the cancer has spread
3.     Your symptoms
4.     Past breast cancer treatments

Prognosis?

• When breast cancer spreads to the bone, it can be treated but cannot be cured

• Treatment aims to control and slow down the spread of the cancer
• Treatment for secondary breast cancer in the bone aims to relieve symptoms such as pain, maintain and improve mobility and strengthen the bones
• Bisphophonates and denosumab are drugs that work in slightly different ways to strengthen existing bone and reduce the damage caused by cancer.
• Denosumab is a targeted (biological) therapy specifically for secondary breast cancer in the bone