Stages and grades of breast cancer
The stage of a cancer tells you how big it is and whether it has spread. It helps your doctor decide which treatment you need.
Stage 4 breast cancer has spread to another part of the body. It is also called advanced cancer or secondary breast cancer. The aim of treatment is to control the cancer and any symptoms. Treatment depends on a number of factors.
The stage of a cancer tells you how big it is and whether it has spread. It helps your doctor decide which treatment you need.
Stage 4 breast cancer has spread to another part of the body. It is also called advanced cancer or secondary breast cancer. The aim of treatment is to control the cancer and any symptoms. Treatment depends on a number of factors.
There are different systems used in the UK to stage breast cancer. Stage 4 is part of the number staging system. Doctors may also use the TNM staging system.
Staging for breast cancer is very complex. Many different factors are considered before doctors can confirm your final stage. Speak to your doctor or breast cancer nurse specialist if you have any questions about your staging. Below is a simplified description of stage 4 breast cancer.
In stage 4 breast cancer:
the cancer can be any size
the may or may not contain cancer cells
the cancer has spread (metastasised) to other parts of the body such as the bones, lungs, liver or brain
Last reviewed: 06 Jun 2023
Next review due: 06 Jun 2026
Find out more about Treatment for secondary breast cancer
You have a number of tests to check for breast cancer. This includes a breast examination, a mammogram, a biopsy and scans.
Secondary breast cancer is different from locally advanced breast cancer. You have tests such as a biopsy and a CT scan to help diagnose secondary breast cancer.
The TNM system is a way of staging breast cancer. TNM stands for Tumour, Node, Metastasis.
Get practical, physical and emotional support to help you cope with a diagnosis of breast cancer, and life during and after treatment.
Find out about breast cancer, including symptoms, diagnosis, treatment, survival, and how to cope with the effects on your life and relationships.

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