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Stages and grades of breast cancer

Stage 4 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

Diagram showing M stages breast.

Other stages of breast cancer

  • Stage 3

  • Stage 2

  • Stage 1

  • TNM staging

Last reviewed: 06 Jun 2023

Next review due: 06 Jun 2026

Treatment for secondary breast cancer

Find out more about Treatment for secondary breast cancer

Tests for breast cancer

You have a number of tests to check for breast cancer. This includes a breast examination, a mammogram, a biopsy and scans.

What is secondary breast cancer?

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.

TNM staging for breast cancer

The TNM system is a way of staging breast cancer. TNM stands for Tumour, Node, Metastasis.

Living with breast cancer

Get practical, physical and emotional support to help you cope with a diagnosis of breast cancer, and life during and after treatment.

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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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