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Breast cancer stages are used by medical professionals to provide a breast cancer prognosis to their patients. The higher the breast cancer stage the lower the probability of survival. Breast cancer stages are described on a 5 year survival rate table. For example, the 0 stage would be 100% whereas the IV stage would only be 20%. Breast cancer stages indicate how far cancer has spread within the breast, to nearby tissues, and to other organs. This information is obtained from the lymph node biopsy and other tests such as blood tests, bone scans , and X-rays .

 

Breast cancer stages are currently defined as: Stage 0, I, II, IIA, IIB, IIIA, IIIB, IIIC, and IV.

 

According to the BreastCancer.org, the stages are described as follows:

Stage 0 is used to describe non-invasive breast cancers, such as DCIS and LCIS. In stage 0, there is no evidence of cancer cells or non-cancerous abnormal cells breaking out of the part of the breast in which they started, or of getting through to or invading neighboring normal tissue.

Stage I describes invasive breast cancer (cancer cells are breaking through to or invading neighboring normal tissue) in which the tumor measures up to 2 centimeters and no lymph nodes are involved

Stage II is divided into subcategories known as IIA and IIB.

Stage IIA describes invasive breast cancer in which no tumor can be found in the breast, but cancer cells are found in the axillary lymph nodes (the lymph nodes under the arm), or

  • the tumor measures 2 centimeters or less and has spread to the axillary lymph nodes, OR
  • the tumor is larger than 2 centimeters but not larger than 5 centimeters and has not spread to the axillary lymph nodes

Stage IIB describes invasive breast cancer in which the tumor is larger than 2 but no larger than 5 centimeters and has spread to the axillary lymph nodes,  or the tumor is larger than 5 centimeters but has not spread to the axillary lymph nodes

Stage III is divided into subcategories known as IIIA, IIIB, and IIIC.

Stage IIIA describes invasive breast cancer in which either:

  • no tumor is found in the breast. Cancer is found in axillary lymph nodes that are clumped together or sticking to other structures, or cancer may have spread to lymph nodes near the breastbone, OR
  • the tumor is 5 centimeters or smaller and has spread to axillary lymph nodes that are clumped together or sticking to other structures, OR
  • the tumor is larger than 5 centimeters and has spread to axillary lymph nodes that are clumped together or sticking to other structures

Stage IIIB describes invasive breast cancer in which:

  • the tumor may be any size and has spread to the chest wall and/or skin of the breast AND
  • may have spread to axillary lymph nodes that are clumped together or sticking to other structures, or cancer may have spread to lymph nodes near the breastbone
  • Inflammatory breast cancer is considered at least stage IIIB.

Stage IIIC describes invasive breast cancer in which:

  • there may be no sign of cancer in the breast or, if there is a tumor, it may be any size and may have spread to the chest wall and/or the skin of the breast, AND
  • the cancer has spread to lymph nodes above or below the collarbone, AND
  • the cancer may have spread to axillary lymph nodes or to lymph nodes near the breastbone

Stage IV describes invasive breast cancer in which the cancer has spread to other organs of the body -- usually the lungs, liver, bone, or brain. 

The type of treatments for breast cancer will be determined by the oncologist physician based on the stage of breast cancer. 

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