Symptoms of metastatic breast cancer

Step 1

First step for advanced breast cancer

When breast cancer spreads to other parts of the body (), symptoms can vary: bone pain, persistent cough, difficulty breathing, headaches, unintentional weight loss, general fatigue, muscle weakness, ringing in the ears, dizziness or vomiting. The patient first contacts her chosen in (health center), and is then referred for additional tests or to specialists – an or a at the hospital.

Where first?

Health center – your chosen or . If you notice new or unusual symptoms, this is the starting point for getting a referral.

Referral to a specialist

The doctor issues a referral to the or level of health care. Most commonly: an or a .

Why is it important?

The sooner you reach the oncology team, the faster diagnostics will be done and a treatment decision made at the .

Next step

The specialists complete the work-up: , , imaging (chest , abdominal or a of the chest, abdomen and pelvis) – as the doctor considers necessary. Based on the findings, a is prepared, where the treatment is decided.

Does every symptom mean metastases?

No. Symptoms like pain or cough can have other explanations. But if they persist or worsen, it's important to check with a doctor.

When to seek help immediately?

Sudden severe headache or vision disturbances.
Bone pain accompanied by swelling or limited movement.
Persistent cough, difficulty breathing or chest pain that is worsening.
Unusual rapid fatigue when walking.
Sudden neurological symptom (arm/leg weakness, speech disturbances).

Why is it important to start from primary health care?

Primary health care is the entry point to the healthcare system – the knows your medical history and provides the first referral to a specialist. This ensures fast and coordinated diagnostics.

What is the role of the oncologist?

The , and work together to determine the extent of the disease and to establish a treatment plan. The decision is made at the .

Patient support

At this stage, psychological support is also important, as the mere thought of advanced disease causes great stress. You can get support at the primary level (health center) and at the secondary level of health care. Ask about counseling centers, patient associations or support groups – they are not part of standard treatment, but they help a lot.