The document discusses the challenges of living with advanced or metastatic breast cancer. It notes that over half a million deaths worldwide are caused by advanced breast cancer each year. It also discusses the lack of support and advocacy for those living with metastatic breast cancer compared to those with early-stage disease. Two surveys of patients with advanced breast cancer found that they experience high levels of fear, depression, and anxiety but also demonstrate resilience in coping with their disease. There remains a need for more research, clinical trials, and resources focused specifically on metastatic breast cancer.