America received a shocking piece of news in March 2007. John Edward's wife, Elizabeth, had been diagnosed with metastatic breast cancer. She spoke calmly, with inner strength, about how she had asked her husband to continue his presidential campaign, and how she wanted to campaign by his side. She did not want to be best known by her illness; she wanted, in fact, needed, to carry on as normally as she could.

Her diagnosis gave a face to this illness. Americans began to discuss Elizabeth and John Edward's decisions. Globally, people talked about how deeply cancer affects families. Breast cancer is something that affects many, and almost everyone has known someone who has died from it. Her announcement gave a face to it and it made people think. It brought the topic out in the open.

The treatment options for this cancer are the same as treating any other cancer. But treatment must be aggressive based on the stage of this particular disease. Because the definition of metastatic breast cancer is cancer that has spread from the breast to other parts of the body, treatment must be speedy and assertive in order to stop the spread of the cells to any further locations in the body.

The most common places for breast cancer to spread are within the breast or to the nearby chest wall or to the liver, lungs, or bones. Common symptoms include a lump in your breast or on your chest wall, bone pain, or shortness of breath. It is also possible that you will not have any symptoms and that the only way to keep yourself healthy is to be proactive and to take an active role in your health care. It may be necessary to have continuous laboratory tests and x-rays to determine whether or not the cancer has spread.

The most common secondary locations are the lungs, brain, liver, and bones. Metastatic breast cancer is certainly not confined to these locations and not all may be affected; these are statistically the most frequently affected areas. However it is not defined as cancer that has spread to any places close to the breast such as skin, muscles underneath or around the breast, or bones nearby the primary cancer location.

Treatment is palliative, improving quality of life, relieving symptoms and aimed at extending a woman's lifetime. But there are new treatments coming that are giving more hope to those patients with this cancer. Many women with this illness choose to become part of a clinical trial in order to access treatments that are not yet approved by the FDA.

There may come a time with metastatic breast cancer when you make a decision that quality of life is more important than quantity. If the medical treatments are not working and the effects of them are more devastating than the actual disease, you may have a choice to make.

As far as anyone knows today, metastatic cancer can't be cured. Sometimes, treatments can actually stop the cancer from growing for months or years. When Elizabeth Edwards asserted that she thought her own might be treatable, people listened. She gave a face to this illness - a loving, brave, wise, face - that no one will forget.