INCIDENCE OF METASTATIC  BREAST CANCER IN WOMEN 25-29 YEAR OLD IS INCREASING.  THIS DEVASTATING NEWS IS THE RESULT OF A 3 DECADE OBSERVATION
WHEN ONE REVIEW THE SEER REGISTRY.  THIS IS PUBLISHED IN THE NEW JAMA.
This rising incident was observed across all ethnicities and races.  This news is critical because of the young age of women involved which increases family burden and loss of productive life.  But also because  we are not talking about a locoregional disease.  It is indeed the burden of a more advanced disease that was noted to be increasing.  The disease at that stage is no longer curable most of the time.
The age of the patients is critical because mammography is not yet recommended and therefore women are left to their own demise.
The finding that non Hispanic white and African American women  have been more affected is of interest to researchers looking at disparities among the races.  Increased scrutiny and sensitivity of diagnostic test seem to have explained the increasing.  The increase was noted to be more in the ER positive breast cancer which appears to not be surprising in this young age.   and Age is known to be an independent bad prognosis factor!  With a 10 year survival of less that 20%, new therapeutic strategies are still needed to treat these young mothers!