Living With Metastatic Cancer

Metastatic cancer is when cancer spreads to other areas of your body from its original site. For example, lung cancer that has spread to the liver is called metastatic lung cancer.

Advancements in cancer treatment allow some metastatic cancers to become a chronic illness, meaning people live with the cancer for many years on and off therapy. For others, time may be much more limited. Either way, your healthcare team will work with you to make sure you have the best possible quality of life.

When you learn you have metastatic cancer, you may wonder:

• How can I cope with this news?
• How will my family handle it? 
• Can I work- and how can I afford not to? 
• What do I do now?

There is no right or wrong way to feel. Some people report feeling disappointed, sad, scared, shocked, angry, overwhelmed, or out of control. Ask for help and support from people like social workers, therapists, and support groups (in person or online). Family, friends, and clergy can also be great sources of support.

If you have been through cancer treatment before, keep in mind that you know much more now than you did at the time of your original diagnosis. Use that knowledge to guide your treatment decisions and help you get the support you need.

If you are newly diagnosed with cancer and it is metastatic, ask for support in helping you research treatment options and make decisions. Bring your support person(s) to your appointments to take notes and help you remember what was talked about when you get home.

It can help to focus on achievable daily goals like attending a child's soccer game or lunch with a friend. Some survivors also like to set a long-term goal or milestone, like seeing the birth of a grandchild. Save your energy to spend doing things you enjoy. You may need to be open-minded to adjusting your goals based on how you feel. Don't be afraid to ask for help when needed.

Metastatic cancer can be a challenging part of your cancer journey. It is important to try to continue enjoying your life and spending time with loved ones. Live each day as best you can, knowing that some days will be better than others.

Resources for More Information

• ACS resource, What Are Advanced and Metastatic Cancers?
• NCI booklet Coping with Advanced Cancer