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etiology, diagnosis, and treatmen of cancer. In summary, cancer registries, whether special purpose, central, or hospital-based, houses cancer incidence data that is collected and analyzed to assist in monitoring cancer trends over time. Registry data is also used to develop community programs and improve cancer treatments. Registries also serve as a foundation for cancer research in an effort to reduce the cancer burden. It is important that every state have a cancer registry as they collect complete and accurate cancer information which plays a critical role in cancer prevention and control. Celeste: Has the data revealed any notable metastatic breast cancer trends, or patterns, among different racial groups in the United States? If so, how do you feel this data might be used to aid in the prevention, screening, and/or treatment of breast cancer? Jehan: I believe that understanding that breast cancer can be treated at any stage is notable. With continual developments in treatment, women with metastatic breast cancer have shown better survival rates and improved quality of life. I would like to note a few important statistics pertaining to metastatic breast cancer: six percent (6%) of women have metastatic breast cancer when they are first diagnosed (Cancer.Net). Some other notable cancer statistics reveal that the second most common cause of death from cancer in women is breast cancer. The American Cancer Society (ACS) states that an estimated 44,130 people (43,600 women and 530 men) will die from breast cancer this year [2021]. Regrettably, metastatic breast cancer will cause the vast majority of those deaths (Cancer.Net). Continuing with notable patterns and trends, U.S. breast cancer statistics show that death rates have been steady in women under 50 since 2007, but have continued to drop in women over 50. The overall death rate from breast cancer decreased by 1% per year from 2013 to 2018 (Breastcancer.org). Treatment advances, and early detection are said to be a significant contributing factor to these decreases in rates. According to cancer. org, incidence rates are highest among nonHispanic (NH) Whites (130.8 per 100,000), followed closely by NH Blacks (126.7). However, NH Black women have the highest breast cancer death rates (28.4 deaths per

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