Advanced breast cancer is encountered in around 5-10% of patients with primary breast cancers [1], and another 10% of the patients develop distant recurrence within 5 years after primary disease and treatment [2,3]. Once breast cancer has metastasized to distant locations, it is generally considered amenable to palliative rather than curative care. Therefore, the goals of treatment at this later stage are focused on delaying the progression of the metastatic disease, relief of cancer-related symptoms and maintaining quality of life [1].
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