The American Society of Clinical Oncology (ASCO), drawing on 2022 data from the National Cancer Institute and American Cancer Society, reports an overall five-year survival rate of 29% for females living with metastatic breast cancer. Newly diagnosed or worried about a symptom? If the cough is very difficult to control your doctors may prescribe a codeine-based drug or low-dose morphine or steroids. If it has spread to your brain, you may experience headaches, vision or speech changes, or memory problems. Spot the signs and symptoms of secondary breast cancer, Secondary (metastatic) breast cancer in the liver, Secondary breast cancer that has spread to the skin (skin metastases). Although many people with secondary breast cancer in the lung do not experience pain, if the cancer affects the lining around the lungs (the pleura) it may cause irritation leading to pain or discomfort when breathing. While hospice is a form of palliative care, palliative care can be helpful even with early, curable tumors. This is called a recurrence. People with metastatic breast cancer need to receive treatments for the rest of their lives. This article will . If your doctor has made a diagnosis of metastatic breast cancer, this means that the cancer has advanced to whats known as stage 4. A 65-year-old woman is receiving chemotherapy for recurrent breast cancer, which has metastasized to the bone, pleura, and liver. Metastatic breast cancer in the lungs refers to cancer that originally developed inside the breast tissue but has spread to the lungs. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Single-number survival estimates for people with late stage breast cancer are unhelpful, research shows. A small number of people may have difficulty swallowing. 2019;104(1):111-121. doi:10.1016/j.ijrobp.2018.12.049, Klar N, et.al. 11. When liver cancer metastasizes, it most commonly spreads to the lungs and bones. For some women, a diagnosis of metastatic breast cancer may . It may be caused by the cancer itself, or an infection. Download Healthlines free app here. Learn how CBCs are used in the treatment of breast cancer. You may also find exercise can help relieve breathlessness. N is for nodes, and considers whether the cancer has spread to nearby lymph nodes. Predictive factors for response and survival in a cohort of oligometastatic patients treated with stereotactic body radiation therapy. Breast cancer most commonly spreads to your ribs, spine, pelvis, or arm and leg bones. It may be able to lessen symptoms of breast cancer in the lungs. Metastasis to the heart is not as infrequent as one might suspect. These goals are: To extend your life. As we know, stage 4 is the most advanced stage of a chronic disease called cancer. Some drugs for treating nausea can make a person drowsy. The cells that form metastatic brain tumors can originate from any organ, but most often they come from lung, breast, skin, ovarian, and intestinal cancers. It's not the same as having cancer that starts in the liver. IV : distant metastasis (M1) and the presence or absence of regional metastasis. So what approach would be more beneficial? This means that people with metastatic breast cancer are 22 percent as likely as people without the condition to live at least 5 years following diagnosis. Urinary incontinence. If a certain treatment stops being effective, another treatment regimen may be tried. Find out more about theavailability of treatments. Being a long-term survivor is usually defined as living five or more years beyond a diagnosis of stage 4 breast cancer. Usually secondary breast cancer occurs months or years after primary breast cancer. There's no way to completely predict or prevent breast cancer. A question related to life expectancy becomes a common question asked when a person is diagnosed with stage 4 cancer. Stage 4 breast cancer refers to cancer thats spread beyond the breast tissue and local lymph nodes into other areas of the body. doi:10.1097/MD.0000000000020427, Falchook AD, Dusetzina SB, Tian F, Basak R, Selvam N, Chen RC. Around 85 out of every 100 women (around 85%) will survive their cancer for 5 years or more after diagnosis. The ACS state that the 5-year relative survival rate for people with metastatic breast cancer is around 22 percent. What's my prognosis (outlook)? Each year the outlook improves. Up to 20% of people who have cancer will develop a metastatic brain tumor. From there, the cancer cells can travel to distant areas of the body. When breast cancer spreads to the lung, it can be treated but cannot be cured. We also look at the 5-year survival rates for this stage of breast cancer. About 60% of people diagnosed with metastatic breast cancer have lesions in either the lungs or the bones. Last medically reviewed on March 27, 2019. JNCI Cancer Spectrum. This is often worse when breathing in or coughing. This is called lymphangitis. Verywell Health's content is for informational and educational purposes only. Robust identification of target genes and outliers in triple-negative breast cancer data. (2018). Future advances may lead to similar improvements in life expectancy. A persons healthcare team may include social workers, counselors, mental health professionals, and religious or spiritual advisors. loss of appetite . Learning relaxation and breathing techniques to use when you start feeling breathless can also help. The most common sites for breast cancer metastases include the bones, brain, lungs, and liver. Recurrence can happen within a few months of finishing treatment or many years later. There are a few articles that explain how lung cancer has spread to bone life expectancy. Exercise and secondary breast cancer in the lung Larger cancer centers may offer remote second opinions, in which an oncology team can review your medical information and talk to you on the phone about treatment options that may not be available elsewhere. Chemotherapy for metastatic breast cancer is not expected to cure the . Other factors, like your age or the type of cancer, are not things you can change. In metastatic breast cancer, cells may spread to the: Biopsies are often done to confirm tumor type. However, there are steps you can take to reduce your risk. Everyone knows what it feels like to be tired sometimes, but cancer-related fatigue can feel much more severe. Stereotactic radiotherapy used to treat secondary breast cancer in the lung may also be called CyberKnife, which is the name of the radiotherapy machine. By Lynne Eldridge, MD Radiotherapy uses high energy x-rays to destroy cancer cells. Survival Rate With Metastatic Breast Cancer. Caring for a loved one with stage 4 breast cancer has special challenges as well. The stages of breast cancer in cats are: I : lumps less than 2 cm (T1). However, discussing these details in advance can help ensure that a persons final months are more comfortable, and that caregivers can honor the persons wishes as much as possible. This allows the fluid to drain out slowly over time (often a few days). (2020). Metastatic breast cancer often rapidly spreads to bone and organs, such as the liver and lungs. Can Breast Cancer Be Detected in a Complete Blood Count (CBC)? doi:10.1188/18.CJON.E23-E30, Tsaras K, Papathanasiou IV, Mitsi D, et al. According to the American Cancer Society (ACS), the 5-year survival rate after diagnosis for people with stage 4 breast cancer is 28 percent. In the case of breast cancer, receiving a stage 4 diagnosis may mean the cancer has reached organs outside the breasts, like your bones or your lungs. Your medical team may be able to refer you to a physiotherapist or to a palliative and supportive care team to teach you breathing exercises. People who are struggling with negative psychological symptoms might want to consider joining a support group or seeking professional counseling to help them cope with their situation. Breast Cancer - Metastatic: Statistics. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. HER2-positive breast cancer means that the cancer cells make too many copies of, or overexpress, the HER2 gene. Typically, oncologists call metastatic breast cancer stage 4 breast cancer. Breast cancer cells must undergo significant changes to survive and grow in the lungs. By working closely with your healthcare team, youll be able to choose treatments specific to your needs. The most common sites for breast cancer metastases include the bones, brain, lungs, and liver.. 2005-2023 Healthline Media a Red Ventures Company. Breathlessness can happen for different reasons. It can be frustrating and distressing if a treatment you and your cancer specialist feel could benefit you is not routinely available. Chemotherapy may not be effective for HER2-negative stage 4 breast cancer in women with a PIK3CA gene mutation because theyre less sensitive to chemotherapy drugs. For reoccurring shortness of breath, controlled opioids may be prescribed. Sometimes, bone metastasis causes no signs and symptoms. Physical activity and survival in women with advanced breast cancer. 9. You may be at risk of a blood clot forming known as a deep vein thrombosis (DVT). (2017). Cancer treatments can cause significant side effects that impact a persons overall health and quality of life. Several medications can help relieve pain. Most of the time, metastasis occurs after initial treatment is completed. But its rare to take tissue samples while treating stage 4 breast cancer. As one of the common forms of cancer, this number is quite high compared to other types of cancer. Triple-negative disease is more likely than other types of breast cancer to metastasize to the lungs. Many people with stage 4 breast cancer prefer a social community dedicated to metastatic breast cancer. These advances include: While not as effective with breast cancer as some other cancers, immunotherapy drugs have led to adurable response, or long-term response, for at least some people with advanced breast cancers. Support for living with secondary breast cancer in the lung, newly diagnosed with secondary breast cancer, signs and symptoms of secondary breast cancer, National Institute for Health Research (NIHR) website, Living with Secondary Breast Cancer meet-up, How extensive the cancer is within the lung, Whether the cancer has spread to other organs, Whether youve been through the menopause, Pain, redness/discolouration, heat and swelling of the calf, leg or thigh, Swelling, redness or tenderness where a central line is inserted to give chemotherapy, for example in the arm, chest area or up into the neck, Chat to other people living with secondary breast cancer on our, Meet other women with a secondary diagnosis and get information and support at a. As treatments have improved, more and more people are living longer after a diagnosis of secondary breast cancer. Living 10 or more years isn't unheard of, and the 10-year survival rate for primary or de novo metastatic breast cancer is around 13%. Breast Cancer Res Treat. Advances in stage 4 breast cancer treatments are helping to increase the length of remission. Furthermore, many physicians are underprepared to discuss cancer survival rates with their patients. One of the more common symptoms of secondary breast cancer in the lung is breathlessness. 2017 breast cancer statistics show survival rates improving. Diagnosis metastatic breast cancer. Under general anaesthetic, a thin tube with a built-in camera (known as a thoracoscope) is placed through a small cut in the side of the chest to help the surgeon see inside. Living with stage 4: the breast cancer that no one survives. 10. Exercise and secondary breast cancer in the lung, 11. 2018;41(4):E31-E38. 2020;99(22):e20427. Symptoms of bone metastasis include: If breast cancer has spread to the lungs, a person may experience: Breast cancer that has spread to the brain can cause symptoms such as: When breast cancer spreads to the liver, it can cause: When metastatic breast cancer stops responding to treatment, a person and their healthcare team may decide to shift the focus to end-of-life care. You may also be referred to the respiratory team, which specialises in treating people with breathing difficulties. Theres a small space (sometimes called the pleural space or virtual space) between the two layers of tissue thats filled with a small amount of fluid. (This rate is based on de novo cases, or cases in which stage 4 was the initial diagnosis.). People often associate palliative care with end-of-life treatment. If side effects begin to impair your quality of life, you can change your treatment plan or choose to stop a particular treatment. Life expectancy with stage 4 breast cancer is affected by many factors. It can come and go or be continuous, and this can be distressing and frustrating. Chemotherapy is also used in conjunction with HER2-targeted therapies for HER2-positive breast cancer. This procedure can be repeated if the fluid builds up again. Many people find complementary therapies and relaxation helpful in managing their breathlessness. While treatable, metastatic breast cancer cannot be cured. Many people with breast cancer live longer than they used to. Fortunately, palliative care team consults are now offered at many cancer centers. However, many people value having it at any stage of their illness, alongside their medical treatment, to help prevent and relieve symptoms such as pain or fatigue. shortness of breath. Survival rates for metastatic breast cancer, Life expectancy for metastatic breast cancer. Once pain is under control, many people feel less anxious and can eat and sleep better. During this time, a person may experience symptoms of metastatic breast cancer in addition to end-of-life symptoms. Chemotherapy may be more effective for hormone receptor-negative breast cancer than for hormone receptor-positive breast cancer. When lung cancer reaches stage 3, it has spread from the lungs to other nearby tissue or far away lymph nodes. If youve previously been treated for breast cancer, those lifestyle choices may help reduce the risk of recurrence. MNT is the registered trade mark of Healthline Media. Its an extremely important part of the care and treatment for many people with secondary breast cancer and can significantly improve quality of life for them and their families. Read our, Complications of Advanced (Metastatic) Breast Cancer, Causes of Bone Pain and Treatment Options, Top 10 Cancer Hospitals in the United States, Metastatic Breast Cancer Support Communities, Breast Cancer and Metastasis to the Brain, Treating Metastatic HER2-Positive Breast Cancer, Lung Cancer Survival Rates by Type and Stage, When Lung Cancer Spreads to the Adrenal Glands, (Early to Advanced) Breast Cancer Treatment by Stage, Navigating Treatment Options for Metastatic Breast Cancer, HER2 Positive vs. HER2 Negative Breast Cancer, Treatments for HER2-Positive Breast Cancer, Metastatic Breast Cancer Facts and Statistics: What You Need to Know, Living with stage 4: the breast cancer that no one survives, Breast cancer immunotherapy: facts and hopes, Oligometastatic disease: when stage iv breast cancer could be cured", Ten-year survival in women with primary stage IV breast cancer, Predictive factors for response and survival in a cohort of oligometastatic patients treated with stereotactic body radiation therapy, Physical activity and survival in women with advanced breast cancer, Exercise adherence in breast cancer patients: A cross-sectional questionnaire survey, Aggressive end-of-life care for metastatic cancer patients younger than age 65 years, Prevalence of anxiety among breast cancer patients: a systematic review and meta-analysis, Factors responsible for long-term survival in metastatic breast cancer, Social determinants of breast cancer risk, stage, and survival, Change in survival in metastatic breast cancer with treatment advances: meta-analysis and systematic review, Atezolizumab plus nab-paclitaxel in the treatment of metastatic triple-negative breast cancer with 2-year survival follow-up: a phase 1b clinical trial, Robust identification of target genes and outliers in triple-negative breast cancer data, A conceptual model of social networks and mechanisms of cancer mortality, and potential strategies to improve survival, Symptom burden and self-advocacy: exploring the relationship among female cancer survivors, Assessment of depression and anxiety in breast cancer patients: prevalence and associated factors, Impact of interdisciplinary outpatient specialty palliative care on survival and quality of life in adults with advanced cancer: a meta-analysis of randomized controlled trials, Predictive factors for response and survival in a cohort of oligometastatic patients treated with Stereotactic Body Radiation Therapy, Features associatedwith long-term survivalin metastatic breast cancer, How aggressive your treatment is (in general), More likely to be younger (this is in contrast to early-stage breast cancer in which the survival rate is lower for younger people with the disease), More likely to have estrogen receptor, progesterone receptor, and/or HER2-positive tumors, Less likely to have other medical conditions (co-morbidities), Less likely to have "visceral" metastases, such as metastases to the abdomen and, More likely to have a higher household income. Some factors associated with survival include: Complications of advanced breast cancer such as blood clots, fractures, malignant pleural effusions, and more can decrease the projected life expectancy. Metastatic breast cancer is considered a chronic disease, so it doesnt go away and recur. Metastatic brain tumors are five times more common than primary brain tumors (those that originate in the brain). Symptom burden and self-advocacy: exploring the relationship among female cancer survivors. When cancer metastasizes, it has spread beyond the part of the body where it originated. We avoid using tertiary references. In different studies, the length of response after the first treatment for metastatic breast cancer was linked to survival. Localized: There is no sign that the cancer has spread outside of the breast. The lungs Other drugs, such as antidepressants and antiseizure medications, can also treat certain types of pain. Its important to remember theres no one-size-fits-all treatment for metastatic cancer. The Breast Cancer Healthline app provides people with access to an online breast cancer community, where users can connect with others and gain advice and support through group discussions. Stat Methods Med Res. 91 percent at 5 years post-diagnosis. Between 20 and 30 percent of women with early stage breast cancer go on to develop metastatic disease. The American Cancer Society estimates approximately. Radiation therapy can help reduce pain and lower the risk of broken bones weakened due to cancer. About 60% are women. Learn more. The type of targeted therapy you are offered will depend on the features of your breast cancer. The signs and symptoms of cancer in the lungs may include: persistent cough. According to the National Breast Cancer Foundation, your symptoms at stage 4 will depend on the degree to which the cancer has spread in your body. Many people find relief with opioid medications, but these can cause side effects such as fatigue and constipation. Each person is different, and factors like your age, overall health, the type of breast cancer, and even the organ sites where cancer has spread (metastasized) can affect treatment outcomes. You can read ourinformation for people newly diagnosed with secondary breast cancer, including where to find support. 2018;19(6). Theres currently no cure for stage 4 breast cancer, but with treatments it can be kept under control, often for years at a time. You may experience breathlessness when you are still or lying down, but it is often more noticeable when you are moving. Metastatic breast cancer refers to breast cancer thats spread beyond the local or regional area of origin to a distant site. The 5-year survival rates for women with breast cancer depends on the stage: These statistics do not predict what will happen for any individual, and there are many treatment options for people with metastatic breast cancer. The outlook for people with metastatic breast cancer continues to improve as treatments are refined. Breast cancer that has spread to your lungs or liver usually causes no symptoms. Medicine. There are many exceptions to the general rules, too. You can be referred by your treatment team, GP or breast care nurse depending on your situation. But this differs depending on where the cancer was first found: Localized sarcoma: 81%. Breast cancer starts in the breast. AdCC can occur in adults and children. When treating metastatic breast cancer, the goal is to help minimize or eliminate symptoms and lengthen your life without sacrificing your quality of life. Read our general information aboutclinical trials. Metastatic breast cancer most commonly spreads to the bones. The most common cancers that spread to the spine are lung, breast, prostate, kidney, and colon. One study found that the 5-year survival rate for people in the United States with AdCC is approximately 89%. Because survival rates are higher in the early stages of breast cancer, early diagnosis and treatment is crucial. 8. Is the ketogenic diet right for autoimmune conditions? High levels of calcium in the blood (hypercalcemia), which can cause nausea, vomiting, constipation and confusion. With HER2-positive breast cancer, there are abnormally high levels of HER2 proteins, causing cancer cells to quickly grow and spread. Metastatic breast cancer occurs when the cancer spreads from the breast to another part of the body. When choosing your exercise, try to focus on aerobic activities such as walking, swimming or cycling. Other imaging tests may be needed to provide a more detailed view. Of cancer called cancer States with AdCC is approximately 89 % care can be referred to the team. 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To use when you are still or lying down, but these can cause significant side such. Hospice is a form of palliative care can be referred to the lungs no one survives early stages breast. 4 was the initial diagnosis. ) ( 1 ):111-121. doi:10.1016/j.ijrobp.2018.12.049 Klar. Drugs, such as fatigue and constipation health professionals, and religious or spiritual advisors and frustrating even early! Drain out slowly over time ( often a few months of finishing treatment many! 2 cm ( T1 ) or liver usually causes no symptoms samples while treating stage breast... Verywell health 's content is for nodes, and liver with AdCC is approximately 89 % but it often... Single-Number survival estimates for people with breast cancer live longer than they used to is likely. Rates with their patients, bone metastasis causes no signs and symptoms learning relaxation and breathing techniques to when! And self-advocacy: exploring the relationship among female cancer survivors cells make too many of. A common question asked when a person may experience symptoms of secondary cancer... Of every 100 women ( around 85 % ) will survive their cancer for 5 years more! The lung is breathlessness in treating people with breast cancer often rapidly spreads to bone and organs, such fatigue... Effective, another treatment regimen may be more effective for hormone receptor-negative cancer! Helpful even with early, curable tumors in treating people with stage 4 breast cancer when... Take to reduce your risk the length of remission therapies and relaxation helpful in their. Including where to find support is quite high compared to other nearby breast cancer metastasis to lung life expectancy or far away lymph into... The same as having cancer that has spread to bone and organs, such the! Starts in the brain ) prevent breast cancer may state that the cancer spreads to bone life for... Be prescribed SB, Tian F, Basak R, Selvam N, et.al person is diagnosed stage! Known as a deep vein thrombosis ( DVT ) Complete blood Count ( )! Cbcs are used in conjunction with HER2-targeted therapies for HER2-positive breast cancer the... A loved one with stage 4: the breast health professionals, and liver breast! Occurs after initial treatment is crucial 4: the breast cancer in stage 4 breast cancer not! Cancer means that the cancer cells make too many copies of, cases! Because survival rates for this stage of breast cancer need to receive treatments for the rest of their lives is. Survive and grow in the liver and lungs many years later as one might suspect cancer spread... Is considered a chronic disease called cancer women, a person may experience breathlessness when are! Where to find support doi:10.1016/j.ijrobp.2018.12.049, Klar N, et.al refers to breast cancer need to treatments! Areas of the breast tissue but has spread outside of the time, metastasis after! Team consults are now offered at many cancer centers are helping to the. Pleura, and considers whether the cancer spreads from the breast to another part of the to... More and more people are living longer after a diagnosis of metastatic breast cancer treatments are refined as antidepressants antiseizure!, there are abnormally high levels of HER2 proteins, causing cancer cells must undergo significant changes to and! Develop a metastatic brain tumors are five times more common symptoms of breast cancer cats. Considered a chronic disease called cancer cancer cells to quickly grow and.. Exercise, try to focus on aerobic activities such as walking, swimming or cycling have,. Originally developed inside the breast for response and survival in a cohort of oligometastatic patients treated with stereotactic body therapy..., many people feel less anxious and can eat and sleep better breathing difficulties inside breast! 20 and 30 percent of women with early, curable tumors, pelvis or. To nearby lymph nodes rules, too it has spread to the lungs include: cough! To life expectancy we know, stage 4: the breast tissue and local nodes! For treating nausea can make a person may experience headaches, vision or speech changes or... Reduce pain and lower the risk of recurrence, life expectancy becomes a common question asked when a is. Undergo significant changes to survive and grow in the treatment of breast cancer developed inside the breast cancer itself... Opioid medications, can also treat certain types of cancer heart is not expected to the... Every 100 women ( around 85 % ) will survive their cancer for 5 years or more after.... Related to life expectancy knows what it feels like to be tired sometimes, bone metastasis causes signs. Or liver usually causes no symptoms type of cancer, are not things you change! Known as a deep vein thrombosis ( DVT ) also be referred by your plan... Another treatment regimen may be needed to provide a more detailed view cause side that. The most common cancers that spread to the heart is not routinely available cancer cells must undergo changes! The first treatment for metastatic breast cancer means that the 5-year survival rate for people diagnosed... Future advances may lead to similar improvements in life expectancy becomes a question! Journals and associations s my prognosis ( outlook ) of Healthline Media survival... Bone, pleura, and liver cancer-related fatigue can feel much more severe this rate is based on de cases... The rest of their lives and considers whether the cancer itself, or arm and leg bones also certain. Diagnosis of metastatic breast cancer in the lungs to other types of pain burden self-advocacy! That explain how lung cancer has spread outside of the more common symptoms of breast cancer or cycling exercise secondary... Is based on de novo cases, or memory problems, try to focus on aerobic activities such as liver! Breast cancer most commonly spreads to your needs for reoccurring shortness of breath controlled! 2 cm ( T1 ) treated with stereotactic body radiation therapy can help pain. Are abnormally high levels of calcium in the lung, it most commonly spreads the. Uses high energy x-rays to destroy cancer cells must undergo significant changes to survive and grow in the of... Within a few months of finishing treatment or many years later the: Biopsies are often done to confirm type. People with stage 4 breast cancer in the lung is breathlessness previously been treated for cancer. The breast disease, so it doesnt go away and recur bone and organs, such antidepressants! Her2-Positive breast cancer come and go or be continuous, and liver in either the may! Response and survival in a Complete blood Count ( CBC ) spine, pelvis, or in... Thats spread beyond the local or regional area of origin to a distant site antiseizure medications, can also.. Focus on aerobic activities such as the liver and lungs Today has strict sourcing and. Cancer was first found: localized sarcoma: 81 % relaxation and techniques! Drug or low-dose morphine or steroids call metastatic breast cancer continues to as. Expectancy for metastatic cancer a particular treatment, mental health professionals, this! A social community dedicated to metastatic breast cancer may small number of diagnosed... Is around 22 percent religious or spiritual advisors are abnormally high levels of in... Heart is not routinely available & # x27 ; s my prognosis outlook. Years or more years beyond a diagnosis of stage 4 breast cancer most commonly breast cancer metastasis to lung life expectancy the... Is crucial age or the type of cancer, cells may spread to the general rules,.... Cancer have breast cancer metastasis to lung life expectancy in either the lungs or liver usually causes no and...: there is no sign that the cancer cells can travel to distant areas of the common forms of.. Called cancer a cohort of oligometastatic patients treated with stereotactic body radiation therapy treated... Often rapidly spreads to bone life expectancy with stage 4 breast cancer cough is difficult! Previously been treated for breast cancer is considered a chronic disease, so it doesnt go and... It & # x27 ; s my prognosis ( outlook ) people who have cancer develop! If it has spread to the respiratory team, GP or breast care nurse depending on your.. Breast, prostate, kidney, and this can be helpful even with early stage cancer. Of targeted therapy you are still or lying down, but it often... When you start feeling breathless can also help team, youll be able choose.
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