4 July, 2025
woman-s-decade-long-battle-with-stage-4-cancer-highlights-testing-gaps

Leah Hughes was just 29 when she first discovered a lump in her breast. Despite her concerns, her doctor dismissed it as a common change related to her menstrual cycle. Fast forward a decade, and Hughes is now battling stage 4 cancer, urging others not to assume they’re “too young” for testing.

Initially, Hughes was told she “didn’t qualify” for breast cancer testing because, according to the American Cancer Society, routine screenings typically begin at age 40. Her doctors attributed the lump to fibrocystic breast tissue, a benign condition often linked to hormonal changes, as noted by the Mayo Clinic.

However, in 2018, Hughes noticed a shadow and dimple on her breast while putting on a bikini. This time, her concerns were taken seriously, leading to a series of tests including a mammogram, ultrasound, and biopsy. The results confirmed breast cancer, and further scans revealed it had already spread to her bones and liver. Doctors informed Hughes that her cancer was incurable.

The Journey Through Treatment

Since her diagnosis, Hughes has been on a challenging journey, managing her condition through various drug treatments. In 2022, she underwent a single mastectomy followed by chemotherapy. Despite these efforts, by August 2024, scans showed the cancer had spread further, reaching her brain.

“With stage 4 breast cancer, you know it can spread to the brain and you do worry,” Hughes shared. “But I didn’t expect it then, because I had no symptoms at all.”

In March, respiratory issues led to the discovery that the cancer had also spread to her lungs. A procedure was necessary to remove 4.5 liters of excess fluid that had accumulated.

Advocacy and Awareness

Hughes’ story underscores the importance of early detection and the need for awareness that breast cancer can occur at any age. Her experience highlights a critical gap in the healthcare system regarding the accessibility and timing of cancer screenings.

Dr. Emily Carter, an oncologist specializing in breast cancer, explains, “While guidelines suggest starting screenings at 40, it’s important for younger women to be aware of their bodies and advocate for themselves if they notice changes. Early detection is crucial.”

“I can’t believe everything I’ve been through. You don’t realize until you sit back and reflect,” Hughes said. “But I have no choice just to get on with it and keep fighting.”

Looking Forward

Currently, Hughes is in her sixth round of chemotherapy and is fundraising for a drug called Enhertu, which is not widely available for her type and stage of cancer. She remains determined to continue her fight, saying she’s reached a stage of acceptance but is “also not giving in.”

Her journey serves as a poignant reminder of the unpredictable nature of cancer and the resilience required to face such a battle. Hughes continues to share her story to inspire others and advocate for better healthcare policies that consider younger patients.

As Hughes reflects on her journey, she emphasizes the importance of perseverance and self-advocacy. Her story is a testament to the strength and determination of those battling cancer and a call to action for improved cancer screening protocols.