After a 30-year, off-and-on battle with metastatic breast cancer
, Australian-born actress and singer Olivia Newton-John died at age 73. Best known for her role as Sandy in the 1978 movie musical “Grease,” Newton-John also hit the music charts with singles like “Physical” and “Magic.”
According to CNN, Newton-John was first diagnosed with breast cancer in 1992, after which she underwent a partial mastectomy, followed by chemotherapy and breast reconstruction . The cancer went into remission but returned in 2013 as a tumor in her shoulder. The cancer resurfaced again in 2017 as a tumor at the base of the singer’s spine.
That length of time between recurrences is not uncommon with breast cancer, says CU Cancer Center member Nicole Christian, MD, especially low-grade estrogen-positive breast cancer, which tends to be less aggressive. Prolonged periods of healthy remission of the disease, only to see it return elsewhere in the body, can happen.
“There are definitely types of breast cancer where the window in which the cancer can come back as metastatic disease is very prolonged,” says Christian, assistant professor of surgical oncology in the CU School of Medicine. “For many cancers, we think of a five-year window — if you’ve made it five years, you’re in the clear. But with breast cancer, that timeline of when the cancer can come back can be very long.”
Breast cancer also is very apt to spread to other areas in the body, particularly the bones, Christian says, which is why she counsels her patients who are breast cancer survivors to be aware of severe or persistent pain and bring it to the attention of their doctors immediately, even if they are no longer receiving care specifically for cancer.