Yes the diagnosis sucks. My first breast cancer was 1999, with a recurrence in 2013. - not picked up by usual means but I had developed an itchy rash and inverted nipple around the site of previous cancer. Through perseverance, they finally did a biopsy and found it. Chose double mastectomy and had all the usual treatments, thinking that was it. But Mets diagnosed May last year. I started with Xeloda, for 8 rounds, but then it stopped working. Then had a good run with Vinorelbine - for 10 months, and there was improvement, but stopped working. Had 4 rounds of irubilin and that has done nothing. So not sure about proceeding.