Correspondence: work smart or work hard in patients with metastatic breast cancer: emphasizing the importance of immunological and lactate changes

Excerpt

Exercise programs play a pivotal role in the lives of individuals battling metastatic breast cancer. Not only do they carry significant importance, but they can also greatly impact the management and progression of the disease. In a recent and noteworthy review conducted by Depenbusch et al. (2023) [1], titled “PERSPECTIVEs on supervised exercise programs in people with metastatic breast cancer—a qualitative study in four European countries,” the paramount significance of effective planning is underscored (Depenbusch, J., Sweegers, M.G., Aaronson, N.K. et al. PERSPECTIVEs on supervised exercise programs in people with metastatic breast cancer—a qualitative study in four European countries. Support Care Cancer 31, 281 (2023). https://​doi.​org/​10.​1007/​s00520-023-07739-x). However, it is worth noting that their comprehensive analysis, although timely, regrettably overlooks the crucial topic of immunological and lactological changes in patients afflicted with metastatic breast cancer. These changes, undoubtedly, hold immense importance. In this context, we would like to emphasize the significance of exercise-induced immunological and lactogenic changes in patients with metastatic breast cancer. …