Miriam González has an ultra-rare metastatic breast cancer with two biologies. This site funds precision tests that public healthcare does not cover. You can donate, read the science, collaborate by profile, or share the campaign.

Metastatic breast cancer · Ultra-rare molecular profile

A rare cancer, a real opportunity.

Portrait of Miriam González
Engineer · Communicator

Miriam, 35, has a tumor with two sides that Spanish protocols don't account for. The tests she needs to treat it aren't covered by public healthcare. This site exists to fund them.

Support Miriam

Every euro funds clinical research applied to her case.

See the science

Open the full molecular profile in The science.

€63,259

raised so far

1,608

people have contributed

5+

specialists in 3 countries

80%

neuroendocrine differentiation

Where do I start?

Pick your path

You don't have to read everything. Tell us who you are and we'll take you to the next step.

Take all the time you need. You can come back anytime; nothing is lost.

~1 min

I want to help now

You know Miriam or trust the cause. Your gift funds the next test.

  1. Open GoFundMe (secure payment)
  2. Choose an amount that fits you
  3. Your name appears on the thank-you constellation
Support Miriam (opens in a new tab)

Secure payment. Receipt available. 100% to the case.

~3 min

I just arrived

You want to understand what this is about before deciding anything.

  1. Read the 2-minute summary
  2. Skim the clinical gap if you like
  3. Choose how to help when it feels clear
See 2-minute summary

No signup. No pressure.

~6 min

Medicine or research

You want clinical detail: markers, imaging, therapeutic lines.

  1. Molecular profile and three tissue reads
  2. Functional imaging and active targets
  3. Form for second opinion or contact
View clinical detail

Professional mode · ~6 min · printable.

~4 min

Press or outreach

You have an audience or cover health. You need verifiable facts.

  1. Press room with real coverage
  2. Case data ready to cite
  3. Direct contact for interviews
Go to the press room

Verifiable kit. No spin.

~5 min

Tech, data, or AI

You want to contribute code, pipelines, or analysis to the open case.

  1. Public repo and documentation
  2. Links to Beyond the Protocol
  3. Contact with tech profile pre-selected
Write to the tech team

Open code. Non-sensitive data public.

~2 min

Patient or caregiver

You're going through something similar or want to connect without pressure.

  1. Read the case at your pace
  2. Write if you want to share experience
  3. Follow on social if it helps
Write to Miriam

We reply by email. No obligation.

2-minute case summary 2 min

The essentials, in four ideas

  1. Miriam has metastatic breast cancer with two biologies at once: luminal (HR+) and neuroendocrine (~80%). Spanish protocols only cover the first.
  2. Without molecular rebiopsy and advanced panels, treatment is decided blind while the tumor evolves.
  3. The campaign funds precision tests, second opinions, and a possible N-of-1 trial designed for her exact biology.
  4. Every euro is documented. There are ways to help beyond money: clinical review, outreach, tech, or simply being here.

To go deeper, The science has a summary for everyone and a professional mode with tables and imaging.

The story

A diagnosis that fit no protocol.

At 33, Miriam was diagnosed with a metastatic breast cancer so rare it is seen in fewer than 1 in 1,000 cases. The standard treatment isn't enough: it has to be designed around her specific tumor.

Source: SEER population analysis · Transl. Cancer Res., 2023

Get to know Miriam (soon)

In her own words

«My tumor has two sides —the breast side and the neuroendocrine one— and the key is to treat both at once, not just one.»

— Miriam González. May 2026.

Clinical gap

What Spanish protocols don't cover, we cover.

Spanish protocols only account for half of the tumor's biology: they're built for standard HR+ breast cancer, and Miriam's is not.

In practice: hormonal treatment addresses the tumor's side but leaves its component untreated. Confirming and targeting it requires molecular rebiopsy and international expert review — tests public healthcare doesn't cover for such a rare case.

Tap or hover the highlighted words and markers to see what they mean.

What exists vs. what is missing

What the protocols cover

  • Initial diagnosis and routine follow-up
  • Standard hormonal treatment
  • Symptom and toxicity management
  • Reports and clinical documentation

What is missing and not covered

  • Updated multi-omic analysis of the tumor (genomics, transcriptomics, proteomics)
  • Consultation with specialists in uncommon profiles
  • Access to clinical trials designed for her type of case
  • Tests that allow treatment to be adjusted to what the tumor is doing now

Full technical analysis in The science. The essential point: a measurable gap exists between the treatment she receives and the one her biology requires.

Where this is heading

The goal is an N-of-1 trial designed for this tumor's exact biology.

An trial is a clinical trial built for a single patient: treatment is designed around her tumor's actual profile, not an average protocol. That makes it possible to combine drugs to target its two sides at once — the luminal (breast) one and the possible neuroendocrine one.

The advantages of reaching that trial:

  • Treatment is adjusted to the real profile of the tumor, not to a protocol designed for the majority.
  • Drugs suited to each part of the tumor can be applied simultaneously.
  • Every result obtained contributes evidence for other patients with similar profiles.
  • Miriam stops depending on a single protocol that does not answer her case.

In one line, for anyone who wants the detail:

Those with “?” are hypotheses with partial evidence, pending confirmation. Full analysis in The science.

See the full molecular profile

Open clinical documentation. Updated in 2026.

Where the money goes · Radical transparency

The tumor evolves. The strategy has to evolve with it.

The tumor evolves under treatment pressure. New resistance mutations appear (ESR1 D538G, RB1) and new targets emerge (SSTR2+). Without periodic molecular rebiopsy, clinical decisions are made blind.

Every euro is assigned to a concrete line item and documented on the Expenses page.

The money goes to:

  • Molecular tests and diagnostics (rebiopsy, sequencing, panels).
  • Consultations and second opinions with international specialists.
  • Medication and treatments not covered.
  • AI tools, case management and outreach.
See the full breakdown

Three ways to contribute · Pick yours

Not every way to help costs money. Each action counts differently.

01

Level 1 · Share (no cost)

Getting the case in front of whoever can move it forward —in oncology, research or among patients— is often the difference between finding a therapeutic target and not finding one.

Share the site with whoever can move the case forward.

02

Level 2 · Read the science (cognitive commitment)

Understand the full molecular profile, the active biological hypotheses and the compatible clinical trials. Open, reviewed documentation.

Read the molecular profile

No sign-up, no paywall.

03

Level 3 · Fund (financial commitment)

Every euro funds research applied to the case: deep sequencing, molecular rebiopsy, international second opinions, N-of-1 trial.

Support Miriam

Secure payment. Receipt available. 100% to Miriam's case.

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