Summary. The review of the literature draws attention to the fact that, from the modern point of view, oncogenesis is a multistage process in which, along with numerous factors of various origins, stress occupies a prominent place. It has been established that stress triggers mechanisms that lead to the activation of programs such as proliferation, invasion, migration of tumor cells at various stages of neoplasm formation, and due to the integration of these actions, the spread of malignantly transformed cells in the body occurs, namely the recurrence of removed tumors and metastasis. In addition, it has recently been shown that as a result of chronic stress, the polarization of tumor cells towards a more mesenchymal phenotype and the release of proteases, in particular the gelatinases MMP-2 and MMP-9, which carry out the destruction and remodeling of the extracellular matrix, and this promotes the metastasis of malignantly transformed cells. Objective indicators of changes under the influence of stress are given, which, after checking their significance, can be used as prognostic criteria and targets for personalized treatment tactics for patients with breast cancer.