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Editorial
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Volume 330:1308-1309 May 5, 1994 Number 18
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Understanding Adjuvant Chemotherapy for Breast Cancer

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Randomized clinical trials have shown that chemotherapy, tamoxifen, and ovarian ablation can each reduce the frequency of relapses and prolong survival among patients with operable breast cancer and ipsilateral axillary-lymph-node metastases1. As a result, almost all such patients now receive adjuvant systemic therapy. Multiagent chemotherapy is the present treatment of choice for premenopausal women with node-positive breast cancer2; for postmenopausal women, endocrine therapy, alone or in combination with chemotherapy, is advantageous3,4.

During the past 20 years, many schedules of adjuvant chemotherapy with a combination of cyclophosphamide, methotrexate, and fluorouracil have been evaluated in patients with breast cancer. . . . [Full Text of this Article]

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