In patients with cancer who undergo surgery with curative intentbut who are known to be at risk for a recurrence, postoperativechemotherapy increases the chance of a cure. The basis of thisadjuvant therapy rests on demonstrations in animal models thatthe presence of a small residual tumor rather than a large tumoris associated with a greater fraction of tumor cells that aregrowing, a greater fractional rate of cell death, a lower likelihoodthat tumor cells are drug resistant, and a higher cure rate.Subsequent clinical investigations have established proof ofthese principles for adjuvant chemotherapy in . . . [Full Text of this Article]
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From Cancer Centers and Programs, Beth Israel Medical Center; and St. Luke'sRoosevelt Hospital Center both in New York.
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N Engl J Med 2004;
350:1681-1683, Apr 15, 2004.
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