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Volume 355:845-846 August 24, 2006 Number 8
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Anthracyclines in Early Breast Cancer

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 by Pritchard, K. I.
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To the Editor: The observation that adjuvant chemotherapy with cyclophosphamide, epirubicin, and fluorouracil (CEF) yielded survival results superior to those obtained with cyclophosphamide, methotrexate, and fluorouracil (CMF) in premenopausal women with stage 2 breast cancer led to widespread implementation of CEF chemotherapy in Canada.1 Pritchard and colleagues (May 18 issue)2 analyzed outcomes according to whether the primary tumor expressed human epidermal growth factor receptor type 2 (HER2) and concluded that amplification of the HER2 gene in breast-cancer cells is associated with clinical responsiveness to anthracycline-containing chemotherapy.2 A more widely applicable conclusion, however, is that for the majority of premenopausal women . . . [Full Text of this Article]




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