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Correspondence
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Volume 356:1268-1269 March 22, 2007 Number 12
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Adjuvant Therapy for Early Breast Cancer

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 by Poole, C. J.
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To the Editor: Poole et al. (Nov. 2 issue)1 conclude that patients with breast cancer benefit from the addition of four cycles of epirubicin to cyclophosphamide, methotrexate, and fluorouracil (CMF) in the adjuvant setting. In contrast to previously published data, the dose intensity of CMF did not seem to play a role.

Patients with breast cancer were included in the study irrespective of age, nodal status, or estrogen-receptor status. The degree of aggressiveness of the chemotherapy was not tailored to the risk of recurrence. The role of tamoxifen could not be evaluated because for many patients, neither hormone-receptor status nor . . . [Full Text of this Article]




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