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Onkologie reast cancer remains ihe most common malignancy affecting women with still increasing incidence. The lifetime risk of developing this malignancy is 12.2%, the lifetime risk of death is 3.6%. Multiple factors are known to be associated with an increase in breast cancer risk. These include genetic and familial factors, hormonal factors (early mcnarche, late menopause and late first pregnancy), diet, environmental factors and benign breast diseases. The decrease of mortality since years in the United States and United Kingdom f 1} and the almost stable mortality in Germany [2] and other European countries may be the result of improved outcome secondary to earlier detection and advances in treatment. Due to mammography screening programs and public awareness, breast cancer is nowadays diagnosed at an earlier stage and more patients are present with node-negative disease. The treatment of primary breast cancer usually includes surgery and/or radiotherapy.'Following surgery, there is increasing use of adjuvant therapies (e.g., tamoxifen or chemotherapy). In the past decade, several trials using systemic treatment after primary surgery showed a significant improvement in survival for treated patients as compared to controls. In order to rationally administer systemic therapy to patients with local disease, it is necessary to
Laboratoriums Medizin / Journal of Laboratory Medicine – de Gruyter
Published: Jan 1, 2001
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