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Translational breast cancer research : a journal focusing on translational research in breast cancer最新文献

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Methodological considerations in predicting axillary residual disease using imaging features. 利用影像学特征预测腋窝残留病变的方法学考虑。
IF 1.4 Pub Date : 2025-10-24 eCollection Date: 2025-01-01 DOI: 10.21037/tbcr-25-16
Janhavi Venkataraman, Kefah Mokbel
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引用次数: 0
Predictive potential of hepatocyte growth factor and bone morphogenetic proteins in lymphatic metastasis of breast cancer. 肝细胞生长因子和骨形态发生蛋白在乳腺癌淋巴转移中的预测潜力。
IF 1.4 Pub Date : 2025-10-24 eCollection Date: 2025-01-01 DOI: 10.21037/tbcr-25-18
Bin-Bin Cong, Xiao-Shan Cao, Yong-Sheng Wang, Wen G Jiang, Lin Ye

Background: Lymph node metastasis is an important predictive factor for the prognosis of breast cancer. Bone morphogenetic protein (BMP) and hepatocyte growth factor (HGF), and its receptor MET, are involved in metastasis. However, their predictive potential in the prediction of lymph node metastasis from breast cancer has not been evaluated to date. The aim of this study is to evaluate the implication of HGF and BMPs in breast cancer lymphatic metastasis.

Methods: The association between the ligands and receptors of BMP, the regulators of HGF, and the modulators of MET were detected in Cardiff clinical breast cancer cohort and The Cancer Genome Atlas (TCGA) breast cancer ribonucleic acid (RNA) sequencing database. Predictive model of HGF and BMPs for nodal metastasis was evaluated by binary logistic regression and receiver operating characteristic (ROC) curve.

Results: BMP-2 expression was upregulated but BMP-7 and matriptase-2 expression were downregulated in patients with nodal metastases. MET, matriptase-1, BMP-15, HAI-1, and matriptase-2 were correlated with the lymphangiogenesis markers. Lymphatic metastasis was positively with MET, matriptase-1 and BMP-15 but was negatively with matriptase-2, BMP-3, and HAI-1. ROC curve analysis showed the six factors with nodal status had a significant area under the curve values (0.657, P=0.001). The integrated signature could effectively predict lymph nodes involvement (P=0.006, hazard ratio =2.929).

Conclusions: The aberrant expression of HGF/MET and BMPs is related to lymphatic metastasis in breast cancer. Integrated expression level of MET/BMP-15/matriptase-1 and the inversed HAI-1/BMP-3/matriptase-2 establishes a predictive model for lymph node involvement.

背景:淋巴结转移是乳腺癌预后的重要预测因素。骨形态发生蛋白(BMP)和肝细胞生长因子(HGF)及其受体MET参与转移。然而,迄今为止,它们在预测乳腺癌淋巴结转移方面的预测潜力尚未得到评估。本研究的目的是评估HGF和bmp在乳腺癌淋巴转移中的意义。方法:在Cardiff临床乳腺癌队列和The cancer Genome Atlas (TCGA)乳腺癌核糖核酸(RNA)测序数据库中检测BMP配体与受体、HGF调节剂和MET调节剂之间的关联。采用二元logistic回归和受试者工作特征(ROC)曲线评价HGF和bmp对淋巴结转移的预测模型。结果:淋巴结转移患者中BMP-2表达上调,BMP-7和基质酶-2表达下调。MET、基质酶-1、BMP-15、HAI-1和基质酶-2与淋巴管生成标志物相关。淋巴转移与MET、基质蛋白酶-1、BMP-15呈阳性,与基质蛋白酶-2、BMP-3、HAI-1呈阴性。ROC曲线分析显示,具有节点状态的6个因素曲线值下面积显著(0.657,P=0.001)。综合特征能有效预测淋巴结受累(P=0.006,风险比=2.929)。结论:HGF/MET和bmp的异常表达与乳腺癌淋巴转移有关。MET/BMP-15/ matripase -1和HAI-1/BMP-3/ matripase -2的综合表达水平建立了淋巴结受累的预测模型。
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引用次数: 0
Could circulating tumor cells explain why breast conservation improves survival despite higher locoregional recurrence? 循环肿瘤细胞是否可以解释为什么乳房保留可以提高生存率,尽管局部复发率较高?
IF 1.4 Pub Date : 2025-10-24 eCollection Date: 2025-01-01 DOI: 10.21037/tbcr-25-43
Muharrem Oner, Kefah Mokbel
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引用次数: 0
TARGIT-IORT in early breast cancer-real world evidence for a risk-adapted approach. target - iort在早期乳腺癌中的应用——风险适应方法的现实证据。
IF 1.4 Pub Date : 2025-10-23 eCollection Date: 2025-01-01 DOI: 10.21037/tbcr-25-25
Hans-Christian Kolberg
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引用次数: 0
Patient outcomes and clinician perspectives following one year of ad hoc implementation of neoadjuvant endocrine therapy in early breast cancer. 早期乳腺癌临时实施新辅助内分泌治疗一年后的患者结局和临床医生观点。
IF 1.4 Pub Date : 2025-10-17 eCollection Date: 2025-01-01 DOI: 10.21037/tbcr-25-19
Sarah Fennelly, Bhaumik Shah, Michael Issac, Giulia McCorkell
<p><strong>Background: </strong>Neoadjuvant endocrine therapy (NAET) can induce a reduction of Ki-67 in hormone receptor-positive breast cancer, predicting response to adjuvant endocrine therapy and potentially allowing patients to forego chemotherapy without increasing recurrence risk. However, Ki-67 interpretation is highly variable. Implementation requires careful multidisciplinary planning to mitigate the effects of Ki-67 variability on treatment eligibility. Feasibility and short-term oncological outcomes of implementation of short-course NAET were studied during a "window of opportunity" where it was adopted by several unit surgeons without formal pathway development. A concurrent qualitative study identified barriers to NAET from surgeons' perspectives and gained insight from pathologists about Ki-67's suitability as a response marker. This identified potential issues with implementing this treatment based on existing protocols, which rely heavily on Ki-67 interpretation. The aims of this study were to investigate the feasibility of implementing short course NAET on the basis of Ki-67 values on an <i>ad hoc</i> basis and to use our experience to make recommendations for optimal translation of this treatment from research to clinical practice.</p><p><strong>Methods: </strong>Eligible patients were identified from multidisciplinary meeting (MDM) agendas from May 2023 to May 2024. These patients were post-menopausal women with hormone receptor-positive, HER2-negative breast cancer who were eligible for surgery and who had a Ki-67 of greater than 10% on core biopsy. Patients were split into a group of patients who received the treatment and a group who did not. Outcomes were recorded including treating surgeon, Ki-67 index changes, NAET duration, and choice of adjuvant therapy. Surgeons and pathologists were interviewed and a qualitative analysis was done identifying key themes and limitations of the treatment and existing protocols.</p><p><strong>Results: </strong>During the study, 44 eligible patients were discussed at the MDM. Fifty-five percent received NAET. Of these, 72% exhibited a reduction in Ki-67 compared to 40% in the non-NAET group. A substantial reduction (from >10% to <10%) was observed in 44% of NAET patients. Forty-four percent of patient values reduced across a threshold value of 10% (quoted in the POETIC study as indicating response to NAET). Where a substantial reduction occurred, no patients were recommended for adjuvant chemotherapy. In the qualitative arm, there was no overlap in key themes between surgeons and pathologists, demonstrating that surgeons may underestimate the limitations of Ki-67 interpretation. Pathologists raised concerns around limitations of Ki-67 interpretation, reproducibility and lack of common protocols in different units. Surgeons noted some barriers to prescribing and uncertainty that the treatment confers a benefit in a short time period.</p><p><strong>Conclusions: </strong>This study demonstrat
背景:新辅助内分泌治疗(NAET)可以诱导激素受体阳性乳腺癌中Ki-67的降低,预测对辅助内分泌治疗的反应,并可能使患者放弃化疗而不增加复发风险。然而,Ki-67的解释是高度可变的。实施需要仔细的多学科规划,以减轻Ki-67变异对治疗资格的影响。在“机会之窗”期间,研究了实施短期NAET的可行性和短期肿瘤学结果,在此期间,几个没有正式途径开发的单位外科医生采用了该方法。一项同时进行的定性研究从外科医生的角度确定了NAET的障碍,并从病理学家那里了解了Ki-67作为反应标志物的适用性。这发现了基于现有方案实施这种治疗的潜在问题,这些方案严重依赖Ki-67解释。本研究的目的是调查在Ki-67值的基础上实施短期NAET的可行性,并利用我们的经验提出建议,将这种治疗方法从研究转化为临床实践。方法:从2023年5月至2024年5月的多学科会议(MDM)议程中筛选出符合条件的患者。这些患者是绝经后的妇女,激素受体阳性,her2阴性乳腺癌,符合手术条件,核心活检Ki-67大于10%。患者被分为接受治疗的一组和未接受治疗的一组。结果包括治疗外科医生、Ki-67指数变化、NAET持续时间和辅助治疗的选择。对外科医生和病理学家进行了访谈,并进行了定性分析,确定了治疗和现有方案的关键主题和局限性。结果:在MDM中对44例符合条件的患者进行了讨论。55%的人接受了NAET治疗。其中,72%的患者Ki-67水平下降,而非naet组的这一比例为40%。本研究证明了临时实施NAET的可行性,并强调了Ki-67解释标准化的全面多学科规划的重要性,如果该标记将决定是否合格。虽然样本量很小,但超过一半的符合条件的患者接受了治疗,并且MDM考虑了Ki-67的降低。该研究强调了外科医生在开始这种治疗中的作用。定性研究结果从外科医生和病理学家的角度对实施基于Ki-67值的NAET的障碍提供了有价值的见解。我们的经验为其他考虑实施这种处理的单位提供了宝贵的见解。
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引用次数: 0
Combined treatment of inetetamab plus pyrotinib and vinorelbine in managing advanced HER2-positive breast cancer patients (ILLUMINE): a multicenter, retrospective, real-world study. 伊替他单抗联合吡罗替尼和长春瑞滨治疗晚期her2阳性乳腺癌患者(ILLUMINE):一项多中心、回顾性、现实世界研究。
IF 1.4 Pub Date : 2025-09-02 eCollection Date: 2025-01-01 DOI: 10.21037/tbcr-25-7
Nan Jin, Min Tian, Mengyao Zha, Lijun Shi, Guifang Zhang, Hui Zhao, Jiao Yang, Xuelian Chen, Yongkui Lu, Guohui Han, Xiangdong Bai, Wanping Liang, Hengyu Zhang, Wei Li, Xiang Huang, Yongmei Yin

Background: Breast cancer is the most common tumor among women worldwide, which human epidermal growth factor receptor 2 (HER2)-positive subtype accounts for approximately 15-20%. Although anti-HER2 agents have already diversified in recent years, a highly effective and more affordable treatment option is urgently needed. Inetetamab is a new antibody exhibiting efficacy in managing HER2-positive advanced breast cancer (ABC) through antibody-dependent cellular cytotoxicity (ADCC). Pyrotinib is a second-line treatment specifically targeting HER2. Given that pyrotinib could exhibit strong HER2 antagonism and synergize with monoclonal antibodies to boost ADCC effect, herein we investigated the effects and safety of first to third line of combined treatments utilizing inetetamab plus vinorelbine and pyrotinib in dealing with HER2-positive ABC.

Methods: This is a multicenter, retrospective, real-world study. During the period of July 2020 to October 2023, 76 participants at 17 centers with HER2-positive ABC received the triple regimen and were evaluated for progression-free survival (PFS), overall survival (OS), objective response rate (ORR), and clinical benefit rate (CBR). Data regarding treatment-associated adverse events (TAAEs) were also collected.

Results: The median age of the participants enrolled was 53 years. Among the participants, 53 (69.7%) were diagnosed to suffer from visceral metastases, while 35 (46.1%) possessed hormone receptor-positive lesions. The median PFS (mPFS) of the cohort was 10.03 months [95% confidence interval (CI): 6.80 to 13.27]. The ORR and CBR were respectively 61.8% (47/76) and 97.4% (74/76). The TAAE with highest incidence was diarrhea (77.6%). Grades III and IV TAAEs with highest incidences were leukopenia (19.7%), neutropenia (19.7%), and diarrhea (17.1%). No severe TAAEs were observed during the investigation.

Conclusions: The triple regimen of inetetamab plus pyrotinib and vinorelbine exhibited promising therapeutic effects and was tolerable for participants with HER2-positive ABC.

背景:乳腺癌是世界范围内女性最常见的肿瘤,其中人表皮生长因子受体2 (HER2)阳性亚型约占15-20%。尽管近年来抗her2药物已经多样化,但迫切需要一种高效且更实惠的治疗选择。Inetetamab是一种新型抗体,通过抗体依赖性细胞毒性(ADCC)治疗her2阳性晚期乳腺癌(ABC)。Pyrotinib是一种专门针对HER2的二线治疗药物。鉴于吡罗替尼可表现出较强的HER2拮抗作用,并可与单克隆抗体协同增强ADCC效果,本研究探讨了依替他单抗联合维诺瑞滨和吡罗替尼一线至三线联合治疗HER2阳性ABC的疗效和安全性。方法:这是一项多中心、回顾性、真实世界的研究。在2020年7月至2023年10月期间,来自17个中心的76名her2阳性ABC患者接受了三组方案,并对无进展生存期(PFS)、总生存期(OS)、客观缓解率(ORR)和临床获益率(CBR)进行了评估。还收集了有关治疗相关不良事件(taae)的数据。结果:参与者的中位年龄为53岁。在参与者中,53人(69.7%)被诊断患有内脏转移,而35人(46.1%)患有激素受体阳性病变。该队列的中位PFS (mPFS)为10.03个月[95%置信区间(CI): 6.80至13.27]。ORR和CBR分别为61.8%(47/76)和97.4%(74/76)。TAAE发生率最高的是腹泻(77.6%)。发生率最高的三级和四级taae为白细胞减少症(19.7%)、中性粒细胞减少症(19.7%)和腹泻(17.1%)。调查期间未观察到严重taae。结论:依替他单抗联合吡罗替尼和长春瑞滨的三联治疗方案显示出良好的治疗效果,并且对于her2阳性ABC患者是可耐受的。
{"title":"Combined treatment of inetetamab plus pyrotinib and vinorelbine in managing advanced HER2-positive breast cancer patients (ILLUMINE): a multicenter, retrospective, real-world study.","authors":"Nan Jin, Min Tian, Mengyao Zha, Lijun Shi, Guifang Zhang, Hui Zhao, Jiao Yang, Xuelian Chen, Yongkui Lu, Guohui Han, Xiangdong Bai, Wanping Liang, Hengyu Zhang, Wei Li, Xiang Huang, Yongmei Yin","doi":"10.21037/tbcr-25-7","DOIUrl":"10.21037/tbcr-25-7","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer is the most common tumor among women worldwide, which human epidermal growth factor receptor 2 (HER2)-positive subtype accounts for approximately 15-20%. Although anti-HER2 agents have already diversified in recent years, a highly effective and more affordable treatment option is urgently needed. Inetetamab is a new antibody exhibiting efficacy in managing HER2-positive advanced breast cancer (ABC) through antibody-dependent cellular cytotoxicity (ADCC). Pyrotinib is a second-line treatment specifically targeting HER2. Given that pyrotinib could exhibit strong HER2 antagonism and synergize with monoclonal antibodies to boost ADCC effect, herein we investigated the effects and safety of first to third line of combined treatments utilizing inetetamab plus vinorelbine and pyrotinib in dealing with HER2-positive ABC.</p><p><strong>Methods: </strong>This is a multicenter, retrospective, real-world study. During the period of July 2020 to October 2023, 76 participants at 17 centers with HER2-positive ABC received the triple regimen and were evaluated for progression-free survival (PFS), overall survival (OS), objective response rate (ORR), and clinical benefit rate (CBR). Data regarding treatment-associated adverse events (TAAEs) were also collected.</p><p><strong>Results: </strong>The median age of the participants enrolled was 53 years. Among the participants, 53 (69.7%) were diagnosed to suffer from visceral metastases, while 35 (46.1%) possessed hormone receptor-positive lesions. The median PFS (mPFS) of the cohort was 10.03 months [95% confidence interval (CI): 6.80 to 13.27]. The ORR and CBR were respectively 61.8% (47/76) and 97.4% (74/76). The TAAE with highest incidence was diarrhea (77.6%). Grades III and IV TAAEs with highest incidences were leukopenia (19.7%), neutropenia (19.7%), and diarrhea (17.1%). No severe TAAEs were observed during the investigation.</p><p><strong>Conclusions: </strong>The triple regimen of inetetamab plus pyrotinib and vinorelbine exhibited promising therapeutic effects and was tolerable for participants with HER2-positive ABC.</p>","PeriodicalId":101427,"journal":{"name":"Translational breast cancer research : a journal focusing on translational research in breast cancer","volume":"6 ","pages":"31"},"PeriodicalIF":1.4,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12593989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145484506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Axillary management in patients with sentinel lymph node micrometastases following neoadjuvant systemic therapy: a call for de-escalation. 新辅助全身治疗后前哨淋巴结微转移患者的腋窝管理:降级的呼吁。
IF 1.4 Pub Date : 2025-08-19 eCollection Date: 2025-01-01 DOI: 10.21037/tbcr-25-15
Muharrem Oner, Kefah Mokbel
{"title":"Axillary management in patients with sentinel lymph node micrometastases following neoadjuvant systemic therapy: a call for de-escalation.","authors":"Muharrem Oner, Kefah Mokbel","doi":"10.21037/tbcr-25-15","DOIUrl":"10.21037/tbcr-25-15","url":null,"abstract":"","PeriodicalId":101427,"journal":{"name":"Translational breast cancer research : a journal focusing on translational research in breast cancer","volume":"6 ","pages":"41"},"PeriodicalIF":1.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12593984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145484502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Omitting sentinel lymph node biopsy in early breast cancer: too bold or the future? 早期乳腺癌省略前哨淋巴结活检:太大胆还是未来?
IF 1.4 Pub Date : 2025-07-23 eCollection Date: 2025-01-01 DOI: 10.21037/tbcr-25-14
Jianli Zhao, Ziyue Zhou, Wei Zhang, Kai Chen
{"title":"Omitting sentinel lymph node biopsy in early breast cancer: too bold or the future?","authors":"Jianli Zhao, Ziyue Zhou, Wei Zhang, Kai Chen","doi":"10.21037/tbcr-25-14","DOIUrl":"10.21037/tbcr-25-14","url":null,"abstract":"","PeriodicalId":101427,"journal":{"name":"Translational breast cancer research : a journal focusing on translational research in breast cancer","volume":"6 ","pages":"27"},"PeriodicalIF":1.4,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12314679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Precise targeting cytotoxicity of antibody-drug conjugate combined with immunotherapy as first-line regimen for metastatic triple-negative breast cancer in ASCENT-04. 在ASCENT-04中,抗体-药物偶联结合免疫治疗作为转移性三阴性乳腺癌的一线治疗方案的精确靶向细胞毒性
IF 1.4 Pub Date : 2025-07-23 eCollection Date: 2025-01-01 DOI: 10.21037/tbcr-25-32
Li Bian, Shaohua Zhang, Man Li, Jin Yang, Yongmei Yin
{"title":"Precise targeting cytotoxicity of antibody-drug conjugate combined with immunotherapy as first-line regimen for metastatic triple-negative breast cancer in ASCENT-04.","authors":"Li Bian, Shaohua Zhang, Man Li, Jin Yang, Yongmei Yin","doi":"10.21037/tbcr-25-32","DOIUrl":"10.21037/tbcr-25-32","url":null,"abstract":"","PeriodicalId":101427,"journal":{"name":"Translational breast cancer research : a journal focusing on translational research in breast cancer","volume":"6 ","pages":"29"},"PeriodicalIF":1.4,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12314681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
DESTINY-Breast09, new breakthroughs in first-line therapy for HER2-positive advanced breast cancer. DESTINY-Breast09, her2阳性晚期乳腺癌一线治疗新突破。
IF 1.4 Pub Date : 2025-07-23 eCollection Date: 2025-01-01 DOI: 10.21037/tbcr-25-35
Jianbing Li, Chunfang Hao, Haibo Wang, Yueyin Pan, Zefei Jiang
{"title":"DESTINY-Breast09, new breakthroughs in first-line therapy for HER2-positive advanced breast cancer.","authors":"Jianbing Li, Chunfang Hao, Haibo Wang, Yueyin Pan, Zefei Jiang","doi":"10.21037/tbcr-25-35","DOIUrl":"10.21037/tbcr-25-35","url":null,"abstract":"","PeriodicalId":101427,"journal":{"name":"Translational breast cancer research : a journal focusing on translational research in breast cancer","volume":"6 ","pages":"28"},"PeriodicalIF":1.4,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12314678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Translational breast cancer research : a journal focusing on translational research in breast cancer
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