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  1. Article: [Ⅲ.Estrogen Receptor and MicroRNA].

    Toyama, Tatsuya / Wanifuchi-Endo, Yumi

    Gan to kagaku ryoho. Cancer & chemotherapy

    2019  Volume 46, Issue 12, Page(s) 1844–1847

    MeSH term(s) Breast Neoplasms ; Cell Line, Tumor ; Estrogens ; Female ; Gene Expression Regulation, Neoplastic ; Humans ; MicroRNAs ; Receptors, Estrogen
    Chemical Substances Estrogens ; MicroRNAs ; Receptors, Estrogen
    Language Japanese
    Publishing date 2019-12-06
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 604842-0
    ISSN 0385-0684
    ISSN 0385-0684
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: [MicroRNA-210 in breast cancer].

    Toyama, Tatsuya

    Nihon rinsho. Japanese journal of clinical medicine

    2012  Volume 70 Suppl 7, Page(s) 170–173

    MeSH term(s) Breast Neoplasms/chemistry ; Cell Hypoxia ; Female ; Humans ; MicroRNAs/analysis ; MicroRNAs/genetics ; Prognosis
    Chemical Substances MIRN210 microRNA, human ; MicroRNAs
    Language Japanese
    Publishing date 2012-09
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 390903-7
    ISSN 0047-1852
    ISSN 0047-1852
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Ruptured breast implant removal because of patient anxiety in the absence of breast implant-associated anaplastic large cell lymphoma.

    Takahashi, Hitomi / Sato, Hideyoshi / Tsunekawa, Yukiyo / Fujioka, Urara / Wanifuchi-Endo, Yumi / Toyama, Tatsuya / Toriyama, Kazuhiro

    Nagoya journal of medical science

    2023  Volume 85, Issue 4, Page(s) 852–856

    Abstract: Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) has been regarded as a long-term problem after silicone breast implantations. We report a case in which BIA-ALCL and breast cancer were not detected preoperatively, with subsequent ... ...

    Abstract Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) has been regarded as a long-term problem after silicone breast implantations. We report a case in which BIA-ALCL and breast cancer were not detected preoperatively, with subsequent removal of a ruptured breast implant. A 52-year-old woman had silicone breast implants on both sides for breast augmentation 15 years ago. Right axillary lymphadenopathy and intracapsular ruptures were noted by magnetic resonance imaging. Right axillary lymph node biopsy was performed at our department of breast surgery. Flow cytometry for BIA-ALCL was also performed using the exudate around the implant. The results were negative for breast cancer and BIA-ALCL. However, taking into consideration exacerbation of breast implant rupture and the patient's anxiety about BIA-ALCL, ruptured bilateral implants were removed by total capsulectomy. The postoperative course was uneventful 1 year after the operation, and her anxiety was dispelled despite her breast deformity. Appropriate explantation and periodic examination may be required to prevent excessive anxiety.
    MeSH term(s) Humans ; Female ; Middle Aged ; Breast Implants/adverse effects ; Breast Implantation/adverse effects ; Breast Implantation/methods ; Lymphoma, Large-Cell, Anaplastic/etiology ; Lymphoma, Large-Cell, Anaplastic/surgery ; Mammaplasty/adverse effects ; Breast Neoplasms/surgery ; Breast Neoplasms/pathology ; Anxiety/etiology ; Silicones
    Chemical Substances Silicones
    Language English
    Publishing date 2023-12-18
    Publishing country Japan
    Document type Case Reports
    ZDB-ID 193148-9
    ISSN 2186-3326 ; 0027-7622
    ISSN (online) 2186-3326
    ISSN 0027-7622
    DOI 10.18999/nagjms.85.4.852
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Three-compartment spectral diffusion analysis for breast cancer magnetic resonance imaging.

    Ogawa, Masaki / Kan, Hirohito / Urano, Misugi / Kawai, Tatsuya / Nakajima, Haruna / Murai, Kazuma / Miyaji, Hirotaka / Toyama, Tatsuya / Hiwatashi, Akio

    Magnetic resonance imaging

    2023  Volume 103, Page(s) 179–184

    Abstract: Rationale and objectives: To examine the diagnostic performance of a three-compartment diffusion model with the fixed cut-off diffusion coefficient (D) using magnetic resonance spectral diffusion analysis for differentiating between invasive ductal ... ...

    Abstract Rationale and objectives: To examine the diagnostic performance of a three-compartment diffusion model with the fixed cut-off diffusion coefficient (D) using magnetic resonance spectral diffusion analysis for differentiating between invasive ductal carcinoma (IDC) and ductal carcinoma in situ (DCIS) and compare the conventional apparent D (ADC), and mean kurtosis (MK), with the tissue D (D
    Patients and methods: This retrospective study included women who underwent breast MRI with eight b-value diffusion-weighted imaging between February 2019 and March 2022. Spectral diffusion analysis was performed; very-slow, cellular, and perfusion compartments were defined using cut-off Ds of 0.1 × 10
    Results: Histologically confirmed 132 ICD and 62 DCIS (age range 31-87 [53 ± 11] years) were evaluated. The areas under the curve (AUCs) for ADC, MK, D
    Conclusion: Three-compartment model analysis using the diffusion spectrum accurately differentiated IDC from DCIS; however, it was not superior to ADC and D
    MeSH term(s) Humans ; Female ; Adult ; Middle Aged ; Aged ; Aged, 80 and over ; Breast Neoplasms/diagnostic imaging ; Breast Neoplasms/pathology ; Carcinoma, Intraductal, Noninfiltrating ; Retrospective Studies ; Magnetic Resonance Imaging ; Diffusion Magnetic Resonance Imaging/methods ; Motion
    Language English
    Publishing date 2023-05-11
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 604885-7
    ISSN 1873-5894 ; 0730-725X
    ISSN (online) 1873-5894
    ISSN 0730-725X
    DOI 10.1016/j.mri.2023.04.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Characterizing user demographics in posts related to breast, lung and colon cancer on Japanese twitter (X).

    Kusudo, Maho / Terada, Mitsuo / Kureyama, Nari / Wanifuchi-Endo, Yumi / Fujita, Takashi / Asano, Tomoko / Kato, Akiko / Mori, Makiko / Horisawa, Nanae / Toyama, Tatsuya

    Scientific reports

    2024  Volume 14, Issue 1, Page(s) 6485

    Abstract: Various cancer-related information is spreading on social media. Our study aimed to examine the account types associated with cancer-related tweets (currently known as posts) on Twitter (currently known as X) in Japan, specifically focusing on breast, ... ...

    Abstract Various cancer-related information is spreading on social media. Our study aimed to examine the account types associated with cancer-related tweets (currently known as posts) on Twitter (currently known as X) in Japan, specifically focusing on breast, lung, and colon cancer. Using the Twitter application programming interface, we collected tweets containing keywords of the three cancers type in August-September 2022. The accounts were categorized into seven types: Survivor, Patient's family, Healthcare provider, Public organization, Private organization, News, and Other according to account name and texts. We analyzed the sources of the top 50 most liked and retweeted tweets. Out of 7753 identified tweets, breast cancer represented the majority (62.8%), followed by lung cancer (20.8%) and colon cancer (16.3%). Tweets came from 4976 accounts. Account types varied depending on the cancer type, with breast cancer topics more frequently from Survivor (16.0%) and lung cancer from Patient's family (16.3%). Healthcare provider and Public organization had minimal representation across three cancer types. The trends in the top 50 tweets mirrored the distribution of accounts for each cancer type. Breast cancer-related tweets had the highest frequency. There were few from public organizations. These findings emphasize the need to consider the characteristics of cancer-related information sources when sharing and gathering information on social media.
    MeSH term(s) Humans ; Female ; Social Media ; Japan/epidemiology ; Colonic Neoplasms/epidemiology ; Breast Neoplasms/epidemiology ; Lung Neoplasms/epidemiology ; Lung ; Demography
    Language English
    Publishing date 2024-03-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-024-56679-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Risks and benefits of bevacizumab combined with chemotherapy for advanced or metastatic breast cancer: a meta-analysis of randomized controlled trials.

    Miyashita, Minoru / Hattori, Masaya / Takano, Toshimi / Toyama, Tatsuya / Iwata, Hiroji

    Breast cancer (Tokyo, Japan)

    2020  Volume 27, Issue 3, Page(s) 347–354

    Abstract: Background: The combination of bevacizumab and chemotherapy has greatly improved progression-free survival (PFS) and objective response rate (ORR) in HER2-negative metastatic breast cancer in many pivotal trials. However, risk-benefit balance related to ...

    Abstract Background: The combination of bevacizumab and chemotherapy has greatly improved progression-free survival (PFS) and objective response rate (ORR) in HER2-negative metastatic breast cancer in many pivotal trials. However, risk-benefit balance related to bevacizumab addition could not be confirmed because of a lack of overall survival (OS) improvement. Therefore, we conducted a meta-analysis to evaluate multiple endpoints pertaining to bevacizumab use in metastatic breast cancer (MBC) treatment.
    Methods: We searched PubMed and Cochrane Library databases and included seven studies in our meta-analysis in which bevacizumab combined with chemotherapy was compared with chemotherapy alone in MBC.
    Results: Compared to the chemotherapy-alone group, the combination treatment group had significantly improved PFS [hazard ratio (HR): 0.72, 95% CI 0.67-0.77, P < 0.00001]. Furthermore, bevacizumab addition did not significantly improve OS (HR: 0.95, 95% CI 0.87-1.03, P = 0.22). The ORRs in the combination treatment and chemotherapy-alone groups were 42% and 32%, respectively (HR: 1.47, 95% CI 1.26-1.71, P < 0.00001). Bevacizumab addition significantly increased the incidence of therapy discontinuation due to toxicity and toxicity of grade 3 or higher (HR: 1.43, 95% CI 1.06-1.93, P = 0.02, HR: 1.43; 95% CI 1.25-1.64, P < 0.00001, respectively). A qualitative systematic review of two randomized controlled trials indicated no significant differences in quality of life from baseline between the two groups.
    Conclusions: Compared to chemotherapy alone, bevacizumab combined with chemotherapy significantly improved PFS in the HER2-negative MBC patients. However, the lack of a significant OS difference remained.
    MeSH term(s) Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Bevacizumab/therapeutic use ; Breast Neoplasms/drug therapy ; Breast Neoplasms/secondary ; Female ; Humans ; Prognosis ; Quality of Life ; Randomized Controlled Trials as Topic ; Risk Assessment/methods
    Chemical Substances Bevacizumab (2S9ZZM9Q9V)
    Language English
    Publishing date 2020-01-23
    Publishing country Japan
    Document type Journal Article ; Meta-Analysis
    ZDB-ID 2052429-8
    ISSN 1880-4233 ; 1340-6868
    ISSN (online) 1880-4233
    ISSN 1340-6868
    DOI 10.1007/s12282-020-01052-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: First-line endocrine therapy for postmenopausal patients with hormone receptor-positive, HER2-negative metastatic breast cancer: a systematic review and meta-analysis.

    Shimoi, Tatsunori / Sagara, Yasuaki / Hara, Fumikata / Toyama, Tatsuya / Iwata, Hiroji

    Breast cancer (Tokyo, Japan)

    2020  Volume 27, Issue 3, Page(s) 340–346

    Abstract: Background: In establishing the 2018 Breast Cancer Practice Guidelines of the Japan Breast Cancer Society, we explored the optimal first-line endocrine therapy for advanced postmenopausal hormone receptor-positive breast cancer.: Methods: We ... ...

    Abstract Background: In establishing the 2018 Breast Cancer Practice Guidelines of the Japan Breast Cancer Society, we explored the optimal first-line endocrine therapy for advanced postmenopausal hormone receptor-positive breast cancer.
    Methods: We performed a systematic review of relevant reports from randomized-controlled studies published prior to November 2016 found using medical journal search engines. The main outcomes which we evaluated were progression-free survival (PFS), objective response rate (ORR), disease control rate (CBR), and toxicity.
    Results: Four controlled trials comparing aromatase inhibitors (AI) and cyclin-dependent kinase (CDK)4/6 inhibitor combination therapy to AI monotherapy, and two controlled trials comparing anastrozole to fulvestrant 500 mg were analyzed. AI/CDK4/6 inhibitor combination therapy significantly improved PFS (Risk Ratio: 0.67, 95%CI 0.60-0.73), increased ORR (Risk Difference: 0.11, 95% CI 0.07-0.16), and increased CBR (Risk Difference: 0.11, 95% CI 0.07-0.15), compared with AI monotherapy. Patients who received this combination therapy had a higher grade ≥ 3 adverse event rate more than those who received AI monotherapy (Risk Difference: 43%, 95%CI: 0.39-0.47). Fulvestrant 500 mg alone significantly improved PFS (risk ratio: 0.85, 95%CI 0.72-0.98), but ORR and CBR were similar to those of anastrozole alone.
    Conclusion: In the first-line treatment for advanced postmenopausal hormone receptor-positive breast cancer, a combination therapy of CDK4/6 inhibitors and AI showed significant improvement of PFS, ORR, and CBR but with significant increased toxicities compared with AI alone. Fulvestrant 500 mg monotherapy significantly prolonged PFS compared with AI monotherapy. We must wait for the results of the studies with longer follow-up period.
    MeSH term(s) Aromatase Inhibitors/therapeutic use ; Biomarkers, Tumor/metabolism ; Breast Neoplasms/drug therapy ; Breast Neoplasms/metabolism ; Breast Neoplasms/pathology ; Female ; Humans ; Postmenopause ; Prognosis ; Receptor, ErbB-2/metabolism ; Receptors, Estrogen/metabolism ; Receptors, Progesterone/metabolism
    Chemical Substances Aromatase Inhibitors ; Biomarkers, Tumor ; Receptors, Estrogen ; Receptors, Progesterone ; ERBB2 protein, human (EC 2.7.10.1) ; Receptor, ErbB-2 (EC 2.7.10.1)
    Language English
    Publishing date 2020-02-11
    Publishing country Japan
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 2052429-8
    ISSN 1880-4233 ; 1340-6868
    ISSN (online) 1880-4233
    ISSN 1340-6868
    DOI 10.1007/s12282-020-01054-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The Japanese Breast Cancer Society Clinical Practice Guidelines for Breast Cancer, 2022 Edition: changes from the 2018 edition and general statements on breast cancer treatment.

    Yamamoto, Yutaka / Yamauchi, Chikako / Toyama, Tatsuya / Nagai, Shigenori / Sakai, Takehiko / Kutomi, Goro / Yoshimura, Michio / Kawai, Masaaki / Ohtani, Shoichiro / Kubota, Kazunori / Nakashima, Kazutaka / Honma, Naoko / Yoshida, Masayuki / Tokunaga, Eriko / Taira, Naruto / Iwata, Hiroji / Saji, Shigehira

    Breast cancer (Tokyo, Japan)

    2024  Volume 31, Issue 3, Page(s) 340–346

    Abstract: The Japanese Breast Cancer Society Clinical Practice Guidelines for Breast Cancer, 2022 Edition was published in June 2022. The guidelines were prepared while conforming as much as possible to the "Minds Manual for Guideline Development 2020 ver. 3.0." ... ...

    Abstract The Japanese Breast Cancer Society Clinical Practice Guidelines for Breast Cancer, 2022 Edition was published in June 2022. The guidelines were prepared while conforming as much as possible to the "Minds Manual for Guideline Development 2020 ver. 3.0." edited by the Minds Manual Development Committee of the Japan Council for Quality Health Care in 2021. In addition, a survey of Japanese Breast Cancer Society members on the 2018 edition of the guidelines was conducted from February 19 to March 4, 2021. Based on the responses from over 600 members, original innovations were made to make the guidelines more user-friendly. The 2018 edition of the guidelines was developed to provide support tools for physicians and patients to utilize shared decision-making. The 2022 guidelines consist of two volumes: (1) an "Epidemiology and Diagnosis" section covering "Screening and Diagnosis", "Radiological diagnosis", and "Pathological diagnosis", and (2) a "Treatment" section covering "Surgical therapy", "Radiation therapy", and "Systemic therapy". We believe that this concise summary of the guidelines will be useful to physicians and researchers in Japan and overseas.
    MeSH term(s) Humans ; Breast Neoplasms/therapy ; Breast Neoplasms/diagnosis ; Breast Neoplasms/pathology ; Female ; Japan ; Societies, Medical ; Practice Guidelines as Topic ; Medical Oncology/standards ; East Asian People
    Language English
    Publishing date 2024-04-03
    Publishing country Japan
    Document type Journal Article ; Practice Guideline
    ZDB-ID 2052429-8
    ISSN 1880-4233 ; 1340-6868
    ISSN (online) 1880-4233
    ISSN 1340-6868
    DOI 10.1007/s12282-024-01566-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Dose-dense adjuvant chemotherapy: a systematic review and meta-analysis of the Japanese Breast Cancer Society Clinical Practice Guideline, 2018 edition.

    Yoshinami, Tetsuhiro / Koizumi, Kei / Nagai, Shigenori E / Toyama, Tatsuya / Iwata, Hiroji

    Breast cancer (Tokyo, Japan)

    2020  Volume 27, Issue 3, Page(s) 334–339

    Abstract: Increasing the dose intensity of cytotoxic therapy by shortening the intervals between cycles may enhance efficacy. Dose-dense chemotherapy, which is adopted as adjuvant chemotherapy of high-risk breast cancer, is addressed in the Japanese Breast Cancer ... ...

    Abstract Increasing the dose intensity of cytotoxic therapy by shortening the intervals between cycles may enhance efficacy. Dose-dense chemotherapy, which is adopted as adjuvant chemotherapy of high-risk breast cancer, is addressed in the Japanese Breast Cancer Society Clinical Practice Guideline for breast cancer, 2018 edition (in Japanese). To evaluate the benefits and safety of dose-dense adjuvant chemotherapy described in the guideline, we performed a systematic review and meta-analysis of data of randomized trials using the same drugs, doses, and numbers of cycles. The PubMed, Cochrane Library, and Ichushi-Web databases were searched for relevant publications reporting randomized trials published until November 2016. Overall survival (OS), disease-free survival (DFS), and toxicity were assessed. Three trials comprising 5190 patients were included. Compared with conventional chemotherapy, dose-dense chemotherapy lengthened OS (RR = 0.76; 95% CI = 0.64-0.90) and DFS (RR = 0.83; 95% CI = 0.75-0.92) and increased the risk of anemia (RR = 4.56; 95% CI = 2.01-10.34). We conclude that dose-dense chemotherapy can be highly recommended as adjuvant chemotherapy for patients with breast cancer with a high risk of recurrence risk and sufficient bone marrow function.
    MeSH term(s) Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Breast Neoplasms/drug therapy ; Breast Neoplasms/pathology ; Female ; Humans ; Medical Oncology ; Practice Guidelines as Topic/standards ; Prognosis
    Language English
    Publishing date 2020-01-08
    Publishing country Japan
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 2052429-8
    ISSN 1880-4233 ; 1340-6868
    ISSN (online) 1880-4233
    ISSN 1340-6868
    DOI 10.1007/s12282-019-01039-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Phase III study of long-term prognosis of estrogen receptor-positive early breast cancer treated with neoadjuvant endocrine therapy with/without adjuvant chemotherapy.

    Iwata, Hiroji / Yamamoto, Yutaka / Sakai, Takehiko / Hasegawa, Yoshie / Nakamura, Rikiya / Akabane, Hiromitsu / Ohtani, Shoichiro / Kashiwaba, Masahiro / Taira, Naruto / Toyama, Tatsuya / Fujisawa, Tomomi / Masuda, Norikazu / Shibahara, Yukiko / Sasano, Hironobu / Yamaguchi, Takuhiro

    Breast cancer research and treatment

    2023  Volume 199, Issue 2, Page(s) 231–241

    Abstract: Purpose: Neoadjuvant endocrine therapy (NET) is a treatment option for estrogen receptor-positive (ER+) postmenopausal early breast cancer (EBC). This phase III trial evaluated the prognosis of EBC patients treated with/without chemotherapy (CT) ... ...

    Abstract Purpose: Neoadjuvant endocrine therapy (NET) is a treatment option for estrogen receptor-positive (ER+) postmenopausal early breast cancer (EBC). This phase III trial evaluated the prognosis of EBC patients treated with/without chemotherapy (CT) following NET.
    Methods: ER+/HER2-, T1c-2, and clinically node-negative EBC patients were enrolled in 2008-2013 and treated with endocrine therapy (ET) in weeks 24-28. All patients, excluding those with progressive disease (PD) during NET or ≥ 4 positive lymph nodes after surgery, were randomized to ET for 4.5-5 years with/without CT. The primary endpoint was disease-free survival (DFS). Secondary endpoints included distant DFS (DDFS), overall survival (OS), and DFS/DDFS/OS according to clinical response to NET.
    Results: Of 904 patients, 669 were randomized to CT+ET (n = 333) or ET alone (n = 336). The median follow-up was 7.8 years. DFS (CT+ET, 47 events; ET alone, 70 events) and DDFS did not reach the planned numbers of events. Eight-year DFS/DDFS rates were 86%/93% and 83%/92%, respectively. DFS was significantly better in CT+ET than ET alone in subgroups aged < 60 years (P = 0.016), T2 (P = 0.013), or Ki67 > 20% (P = 0.026). Progesterone receptor and histological grade were predictive markers for clinical responses to NET.
    Conclusion: NET may be used as standard treatment for patients with ER+EBC. Although it is difficult to decide whether to administer adjuvant CT based solely on the effect of NET, the response to NET may help to inform this decision.
    Trial registration: This study was registered at the UMIN Clinical Trials Registry under UMIN000001090 (registered 20 March 2008).
    MeSH term(s) Humans ; Female ; Breast Neoplasms/pathology ; Receptors, Estrogen ; Neoadjuvant Therapy ; Antineoplastic Combined Chemotherapy Protocols/adverse effects ; Prognosis ; Chemotherapy, Adjuvant ; Disease-Free Survival ; Receptor, ErbB-2
    Chemical Substances Receptors, Estrogen ; Receptor, ErbB-2 (EC 2.7.10.1)
    Language English
    Publishing date 2023-03-22
    Publishing country Netherlands
    Document type Randomized Controlled Trial ; Clinical Trial, Phase III ; Journal Article
    ZDB-ID 604563-7
    ISSN 1573-7217 ; 0167-6806
    ISSN (online) 1573-7217
    ISSN 0167-6806
    DOI 10.1007/s10549-023-06874-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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