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Published in: Breast Cancer 2/2017

01-03-2017 | Review Article

Gastrointestinal microbiome and breast cancer: correlations, mechanisms and potential clinical implications

Authors: Jiqiao Yang, Qiuwen Tan, Qingyu Fu, Yaojie Zhou, Yuanyuan Hu, Shenli Tang, Yuting Zhou, Junhui Zhang, Juanjuan Qiu, Qing Lv

Published in: Breast Cancer | Issue 2/2017

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Abstract

Gastrointestinal microbiome plays as a symbiont which provides protection effect against invading pathogens, aids in the immune system development, nutrient reclamation and absorption as well as molecule breakdown. And it may avert carcinogenesis through these biological activities. By now, studies have been carried out to elaborate the association between gastrointestinal microbiome and breast cancer. It has been implicated that breast cancer was substantially associated with estrogen-dependent and estrogen-independent functions of gastrointestinal microbiome. Evidence from animal experiments also confirmed mammary tumor-related changes in microbial community. The possible mechanisms involve estrogen metabolism, immune regulation, obese status and so forth. Based on the current evidence, cues on future management strategies of breast cancer such as antibiotics and dietary interventions are proposed. In conclusion, large-scale clinical studies and bench-based researches are needed to validate the associations and elaborate the mechanisms, so as to reduce the risk of breast cancer and improve the outcomes of those already diagnosed.
Literature
3.
go back to reference Mezencev R, Švajdler M. Hormone receptor status of contralateral breast cancers: analysis of data from the US SEER population-based registries. Breast Cancer. 2016: 1–11. doi: 10.1007/s12282-016-0716-1. Mezencev R, Švajdler M. Hormone receptor status of contralateral breast cancers: analysis of data from the US SEER population-based registries. Breast Cancer. 2016: 1–11. doi: 10.​1007/​s12282-016-0716-1.
5.
go back to reference Tan T, Zhang K, Sun WC. Genetic variants of ESR1 and SGSM3 are associated with the susceptibility of breast cancer in the Chinese population. Breast Cancer. 2016: 1–6. doi: 10.1007/s12282-016-0712-5. Tan T, Zhang K, Sun WC. Genetic variants of ESR1 and SGSM3 are associated with the susceptibility of breast cancer in the Chinese population. Breast Cancer. 2016: 1–6. doi: 10.​1007/​s12282-016-0712-5.
6.
go back to reference Sekiro I, Gill N, Jogova M, Tam NM, Robertson ML, de Llanos R, et al. Salmonella SPI-1-mediated neutrophil recruitment during enteric colitis is associated with reduction and alteration in intestinal microbiota. Gut Microbes. 2010;1:30–41. doi:10.4161/gmic.1.1.10950.CrossRef Sekiro I, Gill N, Jogova M, Tam NM, Robertson ML, de Llanos R, et al. Salmonella SPI-1-mediated neutrophil recruitment during enteric colitis is associated with reduction and alteration in intestinal microbiota. Gut Microbes. 2010;1:30–41. doi:10.​4161/​gmic.​1.​1.​10950.CrossRef
8.
go back to reference Hooper LV, Gordon JI. Commensal host-bacterial relationships in the gut. Science. 2001;292:1115–8.CrossRefPubMed Hooper LV, Gordon JI. Commensal host-bacterial relationships in the gut. Science. 2001;292:1115–8.CrossRefPubMed
10.
go back to reference Yang YH, Wang XM, Huycke T, Moore DR, Lightfoot SA, Huycke MM. Colon macrophages polarized by commensal bacteria cause colitis and cancer through the bystander effect. Transl Oncol. 2013;6:596–606.CrossRefPubMedPubMedCentral Yang YH, Wang XM, Huycke T, Moore DR, Lightfoot SA, Huycke MM. Colon macrophages polarized by commensal bacteria cause colitis and cancer through the bystander effect. Transl Oncol. 2013;6:596–606.CrossRefPubMedPubMedCentral
16.
go back to reference Hill MJ, Drasar BS, Aries V, Crowther JS, Hawksworth G, Williams R. Bacteria and aetiology of cancer of large bowel. Lancet. 1971;297:95–100.CrossRef Hill MJ, Drasar BS, Aries V, Crowther JS, Hawksworth G, Williams R. Bacteria and aetiology of cancer of large bowel. Lancet. 1971;297:95–100.CrossRef
17.
go back to reference Hill MJ, Goddard P, Williams R. Gut bacteria and aetiology of cancer of the breast. Lancet. 1971;298:472–3.CrossRef Hill MJ, Goddard P, Williams R. Gut bacteria and aetiology of cancer of the breast. Lancet. 1971;298:472–3.CrossRef
18.
go back to reference Lewis R. Gut bacteria and aetiology of breast cancer. Lancet. 1971;298:822–3.CrossRef Lewis R. Gut bacteria and aetiology of breast cancer. Lancet. 1971;298:822–3.CrossRef
19.
20.
go back to reference Goedert JJ, Jones G, Hua X, Xu X, Yu GQ, Flores R, et al. Investigation of the association between the fecal microbiota and breast cancer in postmenopausal women: a population-based case-control pilot study. J Natl Cancer Inst. 2015;107:djv147. doi:10.1093/jnci/djv147.CrossRefPubMedPubMedCentral Goedert JJ, Jones G, Hua X, Xu X, Yu GQ, Flores R, et al. Investigation of the association between the fecal microbiota and breast cancer in postmenopausal women: a population-based case-control pilot study. J Natl Cancer Inst. 2015;107:djv147. doi:10.​1093/​jnci/​djv147.CrossRefPubMedPubMedCentral
21.
go back to reference Key TJ, Appleby PN, Reeves GK, Roddam AW, Helzlsouer KJ, Alberg AJ, et al. Circulating sex hormones and breast cancer risk factors in postmenopausal women: reanalysis of 13 studies. Br J Cancer. 2011;105:709–22. doi:10.1038/bjc.2011.254.CrossRefPubMed Key TJ, Appleby PN, Reeves GK, Roddam AW, Helzlsouer KJ, Alberg AJ, et al. Circulating sex hormones and breast cancer risk factors in postmenopausal women: reanalysis of 13 studies. Br J Cancer. 2011;105:709–22. doi:10.​1038/​bjc.​2011.​254.CrossRefPubMed
24.
go back to reference Dallal CM, Tice JA, Buist DS, Bauer DC, Lacey JV, Cauley JA, et al. Estrogen metabolism and breast cancer risk among postmenopausal women a case–cohort study within B~FIT. Carcinogenesis. 2014;35:346–55. doi:10.1093/carcin/bgt367.CrossRefPubMed Dallal CM, Tice JA, Buist DS, Bauer DC, Lacey JV, Cauley JA, et al. Estrogen metabolism and breast cancer risk among postmenopausal women a case–cohort study within B~FIT. Carcinogenesis. 2014;35:346–55. doi:10.​1093/​carcin/​bgt367.CrossRefPubMed
25.
go back to reference Rinaldi S, Key TJ, Peeters PH, Lahmann PH, Lukanova A, Dossus L, et al. Anthropometric measures, endogenous sex steroids and breast cancer risk in postmenopausal women: a study within the EPIC cohort. Int J Cancer. 2006;118:2832–9. doi:10.1002/ijc.21730.CrossRefPubMed Rinaldi S, Key TJ, Peeters PH, Lahmann PH, Lukanova A, Dossus L, et al. Anthropometric measures, endogenous sex steroids and breast cancer risk in postmenopausal women: a study within the EPIC cohort. Int J Cancer. 2006;118:2832–9. doi:10.​1002/​ijc.​21730.CrossRefPubMed
26.
go back to reference Arslan AA, Koenig KL, Lenner P, Afanasyeva Y, Shore RE, Chen Y, et al. Circulating estrogen metabolites and risk of breast cancer in postmenopausal women. Cancer Epidemiol Biomark Prev. 2014;23:1290–7. doi:10.1158/1055-9965.EPI-14-0009.CrossRef Arslan AA, Koenig KL, Lenner P, Afanasyeva Y, Shore RE, Chen Y, et al. Circulating estrogen metabolites and risk of breast cancer in postmenopausal women. Cancer Epidemiol Biomark Prev. 2014;23:1290–7. doi:10.​1158/​1055-9965.​EPI-14-0009.CrossRef
27.
go back to reference Falk RT, Brinton LA, Dorgan JF, Fuhrman BJ, Veenstra TD, Xu X, et al. Relationship of serum estrogens and estrogen metabolites to postmenopausal breast cancer risk: a nested case-control study. Breast Cancer Res. 2013;15:1–14. doi:10.1186/bcr3416.CrossRef Falk RT, Brinton LA, Dorgan JF, Fuhrman BJ, Veenstra TD, Xu X, et al. Relationship of serum estrogens and estrogen metabolites to postmenopausal breast cancer risk: a nested case-control study. Breast Cancer Res. 2013;15:1–14. doi:10.​1186/​bcr3416.CrossRef
29.
go back to reference Margolis KL, Rodabough RJ, Thomson CA, Lopez AM, McTiernan A. Prospective study of leukocyte count as a predictor of incident breast, colorectal, endometrial, and lung cancer and mortality in postmenopausal women. Arch Intern Med. 2007;167:1837–44. doi:10.1001/archinte.167.17.1837.CrossRefPubMed Margolis KL, Rodabough RJ, Thomson CA, Lopez AM, McTiernan A. Prospective study of leukocyte count as a predictor of incident breast, colorectal, endometrial, and lung cancer and mortality in postmenopausal women. Arch Intern Med. 2007;167:1837–44. doi:10.​1001/​archinte.​167.​17.​1837.CrossRefPubMed
31.
go back to reference Bard JM, Luu HT, Dravet F, Michel C, Moyon T, Pagniez A, et al. Relationship between intestinal microbiota and clinical characteristics of patients with early stage breast cancer. FASEB J. 2015;29(914):2. Bard JM, Luu HT, Dravet F, Michel C, Moyon T, Pagniez A, et al. Relationship between intestinal microbiota and clinical characteristics of patients with early stage breast cancer. FASEB J. 2015;29(914):2.
34.
go back to reference Minelli EB, Beghini AM, Vesentini S, Marchiori L, Nardo G, Cerutti R, et al. Intestinal microflora as an alternative metabolic source of estrogens in women with uterine leiomyoma and breast cancer. Ann N Y Acad Sci. 1990;595:473–9.CrossRef Minelli EB, Beghini AM, Vesentini S, Marchiori L, Nardo G, Cerutti R, et al. Intestinal microflora as an alternative metabolic source of estrogens in women with uterine leiomyoma and breast cancer. Ann N Y Acad Sci. 1990;595:473–9.CrossRef
35.
go back to reference Fox JG, Dewhirst FE, Tully JG, Paster BJ, Yan L, Taylor NS, et al. Helicobacter hepaticus sp. nov., a microaerophilic bacterium isolated from livers and intestinal mucosal scrapings from mice. J Clin Microbiol. 1994;32:1238–45.PubMedPubMedCentral Fox JG, Dewhirst FE, Tully JG, Paster BJ, Yan L, Taylor NS, et al. Helicobacter hepaticus sp. nov., a microaerophilic bacterium isolated from livers and intestinal mucosal scrapings from mice. J Clin Microbiol. 1994;32:1238–45.PubMedPubMedCentral
37.
go back to reference Rao VP, Poutahidis T, Ge ZM, Nambiar PR, Boussahmain C, Wang YY, et al. Innate immune inflammatory response against enteric bacteria Helicobacter hepaticus induces mammary adenocarcinoma in mice. Cancer Res. 2006;66:7395–400. doi:10.1158/0008-5472.CAN-06-0558.CrossRefPubMed Rao VP, Poutahidis T, Ge ZM, Nambiar PR, Boussahmain C, Wang YY, et al. Innate immune inflammatory response against enteric bacteria Helicobacter hepaticus induces mammary adenocarcinoma in mice. Cancer Res. 2006;66:7395–400. doi:10.​1158/​0008-5472.​CAN-06-0558.CrossRefPubMed
38.
go back to reference Moser AR, Pitot HC, Dove WF. A dominant mutation that predisposes to multiple intestinal neoplasia in the mouse. Science. 1990;247:322–4.CrossRefPubMed Moser AR, Pitot HC, Dove WF. A dominant mutation that predisposes to multiple intestinal neoplasia in the mouse. Science. 1990;247:322–4.CrossRefPubMed
41.
go back to reference Green JE, Shibata M, Yoshidome K, Liu ML, Jorcyk C, Anver MR, et al. The C3 (1)/SV40 T-antigen transgenic mouse model of mammary cancer: ductal epithelial cell targeting with multistage progression to carcinoma. Oncogene. 2000;19:1020–7. doi:10.1038/sj.onc.1203280.CrossRefPubMed Green JE, Shibata M, Yoshidome K, Liu ML, Jorcyk C, Anver MR, et al. The C3 (1)/SV40 T-antigen transgenic mouse model of mammary cancer: ductal epithelial cell targeting with multistage progression to carcinoma. Oncogene. 2000;19:1020–7. doi:10.​1038/​sj.​onc.​1203280.CrossRefPubMed
42.
go back to reference Kohlhapp F, Rodriguez A, Ulanov A, Alverdy J, Liu D, Guevara-Patiño J. Changes of intestinal microbiota in a murine model of metastatic breast cancer valeriy poroyko. Surg Infect. 2012:s23. Kohlhapp F, Rodriguez A, Ulanov A, Alverdy J, Liu D, Guevara-Patiño J. Changes of intestinal microbiota in a murine model of metastatic breast cancer valeriy poroyko. Surg Infect. 2012:s23.
43.
go back to reference Lakritz JR, Poutahidis T, Levkovich T, Varian BJ, Ibrahim YM, Chatzigiagkos A, et al. Beneficial bacteria stimulate host immune cells to counteract dietary and genetic predisposition to mammary cancer in mice. Int J Cancer. 2014;135:529–40. doi:10.1002/ijc.28702.CrossRefPubMed Lakritz JR, Poutahidis T, Levkovich T, Varian BJ, Ibrahim YM, Chatzigiagkos A, et al. Beneficial bacteria stimulate host immune cells to counteract dietary and genetic predisposition to mammary cancer in mice. Int J Cancer. 2014;135:529–40. doi:10.​1002/​ijc.​28702.CrossRefPubMed
44.
go back to reference Attraplsi S, Mutlu E. Fecal microbiota composition in women in relation to factors that may impact breast cancer development. Am J Gastroenterol. 2014:S183. Attraplsi S, Mutlu E. Fecal microbiota composition in women in relation to factors that may impact breast cancer development. Am J Gastroenterol. 2014:S183.
45.
go back to reference Key T, Appleby P, Barnes I, Reeves G. Endogenous sex hormones and breast cancer in postmenopausal women: reanalysis of nine prospective studies. J Natl Cancer Inst. 2002;94:606–16.CrossRefPubMed Key T, Appleby P, Barnes I, Reeves G. Endogenous sex hormones and breast cancer in postmenopausal women: reanalysis of nine prospective studies. J Natl Cancer Inst. 2002;94:606–16.CrossRefPubMed
46.
go back to reference Raftogianis R, Creveling C, Weinshilboum R, Weisz J. Estrogen metabolism by conjugation. J Natl Cancer Inst Monogr. 2000;27:24. Raftogianis R, Creveling C, Weinshilboum R, Weisz J. Estrogen metabolism by conjugation. J Natl Cancer Inst Monogr. 2000;27:24.
47.
go back to reference Zhu BT, Han GZ, Shim JY, Wen YJ, Jiang XR. Quantitative structure–activity relationship of various endogenous estrogen metabolites for human estrogen receptor α and β subtypes: insights into the structural determinants favoring a differential subtype binding. Endocrinology. 2006;147:4132–50. doi:10.1210/en.2006-0113.CrossRefPubMed Zhu BT, Han GZ, Shim JY, Wen YJ, Jiang XR. Quantitative structure–activity relationship of various endogenous estrogen metabolites for human estrogen receptor α and β subtypes: insights into the structural determinants favoring a differential subtype binding. Endocrinology. 2006;147:4132–50. doi:10.​1210/​en.​2006-0113.CrossRefPubMed
48.
go back to reference Adlercreutz H, Martin F. Biliary excretion and intestinal metabolism of progesterone and estrogens in man. J Steroid Biochem. 1980;13:231–44.CrossRefPubMed Adlercreutz H, Martin F. Biliary excretion and intestinal metabolism of progesterone and estrogens in man. J Steroid Biochem. 1980;13:231–44.CrossRefPubMed
50.
go back to reference Roberts MS, Magnusson BM, Burczynski FJ, Weiss M. Enterohepatic circulation. Clin Pharmacokinet. 2002;41:751–90.CrossRefPubMed Roberts MS, Magnusson BM, Burczynski FJ, Weiss M. Enterohepatic circulation. Clin Pharmacokinet. 2002;41:751–90.CrossRefPubMed
51.
go back to reference Van Eldere J, Robben J, De Pauw G, Merckx R, Eyssen H. Isolation and identification of intestinal steroid-desulfating bacteria from rats and humans. Appl Environ Microbiol. 1988;54:2112–7.PubMedPubMedCentral Van Eldere J, Robben J, De Pauw G, Merckx R, Eyssen H. Isolation and identification of intestinal steroid-desulfating bacteria from rats and humans. Appl Environ Microbiol. 1988;54:2112–7.PubMedPubMedCentral
52.
go back to reference Crenshaw TL, Goldberg JP. Sexual pharmacology: drugs that affect sexual functioning. New York: WW Norton & Co; 1996. Crenshaw TL, Goldberg JP. Sexual pharmacology: drugs that affect sexual functioning. New York: WW Norton & Co; 1996.
57.
go back to reference Setchell KD, Borriello SP, Gordon H, Lawson AM, Harkness R, Morgan DM, et al. Lignan formation in man—microbial involvement and possible roles in relation to cancer. Lancet. 1981;318:4–7.CrossRef Setchell KD, Borriello SP, Gordon H, Lawson AM, Harkness R, Morgan DM, et al. Lignan formation in man—microbial involvement and possible roles in relation to cancer. Lancet. 1981;318:4–7.CrossRef
59.
go back to reference Stuedal A, Gram IT, Bremnes Y, Adlercreutz H, Veierød MB, Ursin G. Plasma levels of enterolactone and percentage mammographic density among postmenopausal women. Cancer Epidemiol Biomark Prev. 2005;14:2154–9.CrossRef Stuedal A, Gram IT, Bremnes Y, Adlercreutz H, Veierød MB, Ursin G. Plasma levels of enterolactone and percentage mammographic density among postmenopausal women. Cancer Epidemiol Biomark Prev. 2005;14:2154–9.CrossRef
60.
go back to reference Zaineddin AK, Vrieling A, Buck K, Becker S, Linseisen J, Flesch-Janys D, et al. Serum enterolactone and postmenopausal breast cancer risk by estrogen, progesterone and herceptin 2 receptor status. Int J Cancer. 2012;130:1401–10. doi:10.1002/ijc.26157.CrossRefPubMed Zaineddin AK, Vrieling A, Buck K, Becker S, Linseisen J, Flesch-Janys D, et al. Serum enterolactone and postmenopausal breast cancer risk by estrogen, progesterone and herceptin 2 receptor status. Int J Cancer. 2012;130:1401–10. doi:10.​1002/​ijc.​26157.CrossRefPubMed
61.
go back to reference Mabrok HB, Klopfleisch R, Ghanem KZ, Clavel T, Blaut M, Loh G. Lignan transformation by gut bacteria lowers tumor burden in a gnotobiotic rat model of breast cancer. Carcinogenesis. 2012;33:203–8. doi:10.1093/carcin/bgr256.CrossRefPubMed Mabrok HB, Klopfleisch R, Ghanem KZ, Clavel T, Blaut M, Loh G. Lignan transformation by gut bacteria lowers tumor burden in a gnotobiotic rat model of breast cancer. Carcinogenesis. 2012;33:203–8. doi:10.​1093/​carcin/​bgr256.CrossRefPubMed
62.
go back to reference Penttinen P, Jaehrling J, Damdimopoulos AE, Inzunza J, Lemmen JG, van der Saag P, et al. Diet-derived polyphenol metabolite enterolactone is a tissue-specific estrogen receptor activator. Endocrinology. 2007;148:4875–86. doi:10.1210/en.2007-0289.CrossRefPubMed Penttinen P, Jaehrling J, Damdimopoulos AE, Inzunza J, Lemmen JG, van der Saag P, et al. Diet-derived polyphenol metabolite enterolactone is a tissue-specific estrogen receptor activator. Endocrinology. 2007;148:4875–86. doi:10.​1210/​en.​2007-0289.CrossRefPubMed
65.
go back to reference Bradlow HL, Sepkovic DW, Telang N, Tiwari R. Adipocyte-derived factor as a modulator of oxidative estrogen metabolism: implications for obesity and estrogen-dependent breast cancer. In Vivo. 2011;25:585–8.PubMed Bradlow HL, Sepkovic DW, Telang N, Tiwari R. Adipocyte-derived factor as a modulator of oxidative estrogen metabolism: implications for obesity and estrogen-dependent breast cancer. In Vivo. 2011;25:585–8.PubMed
66.
go back to reference Rutkowski MR, Stephen TL, Svoronos N, Allegrezza MJ, Tesone AJ, Perales-Puchalt A, et al. Microbially driven TLR5-dependent signaling governs distal malignant progression through tumor-promoting inflammation. Cancer Cell. 2015;27:27–40. doi:10.1016/j.ccell.2014.11.009.CrossRefPubMed Rutkowski MR, Stephen TL, Svoronos N, Allegrezza MJ, Tesone AJ, Perales-Puchalt A, et al. Microbially driven TLR5-dependent signaling governs distal malignant progression through tumor-promoting inflammation. Cancer Cell. 2015;27:27–40. doi:10.​1016/​j.​ccell.​2014.​11.​009.CrossRefPubMed
67.
go back to reference Azab B, Bhatt VR, Phookan J, Murukutla S, Kohn N, Terjanian T, et al. Usefulness of the neutrophil-to-lymphocyte ratio in predicting short-and long-term mortality in breast cancer patients. Ann Surg Oncol. 2012;19:217–24. doi:10.1245/s10434-011-1814-0.CrossRefPubMed Azab B, Bhatt VR, Phookan J, Murukutla S, Kohn N, Terjanian T, et al. Usefulness of the neutrophil-to-lymphocyte ratio in predicting short-and long-term mortality in breast cancer patients. Ann Surg Oncol. 2012;19:217–24. doi:10.​1245/​s10434-011-1814-0.CrossRefPubMed
68.
go back to reference West NR, Kost SE, Martin SD, Milne K, Nelson BH, Watson PH. Tumour-infiltrating FOXP3+ lymphocytes are associated with cytotoxic immune responses and good clinical outcome in oestrogen receptor-negative breast cancer. Br J Cancer. 2013;108:155–62. doi:10.1038/bjc.2012.524.CrossRefPubMed West NR, Kost SE, Martin SD, Milne K, Nelson BH, Watson PH. Tumour-infiltrating FOXP3+ lymphocytes are associated with cytotoxic immune responses and good clinical outcome in oestrogen receptor-negative breast cancer. Br J Cancer. 2013;108:155–62. doi:10.​1038/​bjc.​2012.​524.CrossRefPubMed
72.
go back to reference Gritzapis AD, Voutsas IF, Lekka E, Tsavaris N, Missitzis I, Sotiropoulou P, et al. Identification of a novel immunogenic HLA-A* 0201-binding epitope of HER-2/neu with potent antitumor properties. J Immunol. 2008;181:146–54.CrossRefPubMed Gritzapis AD, Voutsas IF, Lekka E, Tsavaris N, Missitzis I, Sotiropoulou P, et al. Identification of a novel immunogenic HLA-A* 0201-binding epitope of HER-2/neu with potent antitumor properties. J Immunol. 2008;181:146–54.CrossRefPubMed
75.
go back to reference Velicer CM, Lampe JW, Heckbert SR, Potter JD, Taplin SH. Hypothesis: is antibiotic use associated with breast cancer? Cancer Causes Control. 2003;14:739–47.CrossRefPubMed Velicer CM, Lampe JW, Heckbert SR, Potter JD, Taplin SH. Hypothesis: is antibiotic use associated with breast cancer? Cancer Causes Control. 2003;14:739–47.CrossRefPubMed
Metadata
Title
Gastrointestinal microbiome and breast cancer: correlations, mechanisms and potential clinical implications
Authors
Jiqiao Yang
Qiuwen Tan
Qingyu Fu
Yaojie Zhou
Yuanyuan Hu
Shenli Tang
Yuting Zhou
Junhui Zhang
Juanjuan Qiu
Qing Lv
Publication date
01-03-2017
Publisher
Springer Japan
Published in
Breast Cancer / Issue 2/2017
Print ISSN: 1340-6868
Electronic ISSN: 1880-4233
DOI
https://doi.org/10.1007/s12282-016-0734-z

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