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Invasive breast carcinoma - IARC

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CHAPTER 1<br />

Tumours of the Breast<br />

Cancer of the <strong>breast</strong> is one of the most common human neoplasms,<br />

accounting for approximately one quarter of all cancers<br />

in females. It is associated with the Western lifestyle, and<br />

incidence rates are, there f o re, highest in countries with<br />

advanced economies. Additional risk factors include early<br />

menarche and late childbirth. Breast cancer is further characterized<br />

by a marked genetic susceptibility. Early detection and<br />

advances in treatment have begun to reduce mortality rates in<br />

several countries. Through the use of cDNA expression profiles,<br />

it may become possible to predict clinical outcome in individual<br />

patients.<br />

The typing of invasive <strong>breast</strong> cancer and its histological variants<br />

is well established. More difficult is the classification of<br />

pre-invasive <strong>breast</strong> lesions which are now increasingly detected<br />

by mammography. The WHO Working Group agreed that<br />

more clinical follow-up and genetic data are needed for a better<br />

understanding of the natural history of these lesions.

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