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The study is the largest ever done of breast cancer treatment, and the results are expected to spare up to 70, patients a year in the United States and many more elsewhere the ordeal and expense of these drugs. The study was funded by the National Cancer Institute, some foundations and proceeds from the U. Some study leaders consult for breast cancer drugmakers or for the company that makes the gene test. Cancer care has been evolving away from chemotherapy — older drugs with harsh side effects — in favor of gene-targeting therapies, hormone blockers and immune system treatments. The usual treatment is surgery followed by years of a hormone-blocking drug.

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