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I agree with your skepticism regarding the paper--which is why
I didn't post it as explaining the difference in mortality between African and European Americans--there are MANY other factors--blacks more often get triple negative bc, they often have less access to early mammography, state-of-the-art treatment, perhaps use more creams containing estrogen-like compounds, etc...
I posted the quote regarding the activation of distant mets. I did not think this had been proven either---but it provided a reference as to the paper that put this claim forward.
There are so many factors influencing whether cancer recurs that control experiments cannot be done in humans--leaving many to hypothesize
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