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Becky,
Yes, I read it the same way you do.
Rich,
The authors believe these recurrence peaks support a theory of tumor dormancy, wherein the seeding of distant sites occurs early in the carcinogenic process, but the "seeds" stay dormant until some trigger tells them to grow. The belief is that surgery is the trigger for the 2 year peak. They also state that the tumor environment has to be favorable for the metastatic seeds to grow. Their conclusion is that bc progression has a common pathway with well defined steps.
Hopeful
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