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Case. 1999 - T1cN0M0, ER /PR /Her-2 negative by IHC, invasive ductal carcinoma of right breast treated with MRM and 4 cycles AC and tamoxifen for five years. 2005 paratracheal node biopsied ER /PR /Her-2 amplified by FISH.. Is the node from a different primary?Was the first breast cancer pat
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