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2,764 Results Found

  • Review
  • Open Access
9 Citations
3,036 Views
16 Pages

27 May 2022

While liver transplantation was initially considered as a curative treatment modality only for hepatocellular carcinoma, the indication has been increasingly extended to other tumor entities over recent years, most recently to the treatment of non-re...

  • Review
  • Open Access
14 Citations
9,046 Views
18 Pages

Review of PP2A Tumor Biology and Antitumor Effects of PP2A Inhibitor LB100 in the Nervous System

  • Jean-Paul Bryant,
  • Adam Levy,
  • John Heiss and
  • Yeshavanth Kumar Banasavadi-Siddegowda

21 June 2021

Protein phosphatase 2A (PP2A) is a ubiquitous serine/threonine phosphatase implicated in a wide variety of regulatory cellular functions. PP2A is abundant in the mammalian nervous system, and dysregulation of its cellular functions is associated with...

  • Article
  • Open Access
1 Citations
2,069 Views
17 Pages

Oncologic Outcomes of Young Breast Cancer Patients According to Tumor Biology

  • Marijana Henzler,
  • Kay C. Willborn,
  • Wolfgang Janni,
  • Jens Huober,
  • Stefan Lukac,
  • Burkhard Otremba,
  • Wenjie Shi,
  • Luz Angela Torres-de la Roche and
  • Rudy Leon De Wilde

15 April 2025

Background/Objectives: Young women frequently present with more aggressive breast cancer tumors. This retrospective study analyzed the oncological outcomes of patients under the age of 40 according to the tumor biology. Methods: Group comparisons wer...

  • Article
  • Open Access
279 Views
20 Pages

Diagnostic Correlates of Tumor Biology and Immediate Breast Reconstruction After Mastectomy: Real-World Evidence from a Romanian Cohort

  • Iulian Slavu,
  • Raluca Tulin,
  • Alexandru Dogaru,
  • Ileana Dima,
  • Cristina Orlov Slavu,
  • Marius Popescu,
  • Cornelia Nitipir,
  • Daniela-Elena Gheoca Mutu and
  • Adrian Tulin

Background/Objectives: Tumor biology—particularly HER2 expression, Ki-67 proliferation index, and triple-negative phenotype—has traditionally influenced the timing of breast reconstruction after mastectomy. However, real-world data from E...

  • Article
  • Open Access
5 Citations
4,210 Views
12 Pages

Cytoplasmic Cyclin E Is an Independent Marker of Aggressive Tumor Biology and Breast Cancer-Specific Mortality in Women over 70 Years of Age

  • Simon J. Johnston,
  • Binafsha M. Syed,
  • Ruth M. Parks,
  • Cíntia J. Monteiro,
  • Joseph A. Caruso,
  • Andrew R. Green,
  • Ian O. Ellis,
  • Kelly K. Hunt,
  • Cansu Karakas and
  • Kwok-Leung Cheung

18 March 2020

Multi-cohort analysis demonstrated that cytoplasmic cyclin E expression in primary breast tumors predicts aggressive disease. However, compared to their younger counterparts, older patients have favorable tumor biology and are less likely to die of b...

  • Article
  • Open Access
298 Views
13 Pages

Pregnancy vs. Postpartum Breast Cancer: Distinct Tumor Biology and Survival Trends in a Contemporary Cohort

  • Elena Jane Mason,
  • Alba Di Leone,
  • Beatrice Carnassale,
  • Antonio Franco,
  • Cristina Accetta,
  • Sabatino D’Archi,
  • Flavia De Lauretis,
  • Federica Gagliardi,
  • Elisabetta Gambaro and
  • Gianluca Franceschini
  • + 16 authors

18 December 2025

Background: Pregnancy-associated breast cancer (PABC), defined as breast cancer diagnosed during pregnancy or within one year postpartum, is a unique and clinically challenging entity. Evidence suggests that tumors diagnosed during pregnancy (PrBC) a...

  • Review
  • Open Access
33 Citations
6,750 Views
16 Pages

Role of Defensins in Tumor Biology

  • Lowie Adyns,
  • Paul Proost and
  • Sofie Struyf

Defensins have long been considered as merely antimicrobial peptides. Throughout the years, more immune-related functions have been discovered for both the α-defensin and β-defensin subfamily. This review provides insights into the role of...

  • Review
  • Open Access
9 Citations
1,883 Views
13 Pages

Wnt Signaling Pathway in Tumor Biology

  • Sabina Iluta,
  • Madalina Nistor,
  • Sanda Buruiana and
  • Delia Dima

13 December 2024

Relapse and metastasis are the major challenges that stand in the way of cancer healing and survival, mainly attributed to cancer stem cells (CSCs). Their capabilities of self-renewal and tumorigenic potential leads to treatment resistance developmen...

  • Review
  • Open Access
3 Citations
2,833 Views
16 Pages

Metabolic and Epigenetic Mechanisms in Hepatoblastoma: Insights into Tumor Biology and Therapeutic Targets

  • Yuanji Fu,
  • Raquel Francés,
  • Claudia Monge,
  • Christophe Desterke,
  • Agnès Marchio,
  • Pascal Pineau,
  • Yunhua Chang-Marchand and
  • Jorge Mata-Garrido

22 October 2024

Background: Hepatoblastoma, the most common pediatric liver malignancy, is characterized by significant molecular heterogeneity and poor prognosis in advanced stages. Recent studies highlight the importance of metabolic reprogramming and epigenetic d...

  • Review
  • Open Access
13 Citations
4,106 Views
25 Pages

Prostate Cancer Tumor Stroma: Responsibility in Tumor Biology, Diagnosis and Treatment

  • Luis O. González,
  • Noemi Eiro,
  • Maria Fraile,
  • Nana Beridze,
  • Andres R. Escaf,
  • Safwan Escaf,
  • Jesús M. Fernández-Gómez and
  • Francisco J. Vizoso

11 September 2022

Prostate cancer (PCa) is a common cancer among males globally, and its occurrence is growing worldwide. Clinical decisions about the combination of therapies are becoming highly relevant. However, this is a heterogeneous disease, ranging widely in pr...

  • Review
  • Open Access
24 Citations
4,481 Views
17 Pages

Prospects for Comprehensive Analyses of Circulating Tumor Cells in Tumor Biology

  • Masahiko Aoki,
  • Hirokazu Shoji,
  • Ayumi Kashiro,
  • Keiko Takeuchi,
  • Yoshihiro Shimizu and
  • Kazufumi Honda

1 May 2020

The comprehensive analysis of biological and clinical aspects of circulating tumor cells (CTCs) has attracted interest as a means of enabling non-invasive, real-time monitoring of cancer patients and enhancing our fundamental understanding of tumor m...

  • Review
  • Open Access
21 Citations
6,676 Views
20 Pages

Computational Biology Helps Understand How Polyploid Giant Cancer Cells Drive Tumor Success

  • Matheus Correia Casotti,
  • Débora Dummer Meira,
  • Aléxia Stefani Siqueira Zetum,
  • Bruno Cancian de Araújo,
  • Danielle Ribeiro Campos da Silva,
  • Eldamária de Vargas Wolfgramm dos Santos,
  • Fernanda Mariano Garcia,
  • Flávia de Paula,
  • Gabriel Mendonça Santana and
  • Iúri Drumond Louro
  • + 8 authors

26 March 2023

Precision and organization govern the cell cycle, ensuring normal proliferation. However, some cells may undergo abnormal cell divisions (neosis) or variations of mitotic cycles (endopolyploidy). Consequently, the formation of polyploid giant cancer...

  • Feature Paper
  • Review
  • Open Access
57 Citations
13,603 Views
8 Pages

17 January 2019

Neuroblastoma, the most common extracranial solid tumor of childhood, has widely variable outcomes dependent on the specific biology of the tumor. In this review, current biologic principles that are used to stratify risk and guide treatment algorith...

  • Feature Paper
  • Review
  • Open Access
30 Citations
6,430 Views
19 Pages

Harnessing Extracellular Matrix Biology for Tumor Drug Delivery

  • Nithya Subrahmanyam and
  • Hamidreza Ghandehari

31 January 2021

The extracellular matrix (ECM) plays an active role in cell life through a tightly controlled reciprocal relationship maintained by several fibrous proteins, enzymes, receptors, and other components. It is also highly involved in cancer progression....

  • Review
  • Open Access
3 Citations
2,723 Views
15 Pages

Exploring the Interaction of Tumor-Derived Exosomes and Mesenchymal Stem Cells in Tumor Biology

  • Konstantinos S. Papadopoulos,
  • Penelope Korkolopoulou and
  • Christina Piperi

Exosomes are actively produced extracellular vesicles, released from different cell types, that exert important regulatory roles in vital cellular functions. Tumor-derived exosomes (TDEs) have received increasing attention because they enable interce...

  • Review
  • Open Access
26 Citations
6,182 Views
21 Pages

Arginine Methylation in Brain Tumors: Tumor Biology and Therapeutic Strategies

  • Jean-Paul Bryant,
  • John Heiss and
  • Yeshavanth Kumar Banasavadi-Siddegowda

11 January 2021

Protein arginine methylation is a common post-translational modification that plays a pivotal role in cellular regulation. Protein arginine methyltransferases (PRMTs) catalyze the modification of target proteins by adding methyl groups to the guanidi...

  • Review
  • Open Access
12 Citations
4,820 Views
24 Pages

Tumor Biology and Microenvironment of Vestibular Schwannoma-Relation to Tumor Growth and Hearing Loss

  • Michaela Tesařová,
  • Lenka Peterková,
  • Monika Šťastná,
  • Michal Kolář,
  • Lukáš Lacina,
  • Karel Smetana,
  • Radovan Hynek,
  • Jan Betka,
  • Aleš Vlasák and
  • Zdeněk Fík

Vestibular schwannoma is the most common benign neoplasm of the cerebellopontine angle. It arises from Schwann cells of the vestibular nerve. The first symptoms of vestibular schwannoma include hearing loss, tinnitus, and vestibular symptoms. In the...

  • Review
  • Open Access
58 Citations
7,410 Views
27 Pages

Exosomes in the Tumor Microenvironment: From Biology to Clinical Applications

  • Vitor Rodrigues da Costa,
  • Rodrigo Pinheiro Araldi,
  • Hugo Vigerelli,
  • Fernanda D’Ámelio,
  • Thais Biude Mendes,
  • Vivian Gonzaga,
  • Bruna Policíquio,
  • Gabriel Avelar Colozza-Gama,
  • Cristiane Wenceslau Valverde and
  • Irina Kerkis

1 October 2021

Cancer is one of the most important health problems and the second leading cause of death worldwide. Despite the advances in oncology, cancer heterogeneity remains challenging to therapeutics. This is because the exosome-mediated crosstalk between ca...

  • Review
  • Open Access
1 Citations
1,815 Views
18 Pages

The onset and progression of tumors involve intricate, multifactorial processes. A key component in tumor evolution is the dynamic interaction between cancer cells and the extracellular matrix (ECM). Discoidin Domain Receptors (DDRs), a unique class...

  • Review
  • Open Access
65 Citations
11,045 Views
26 Pages

The Role of Tumor Necrosis Factor α in the Biology of Uterine Fibroids and the Related Symptoms

  • Michał Ciebiera,
  • Marta Włodarczyk,
  • Magdalena Zgliczyńska,
  • Krzysztof Łukaszuk,
  • Błażej Męczekalski,
  • Christopher Kobierzycki,
  • Tomasz Łoziński and
  • Grzegorz Jakiel

4 December 2018

Uterine fibroids (UFs) are the most common benign tumors of the female genital tract. The incidence of UFs has been estimated at 25–80% depending on selected population. The pathophysiology of UFs remains poorly understood. The transformation o...

  • Review
  • Open Access
19 Citations
7,435 Views
23 Pages

20 March 2024

Circulating tumor cells (CTCs) are cells released from the primary and metastatic tumor and intravasate into the blood or lymphatic vessels, where they are transported to distant sites and act as seeds that initiate cancer metastases or the developme...

  • Review
  • Open Access
4 Citations
3,641 Views
12 Pages

24 June 2021

Malignant tumors are a consequence of genetic changes mainly occurring during cell division, sometimes with a congenital component. Therefore, accelerated cell divisions will necessarily predispose individuals, whether due to conditions of chronic ce...

  • Review
  • Open Access
26 Citations
4,435 Views
15 Pages

5 October 2021

Multiple myeloma (MM) is associated with both cellular and humoral immune deficiencies and, despite significant advances in treatment, remains an incurable disease. Regulatory T-cells (Tregs) represent a critical subset of CD4 T-cells, characterized...

  • Systematic Review
  • Open Access
29 Citations
7,038 Views
19 Pages

Patient-Derived Bladder Cancer Organoid Models in Tumor Biology and Drug Testing: A Systematic Review

  • Benjamin Medle,
  • Gottfrid Sjödahl,
  • Pontus Eriksson,
  • Fredrik Liedberg,
  • Mattias Höglund and
  • Carina Bernardo

20 April 2022

Bladder cancer is a common and highly heterogeneous malignancy with a relatively poor outcome. Patient-derived tumor organoid cultures have emerged as a preclinical model with improved biomimicity. However, the impact of the different methods being u...

  • Review
  • Open Access
49 Citations
6,438 Views
21 Pages

31 March 2024

Cancer remains a leading cause of mortality worldwide, with metastasis significantly contributing to its lethality. The metastatic spread of tumor cells, primarily through the bloodstream, underscores the importance of circulating tumor cells (CTCs)...

  • Review
  • Open Access
83 Citations
9,665 Views
35 Pages

The Role of Circulating Tumor Cells in the Metastatic Cascade: Biology, Technical Challenges, and Clinical Relevance

  • Hassan Dianat-Moghadam,
  • Mehdi Azizi,
  • Zahra Eslami-S,
  • Luis Enrique Cortés-Hernández,
  • Maryam Heidarifard,
  • Mohammad Nouri and
  • Catherine Alix-Panabières

3 April 2020

Metastases and cancer recurrence are the main causes of cancer death. Circulating Tumor Cells (CTCs) and disseminated tumor cells are the drivers of cancer cell dissemination. The assessment of CTCs’ clinical role in early metastasis prediction...

  • Review
  • Open Access
19 Citations
5,564 Views
25 Pages

Deciphering the Biology of Circulating Tumor Cells through Single-Cell RNA Sequencing: Implications for Precision Medicine in Cancer

  • Santhasiri Orrapin,
  • Patcharawadee Thongkumkoon,
  • Sasimol Udomruk,
  • Sutpirat Moonmuang,
  • Songphon Sutthitthasakul,
  • Petlada Yongpitakwattana,
  • Dumnoensun Pruksakorn and
  • Parunya Chaiyawat

2 August 2023

Circulating tumor cells (CTCs) hold unique biological characteristics that directly involve them in hematogenous dissemination. Studying CTCs systematically is technically challenging due to their extreme rarity and heterogeneity and the lack of spec...

  • Review
  • Open Access
4 Citations
5,715 Views
24 Pages

27 January 2025

Invasive lobular carcinoma (ILC), accounting for up to 15% of diagnosed breast cancers, has garnered significant attention due to the loss of the epithelial cell–cell adhesion molecule E-cadherin. This loss contributes to its distinct biologica...

  • Review
  • Open Access
9 Citations
4,171 Views
19 Pages

Biology and Therapeutic Targets of Colorectal Serrated Adenocarcinoma; Clues for a Histologically Based Treatment against an Aggressive Tumor

  • Begoña Alburquerque-González,
  • Fernando F. López-Calderón,
  • María Dolores López-Abellán,
  • Ángel Esteban-Gil,
  • José García-Solano and
  • Pablo Conesa-Zamora

Serrated adenocarcinoma (SAC) is a tumor recognized by the WHO as a histological subtype accounting for around 9% of colorectal carcinomas. Compared to conventional carcinomas, SACs are characterized by a worse prognosis, weak development of the immu...

  • Review
  • Open Access
62 Citations
11,659 Views
14 Pages

Ligand Activation of TAM Family Receptors-Implications for Tumor Biology and Therapeutic Response

  • Viralkumar Davra,
  • Stanley G. Kimani,
  • David Calianese and
  • Raymond B. Birge

29 November 2016

The TAM family of receptors (i.e., Tyro3, Axl, and Mertk), and their ligands Growth arrest specific factor 6 (Gas6) and Protein S (Pros1) contribute to several oncogenic processes, such as cell survival, invasion, migration, chemo-resistance, and met...

  • Review
  • Open Access
23 Citations
4,785 Views
23 Pages

Tumor-Associated Macrophages in Multiple Myeloma: Key Role in Disease Biology and Potential Therapeutic Implications

  • Emanuele Cencini,
  • Anna Sicuranza,
  • Sara Ciofini,
  • Alberto Fabbri,
  • Monica Bocchia and
  • Alessandro Gozzetti

25 June 2023

Multiple myeloma (MM) is characterized by multiple relapse and, despite the introduction of novel therapies, the disease becomes ultimately drug-resistant. The tumor microenvironment (TME) within the bone marrow niche includes dendritic cells, T-cyto...

  • Review
  • Open Access
1 Citations
2,714 Views
24 Pages

7 January 2025

Malignant peripheral nerve sheath tumor (MPNST) is a rare but aggressive soft-tissue sarcoma characterized by poor response to therapy. The primary treatment remains surgical resection with negative margins. Nonetheless, in the setting of neurofibrom...

  • Perspective
  • Open Access
1,188 Views
21 Pages

The morphogenesis of the primordial gut relies on signaling pathways such as Wnt, FGF, Notch, Hedgehog, and Hippo. Reciprocal crosstalk between the endoderm and mesoderm is integrated into the signaling pathways, resulting in craniocaudal patterning....

  • Review
  • Open Access
21 Citations
5,009 Views
22 Pages

24 February 2022

Breast cancer is one of the most prevalent cancers in women contributing to cancer-related death in the advanced world. Apart from the menopausal status, the trigger for developing breast cancer may vary widely from race to lifestyle factors. Epidemi...

  • Review
  • Open Access
23 Citations
5,445 Views
23 Pages

27 January 2023

Phosphatidylinositol-3-kinase (PI3K) enzymes, producing signaling phosphoinositides at plasma and intracellular membranes, are key in intracellular signaling and vesicular trafficking pathways. PI3K is a family of eight enzymes divided into three cla...

  • Review
  • Open Access
12 Citations
4,189 Views
16 Pages

Parotid Gland Tumors: Molecular Diagnostic Approaches

  • Daniela Vrinceanu,
  • Mihai Dumitru,
  • Miruna Bratiloveanu,
  • Andreea Marinescu,
  • Crenguta Serboiu,
  • Felicia Manole,
  • Dragos Octavian Palade,
  • Adrian Costache,
  • Mariana Costache and
  • Oana Patrascu

Parotid gland pathology represents a web of differential diagnoses. There are many complex cases that require extensive diagnostic tests for a complete and correct final pathology diagnosis. Currently the official classification of parotid gland tumo...

  • Review
  • Open Access
3 Citations
2,397 Views
13 Pages

Molecular Mechanisms of Carcinogenesis in Pediatric Airways Tumors

  • Davide Soloperto,
  • Sandra Gazzini and
  • Raffaele Cerullo

22 January 2023

Primary tumors of the airways in the pediatric population are very rare entities. For this reason, little is known about the pathogenesis of these neoplasms. Understanding the biology has different practical implications: for example, it could help i...

  • Guidelines
  • Open Access
76 Citations
23,378 Views
27 Pages

Best Practices for Spatial Profiling for Breast Cancer Research with the GeoMx® Digital Spatial Profiler

  • Helga Bergholtz,
  • Jodi M. Carter,
  • Alessandra Cesano,
  • Maggie Chon U Cheang,
  • Sarah E. Church,
  • Prajan Divakar,
  • Christopher A. Fuhrman,
  • Shom Goel,
  • Jingjing Gong and
  • on behalf of the GeoMx Breast Cancer Consortium
  • + 22 authors

4 September 2021

Breast cancer is a heterogenous disease with variability in tumor cells and in the surrounding tumor microenvironment (TME). Understanding the molecular diversity in breast cancer is critical for improving prediction of therapeutic response and progn...

  • Article
  • Open Access
34 Citations
4,832 Views
12 Pages

Why Has Breast Cancer Screening Failed to Decrease the Incidence of de Novo Stage IV Disease?

  • Danielle R. Heller,
  • Alexander S. Chiu,
  • Kaitlin Farrell,
  • Brigid K. Killelea and
  • Donald R. Lannin

8 April 2019

Background: Despite screening mammography, the incidence of Stage IV breast cancer (BC) at diagnosis has not decreased over the past four decades. We previously found that many BCs are small due to favorable biology rather than early detection. This...

  • Review
  • Open Access
9 Citations
5,142 Views
17 Pages

19 October 2021

Molecular alterations drive cancer initiation and evolution during development and in response to therapy. Radiotherapy is one of the most commonly employed cancer treatment modalities, but radiobiologic approaches for personalizing therapy based on...

  • Article
  • Open Access
7 Citations
2,955 Views
19 Pages

24 December 2023

Gastric cancer (GC) is an important cancer-related death worldwide. Among its histological subtypes, intestinal gastric cancer (IGC) is the most common. A previous work showed that increased expression of the THY1 gene was associated with poor overal...

  • Review
  • Open Access
5 Citations
4,566 Views
22 Pages

7 December 2022

Recent technological advances have facilitated the detection of numerous non-canonical human peptides derived from regulatory regions of mRNAs, long non-coding RNAs, and other cryptic transcripts. In this review, we first give an overview of the clas...

  • Review
  • Open Access
1 Citations
2,374 Views
15 Pages

Arising from the anterior lobe of the hypophysis, pituitary neuroendocrine tumors (PitNETs), previously known as pituitary adenomas, constitute an intricate and heterogeneous entity. Although they are defined as benign pathology, these tumors can oft...

  • Systematic Review
  • Open Access
22 Citations
4,536 Views
45 Pages

Systematic Review on the Association of Radiomics with Tumor Biological Endpoints

  • Agustina La Greca Saint-Esteven,
  • Diem Vuong,
  • Fabienne Tschanz,
  • Janita E. van Timmeren,
  • Riccardo Dal Bello,
  • Verena Waller,
  • Martin Pruschy,
  • Matthias Guckenberger and
  • Stephanie Tanadini-Lang

16 June 2021

Radiomics supposes an alternative non-invasive tumor characterization tool, which has experienced increased interest with the advent of more powerful computers and more sophisticated machine learning algorithms. Nonetheless, the incorporation of radi...

  • Review
  • Open Access
1,871 Views
21 Pages

26 August 2025

In vitro culture systems have advanced cancer biology, particularly through 2D and 3D tumor cultures. These have answered numerous scientific inquiries and propelled human oncologic research, with growing recognition of their potential to improve can...

  • Review
  • Open Access
14 Citations
9,025 Views
90 Pages

23 October 2024

Diffuse large B-cell lymphoma (DLBCL) is a malignancy of immense biological and clinical heterogeneity. Based on the transcriptomic or genomic approach, several different classification schemes have evolved over the years to subdivide DLBCL into clin...

  • Review
  • Open Access
20 Citations
4,663 Views
52 Pages

Oxidative Stress and Inflammation: Drivers of Tumorigenesis and Therapeutic Opportunities

  • Meimei Wang,
  • Yaping Xiao,
  • Jie Miao,
  • Xin Zhang,
  • Meng Liu,
  • Longchao Zhu,
  • Hongxin Liu,
  • Xiaoyan Shen,
  • Jihui Wang and
  • Di Wang

As two pivotal regulatory factors in cancer biology, oxidative stress and inflammation interact dynamically through complex network mechanisms to influence tumor initiation, progression, and treatment resistance. Oxidative stress induces genomic inst...

  • Editorial
  • Open Access
4,826 Views
4 Pages

Pediatric Neuro-Oncology is a highly specialized field encompassing molecular biology, clinical acumen, evidence based medicine, cancer genetics and neuropsychological care for the diagnosis and treatment of children with central nervous system (CNS)...

  • Protocol
  • Open Access
20 Citations
3,196 Views
10 Pages

Touch Imprint Intraoperative Flow Cytometry as a Complementary Tool for Detailed Assessment of Resection Margins and Tumor Biology in Liver Surgery for Primary and Metastatic Liver Neoplasms

  • Georgios S. Markopoulos,
  • Georgios K. Glantzounis,
  • Anna C. Goussia,
  • Georgios D. Lianos,
  • Anastasia Karampa,
  • George A. Alexiou and
  • George Vartholomatos

15 September 2021

Liver resection is the main treatment for primary and metastatic liver tumors in order to achieve long-term survival with good quality of life. The ultimate goal of surgical oncology is to achieve complete tumor removal with adequate clear surgical m...

  • Communication
  • Open Access
4,623 Views
3 Pages

20 November 2017

The majority of cases of breast cancer occur in the older population who are often un-represented in clinical trials. Given the growing ageing population globally, it becomes urgent and important to identify an optimal approach so that older women wi...

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