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N =361 patients (1991-1998); age 45–75 years

pT1pN0M0; GI-II; ER+

Median follow-up of 5.9 years

2x2 clinical trial of factorial design:

+/- radiotherapy &

+/- tamoxifen (2 years)

Less local treatment: where is the limit?

Winzer K-J, et al. Eur J Cancer. 2004;40:998–1005.