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Molecular evolution of resistance to treatment:

Acquired during therapy?

As a result of continuing mutagenesis?

Already present in a clonal subpopulation within the tumours

prior

to the initiation of therapy?

Is resistance therefore a fait accompli—the time to recurrence is

simply the interval required for the subclone to repopulate the

lesion.?

Is the short time interval of recurrence due to the rapid expansion

of the resistant subclone immediately following treatment

initiation?

Required:

Combination therapies targeting at least two different “processes” or

“pathways”.

Relevant Questions::