Jay Rappaport

The incidence of breast cancer with distant involvement at diagnosis is increasing in young women, age 25-39, possibly at an accelerating rate, as previously demonstrated by Johnson et al. This disturbing trend was also observed in women age 40-54, albeit to a letter extent. Understanding the causes for these changes in cancer demographics is particularly important in view of the young age of these women, as well as the poor survival rate for women with distant metastatic breast disease. 

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