Participants were aged 18�C55 years (M = 32 3, SD = 11 0) and rep

Participants were aged 18�C55 years (M = 32.3, SD = 11.0) and reported smoking at least 15 cigarettes/day (M = 19.6, SD = 4.7) for at least 1 year (M = 8.0, SD = 7.1). Smoking status was confirmed with an expired-air carbon monoxide (CO) level of at least 15 ppm (M = 22.4, SD = 9.2) and an average score of 6.0 (SD = 2.0) on the Fagerstr?m further information Test for Nicotine Dependence (Heatherton, Kozlowski, Frecker, & Fagerstr?m, 1991). Participants reported smoking regular (n = 21) or light (n = 9) cigarettes (average Federal Trade Commission [FTC], 2000, method, 1.1 mg nicotine [SD = 0.3], 14.9 mg tar [SD = 3.5], and 15.0 mg CO [SD = 3.0]). Current smoking reduction, ultra-light cigarette smoking, history of chronic health or psychiatric conditions, and pregnancy or breast feeding were exclusionary criteria.

Procedures This laboratory study used a six-condition, within-subject, Latin square�Cordered design. Following verification of overnight cigarette abstinence (expired-air CO �� 10 ppm), recording of heart rate commenced. Measures of tobacco or nicotine withdrawal and CO were assessed 30 min later. Participants then smoked the first cigarette ad libitum: own brand or Merit ultra-light (Philip Morris, Richmond, VA; 0.5 mg nicotine, 5 mg tar, and 7 mg CO, FTC, 2000), covered with opaque rolling paper (Zig-Zag Orange 11/4, Louisville, KY). Cigarettes were smoked using a desktop device (two sessions), a portable device (two sessions), or no device (two sessions). All sessions were videotaped, and the proximity of the camera to the participants ensured that they were aware of the recording.

Participants had been familiarized with all measurement equipment and instructed to smoke as normal with each device at screening. After smoking, withdrawal effects and CO were assessed again. This same pattern was repeated three more times at 30-min intervals. Sessions ended with completion of an acceptability questionnaire and payment (U.S.$300 total). Outcome measures Puff topography. Puff volume, duration, number, and IPI were measured via mouthpiece-based desktop (Clinical Research Support System [CReSS]) and portable (CReSSmicro) computerized topography devices (Plowshare Technologies, Baltimore, MD. The desktop device consists of a mouthpiece connected to a metal box (21.1 �� 14.2 �� 15.2 cm) by 152.4 cm of black plastic tubing. For data collection, the metal box must be connected to a microcomputer.

The portable device is a battery-powered single unit (6.5 �� 5.5 �� 2.9 cm) that stores topography data until they are downloaded to a microcomputer. Cigarettes were placed into the devices�� mouthpiece Drug_discovery connected to a pressure transducer, and pressure changes created by an inhalation were amplified, digitized, and sampled at a rate of 1000 Hz. Software converted signals to airflow (ml/s) and integrated data over time.

The eight participants who indicated that they wanted to quit wit

The eight participants who indicated that they wanted to quit within 6 months, including four who intended to quit within 30 days, were classified as Olaparib clinical intention positive. We found no significant differences between the groups on any demographic or smoking history measure (Table 1). No participant missed more than one pill in the week prior to each session. Table 1. Demographic and smoking characteristics of study participants Smoking behavior between sessions There were no main effects of intention or condition, and no intention �� condition interaction, on CO level measured upon arrival for sessions (see Table 1). We found a significant effect of condition on average daily smoking rate in the week prior to each session, F(2, 46) = 12.47, p < .

001, with post-hoc tests indicating that smoking rates were higher in the week prior to Session 1 than in subsequent weeks (p < .01). We found no indication that bupropion reduced daily smoking rate and no main effect of intention or intention �� condition interaction on daily smoking rate. The intention-negative group smoked 22.5 cigarettes/day (SD = 10.9), 19.0 cigarettes/day (SD = 11.5), and 18.7 cigarettes/day (SD = 11.3) in the weeks before the nonabstinent, abstinent plus placebo, and abstinent plus bupropion sessions, respectively. The corresponding rates for the intention-positive group were 24.3 (SD = 11.5), 19.4 (SD = 14.4), and 19.6 (SD = 12.0). Nicotine withdrawal symptoms and smoking urge levels We found a main effect of condition on precue breath CO level, F(2, 46) = 27.87, p < .

001, with post-hoc tests indicating that abstinence significantly reduced CO levels (p < .001). There was no main effect of intention or intention �� condition interaction on precue CO level. For the intention-negative group, precue breath CO levels in the nonabstinent, abstinent plus placebo, and abstinent plus bupropion conditions were 20.8 ppm (SD = 7.2), 10.5 ppm (SD = 6.1), and 10.9 ppm (SD = 5.7), respectively. The corresponding values for the intention-positive group were 19.5 ppm (SD = 10.1), 10.3 ppm (SD = 3.8), and 10.5 ppm (SD = 5.6). We found a marginal effect of condition on precue MNWS score, F(2, 46) = 2.95, p = .06; ��2 = .11. Means indicated that abstinence tended to increase MNWS score, but bupropion did not reduce this effect. We found no main effect of intention or intention �� condition interaction on MNWS score (��2 �� .

05). For the intention-negative group, MNWS scores in the nonabstinent, abstinent plus placebo, and abstinent plus bupropion conditions were 12.5 (SD = 18.8), 19.9 (SD = 22.9), and 21.4 (SD = 24.8), respectively. The corresponding MNWS scores for the intention-positive group were 7.8 (SD Carfilzomib = 8.6), 10.6 (SD = 9.3), and 11.6 (SD = 10.9). We found significant main effects of cue and condition on urge score, F(1, 23) = 25.98, p < .001, and F(2, 46) = 4.

In all cases, despite detecting a CS-induced decrease in full-siz

In all cases, despite detecting a CS-induced decrease in full-size CFTR, we failed to detect Dovitinib cost CFTR fragments post-CS using 12% bis-tris gels (all n=3; data not shown). CS exposure reduces CFTR solubility and induces CFTR relocation to a perinuclear compartment We performed the Western blots shown in Fig. 4 using Nonidet P-40, since this detergent has been found to be superior for extraction of membrane proteins, such as CFTR (28). However, to ensure that we had fully solubilized CFTR after smoke exposure, we also utilized a higher concentration of ionic detergent. Surprisingly, on extraction with a high concentration of SDS (i.e., 10%), the CS-induced reduction in the CFTR signal was no longer observed (Fig. 6A, B), suggesting that CS exposure resulted in CFTR becoming significantly less detergent soluble without inducing CFTR degradation.

The experiments shown in Fig. 6A, B were performed in BHKCFTR cells. To test whether this effect was also observable in airway epithelia, we also exposed polarized CALU3 cells, grown at an air-liquid interface to CS, since these cells endogenously express CFTR and have previously been used for CS-exposure experiments (5, 32). Following CS exposure, a reduction in CFTR levels could be detected in Nonidet P-40- but not SDS-lysed cultures (Fig. 6C). Figure 6. CFTR solubility is altered after CS exposure. A) Western blot showing CFTR from BHKCFTR cells lysed following standard exposure to air or CS using Nonidet P-40, or lysis buffer containing 10% SDS. B) Mean densitometry for CFTR taken from A. n = 6/group. …

To further investigate the change in solubility of CFTR, we compared immunostaining of CFTR after CS exposure with either paraformaldehyde followed by permeabilization with 1% Triton-X or following fixation/permeabilization with methanol using the 596 antibody against CFTR’s NBD2. While CFTR could be detected equally well in air-exposed BHK cultures using either paraformaldehyde or methanol, CFTR could only be detected following methanol fixation post-CS exposure (Fig. 6D). Thus, the pool of CFTR that exhibits reduced solubility post-CS may become accessible to the antibody only following harsher permeabilization with methanol. Chronic smoke exposure has previously been shown to decrease CFTR expression levels in CALU3 cells (5). To investigate whether CFTR remained insoluble to Nonidet P-40 after chronic smoke exposure, we utilized the protocol employed by Cantin et al.

(5) and exposed polarized CALU3 cells to smoke from 1 cigarette every 2 h for 8 h. After this time, CFTR gene expression was significantly reduced (Fig. 6E), and CFTR protein levels declined following lysis in Nonidet P-40 (Fig. 6F, G). However, CFTR protein AV-951 could be recovered after lysis in 10% SDS, suggesting that CFTR remained in a detergent-resistant fraction after 8 h of chronic CS exposure (Fig. 6F, G).

Previous studies have also reported significantly higher rates of

Previous studies have also reported significantly higher rates of cigarette smoking among those who use ST products relative to those who do not use ST (Tomar, Alpert, & Connolly, 2010). A considerable body of research has established the increased odds of cigarette smoking among those with histories of anxiety and depression (Grant et al., 2004; Wilhelm et al., 2006; Ziedonis most et al., 2008). Although studies examining ST use and psychiatric disorders are sparse, these associations appear weaker and less reliable than those observed in cigarette smoking (Goodwin et al., 2008). Consistent with other populations (Centers for Disease Control and Prevention, 2006; Howard-Pitney & Winkleby, 2002; Marcus et al., 1989; Nelson et al., 2006), males in both tribes were significantly more likely than females to use ST products.

The observation that 40% of women in the Northern Plains and 31% in the Southwest were classified as lifetime ST users is high. Among U.S. women, the percentage of current users of any tobacco product (cigarettes or ST) is the highest among American Indian/Alaska Natives (37.9%), followed by Native Hawaiians/Pacific Islanders (27%), Whites (26.6%), Blacks (25.4%), Hispanics (18.2%), and Asians (8.4%). High rates of ST use among American Indian women may be partially reflective of the cultural acceptance of tobacco and use of various tobacco products in ceremonial functions (Henderson, Jacobsen, Beals, & the AI-SUPERPFP Team, 2005; Hodge & Struthers, 2006). Further assessment of gender-specific attitudes and beliefs about tobacco use may help clarify additional reasons that underlie differential consumption rates across racial/ethnic groups.

In contrast to other studies, including those with American Indians and Alaska Natives (Redwood et al., 2010), education level did not differentiate users from nonusers in either tribe. Age was the only demographic characteristic associated with ST use that differed between the tribes. Users were more likely to be younger in the Northern Plains, which is a common pattern among lifetime (Bell et al., 2009; Howard-Pitney & Winkleby, 2002) and current ST users (Marcus et al., 1989; Nelson et al., 2006; Redwood et al., 2010). In contrast, lifetime ST use was associated with older age among those residing in the Southwest.

Interestingly, a previous study on correlates of cigarette smoking in the AI-SUPERPFP found that current smokers in the Southwest tended to be younger than nonsmokers, yet no age differences were found between smokers and nonsmokers in the Northern Plains (Henderson et al., 2005). It is unclear if age by tribe differences in lifetime ST use and cigarette smoking represents a meaningful finding or if these patterns can be replicated Dacomitinib in other American Indian cohorts. The tribes may vary in terms of age specific or generational beliefs and attitudes about different modes of tobacco administration.

Thus, even with the advent of advanced molecular methods, culture

Thus, even with the advent of advanced molecular methods, culture and isolation still remains inevitable for studying phenotypic and genotypic characteristics selleck inhibitor of strains of interest and for developing novel probiotics. Thus in order to provide stronger evidence when studying complex microbiotas, we opted for combining culture-dependent and -independent methods. The present study investigated the successional gut microbiota establishment during the neonatal stage in seven healthy, exclusively breast-fed neonates delivered vaginally at term, using a comprehensive analysis approach complementing anaerobic culture with state-of-the-art molecular methods, Sanger sequencing, quantitative PCR (qPCR) and pyrosequencing. The bacterial composition in neonatal feces was compared to the composition in corresponding maternal feces.

Materials and Methods Participants Healthy mothers and their neonates, delivered vaginally at term and who were exclusively breast-fed over the neonatal period, were included in this human study. Exclusion criteria were any variables known to affect the balance of the gut microbiota in either mother or neonate, such as pre-term and caesarean delivery, gastrointestinal and immunological disorders, as well as drug administration (e.g. antibiotics, laxatives) during (mother or neonate) and at least four month prior (mother) to the neonatal period. Mothers-to-be were recruited at the University Children’s Hospital and the Hospital Zollikerberg, Zurich, Switzerland.

Ethics statement The study protocols were approved by the Ethics Committee of the University Children’s Hospital Zurich, Zurich, Switzerland and informed written consent was obtained from all participants, i.e. mothers-to-be, on behalf of themselves and their neonates. Sampling Neonatal and maternal feces were collected from seven mother-neonate pairs at three sampling points, between days 4�C6, 9�C14 and 25�C30 postnatal. Additionally, maternal fecal samples were collected between weeks 2�C8 antenatal. Due to the stringent inclusion Brefeldin_A criteria two mother-neonate pairs were excluded from the study after the first postnatal sampling point and 12 mothers-to-be after the prepartum sampling point. Fresh neonatal feces were collected from diapers provided with a sterile gauze inlay to prevent liquid absorption and were transferred into a fecal collection container, while mothers were asked to defecate directly into containers.

Recombination rate is shown in pale blue (TIFF) Click here for a

Recombination rate is shown in pale blue. (TIFF) Click here for additional data file.(1.1M, tiff) Figure S2 Regional association selleck chem plots of the most significant lung function�Cassociated loci among ever-smokers in SpiroMeta (A�CD). Statistical significance of each SNP on the ?log10 scale as a function of chromosome position (NCBI build 36). The sentinel SNP at each locus is shown in blue; the correlations (r2) of each of the surrounding SNPs to the sentinel SNP are shown in the indicated colours. The relevant trait (FEV1 or FEV1/FVC ratio) is indicated for each plot. Recombination rate is shown in pale blue. (TIF) Click here for additional data file.(982K, tif) Figure S3 Regional association plots of the most significant lung function�Cassociated loci (A�CG) after excluding genes identified in GWAS.

Statistical significance of each SNP on the ?log10 scale as a function of chromosome position (NCBI build 36). The sentinel SNP at each locus is shown in blue; the correlations (r2) of each of the surrounding SNPs to the sentinel SNP are shown in the indicated colours. The relevant trait (FEV1 or FEV1/FVC ratio) and whether it is in all individuals or ever-smokers is indicated for each plot. Recombination rate is shown in pale blue. (TIF) Click here for additional data file.(1.1M, tif) Text S1 The 104 relevant publications identified in the literature search. (DOC) Click here for additional data file.(317K, doc) Dataset S1 Complete FEV1 and FEV1/FVC association results for all individuals and separately for ever-smokers. (XLS) Click here for additional data file.(3.

7M, xls) Acknowledgments ALSPAC We thank the Sample Logistics and Genotyping Facilities at the Wellcome Trust Sanger Institute for generating the ALSPAC GWA data. B58C �C T1DGC We acknowledge use of the DNA from the British 1958 Birth Cohort collection, funded by the Medical Research Council and Wellcome Trust. We thank the Avon Longitudinal Study of Parents and Children laboratory in Bristol and the British 1958 Birth Cohort team, including S. Ring, R. Jones, M. Pembrey, W. McArdle, D.P.Strachan and P. Burton for preparing and providing the control DNA samples. NFBC1966 We thank Professor Paula Rantakallio (launch of NFBC1966 and 1986), Ms Outi Tornwall and Ms Minttu Jussila (DNA biobanking). ORCADES As a EUROSPAN partner, we thank Yurii Aulchenko, Department of Epidemiology, Erasmus University Medical Center and Anatoly V.

Kirichenko, Institute of Cytology and Genetics, Siberian Division of Russian Academy of Sciences, Novosibirsk, Russia for respectively performing imputation of the genotypic data and providing IT facilities. The ORCADES study would like to acknowledge the invaluable Carfilzomib contributions of Lorraine Anderson ([email protected]) and the research nurses in Orkney.

Statistical analysis was carried out with SPSS 13 0 software (SPS

Statistical analysis was carried out with SPSS 13.0 software (SPSS, Chicago, IL, United States). Statistically significant differences between groups were established using Fisher��s least significant difference test. P < 0.05 BML-275 was considered to be statistically significant. RESULTS Inhibition of tumor growth in PS-ASODN-treated mice Tumor volume and weight were significantly lower in the PS-ASODN group compared with the liposome negative control and saline groups (P < 0.01, Figure 2A and B). Tumor volume and weight in the imatinib group were slightly lower than in the liposome negative control and saline groups, but the difference was not significant (P > 0.05). Inhibition of tumor growth in the PS-ASODN group (59.437%) was significantly greater than in the imatinib (11.

071%) and liposome negative control groups (2.759%) (all relative to tumor growth observed in the saline control group, Figure Figure2C2C). Figure 2 Phosphorothioate antisense oligodeoxynucleotides mediated inhibition of tumor growth in human gastrointestinal stromal tumors (n = 10 tumors per group). Daily intra-tumor injection of phosphorothioate antisense oligodeoxynucleotides (PS-ASODN) and other … Effect of PS-ASODN on telomerase activity Telomerase activity was significantly repressed in the PS-ASODN group compared with the imatinib and liposome negative control groups (P < 0.01, Figure Figure3).3). As expected, administration of imatinib did not significantly affect telomerase activity compared with the liposome negative control group (P > 0.05).

Figure 3 Effect of phosphorothioate antisense oligodeoxynucleotides and other reagents on telomerase activity in gastrointestinal stromal tumors tissues (n = 10 tumors per group). bP < 0.01 vs tumors treated with phosphorothioate antisense oligodeoxynucleotides ... Effect of PS-ASODN on tumor cell apoptosis The percentage of apoptotic cells in tumors was determined by flow cytometry on day 28 after tumor implantation. Apoptosis was significantly higher in the PS-ASODN group (20.751% �� 0.789%) compared with the imatinib (1.637% �� 0.469%), liposome negative control, and saline groups (P < 0.01, Figure Figure4).4). There was no significant difference (P > 0.05) between the imatinib group and the liposome negative control and saline groups. Figure 4 Effect of phosphorothioate antisense oligodeoxynucleotides and other reagents on tumor cell apoptosis (n = 10 tumors per group).

bP < 0.01 vs liposome negative control and imatinib groups. 1: Liposome negative control group; 2: Imatinib group; ... Effect of PS-ASODN on bcl-2 expression OR the level of bcl-2 mRNA Agarose gel electrophoresis was Entinostat used to verify the lengths of the PCR amplification fragments, namely 235 bp for bcl-2 (encoding B-cell lymphoma protein 2) and 99 bp for ��-actin (Figure (Figure5).5). The level of bcl-2 mRNA was significantly downregulated (P < 0.

One aim of this study is to find and describe articles on methodo

One aim of this study is to find and describe articles on methodological issues concerning the incorporation of multiple types of study designs in systematic reviews on health care interventions. Another aim is to evaluate methods studies that have assessed whether reported effects differ by study types. Finally, we aimed to identify and JQ1 summarize qualitative evidence sufficient enough to guide finding and integrating the right research design for answering various clinical questions within systematic reviews of health care interventions. Methods While preparing this systematic review, we endorsed the PRISMA statement, adhered to its principles and conformed to its checklist (Table S1). Inclusion criteria We included articles reporting on how to integrate different study designs in systematic reviews of health care interventions.

We did not include articles merely describing advantages and disadvantages of various designs. We also included articles reporting different results of a particular outcome that depend on the type of design such as in a comparison of a randomized vs. a nonrandomized controlled design. Since we concentrated on the reporting of various study designs, we did not specify on the type of participants, interventions, comparisons, outcomes. Search strategy We searched PubMed, the Cochrane Database of Systematic Reviews, and the Cochrane Methodology Register on 31 March 2012. The search strategy is detailed in Table 1. Terms and syntax used for the search in PubMed were also used for the Cochrane Libarary.

The MeSH term “Randomized Controlled Trials as Topic”[MeSH] aims to specifically identify RCTs [9] while the MeSH term “Epidemiologic Studies”[Mesh] comprises Dacomitinib nonrandomized study designs [10]. We combined terms of the controlled vocabulary MeSH with text words. We searched PubMed and the Related citations function in PubMed tool to find some pertinent articles that appeared to represent the topic of the present revew. We adopted candidate text words reported by those articles in the title or the abstract to build a search strategy for nonrandomized or observational studies [11-13]. Table 1 Search strategy. Study selection We imported the bibliographic data of the search results into an EndNote X4 database. Two reviewers assessed independently title and/or abstract whether randomized controlled trials and nonrandomized studies were addressed at the same time in any type of article. Disagreements were resolved by discussion. Full texts were ordered if we agreed on potentially relevant references and if disagreements could not be resolved.

ABCG5 is a member of the ATP-binding cassette subfamily G and pla

ABCG5 is a member of the ATP-binding cassette subfamily G and plays a role in the efflux transport of cholesterol[36,37]. Its expression has been correlated with clinical melanoma progression and it is hypothesized to contribute to the refractoriness of metastatic cancer to chemotherapy[38]. these Indeed, specific targeting of ABCG5 with monoclonal antibodies appears to significantly inhibit cell growth. To date, ABCG5 does not appear to have been investigated in colorectal cancer, and moreover in tumor buds. However, our findings of ABCG5 expression in a considerable number of colorectal cancer tumor buds as well as an adverse prognosis in particular in patients with lymph node-negative disease suggests that the role of ABCG5 in colorectal pathogenesis warrants further investigation.

Our results of adverse prognosis in EpCAM-positive and ABCG5-positive patients may be to some extent affected by the lack of information regarding cancer treatment. Despite this limitation, the unfavorable outcome associated with EpCAM and, particularly with ABCG5-positivity was maintained in patients with lymph node-negative colorectal cancers who, by today��s treatment guidelines, are not generally considered for adjuvant chemotherapy[39]. The findings of this study regarding the prognostic value and expression of EpCAM and ABCG5 within colorectal tumor buds should be considered preliminary and require validation on independent patient cohorts. To summarize, in contrast to CD133, CD166, CD24, CD44s, CD90, and ALDH1, the expression of putative stem cell markers EpCAM and ABCG5 within the tumor buds of colorectal tumors are frequent events indicating poor prognosis.

In particular, patients with lymph node-negative disease expressing EpCAM or ABCG5 have a particularly unfavorable prognosis suggesting that the immunohistochemically analyzed EpCAM and ABCG5 in tumor buds may be useful biomarkers of poor outcome in this subgroup of patients. Further studies are necessary to address the important issue of whether EpCAM- or ABCG5-positive tumor buds indeed represent migrating colorectal CSC. COMMENTS Background Tumor budding at the invasive tumor front of colorectal cancer is recognized as an important independent prognostic factor. Several lines of evidence seem to suggest that tumor buds may to some extent represent malignant colorectal cancer stem cells because of their potential for migration and re-differentiation locally and at sites of metastasis. Research frontiers Phenotypic characterization of cancer stem cells is still debated although at least 8 putative stem cell markers have Brefeldin_A been suggested including CD166, CD44s, EpCAM, ALDH1, CD133, CD24, CD90, and ABCG5.

[11] Measurement of PgR improves predictability of hormone depend

[11] Measurement of PgR improves predictability of hormone dependency of a tumor, but this relationship remains imperfect. Retrospective clinical studies have demonstrated that only 70% of PgR-positive and 25�C30% of PgR-negative tumors respond to hormonal therapy.[12] Still, ER and PgR status at the time of breast cancer selleck kinase inhibitor surgery is used as a tissue cancer biomarker of both prognosis and hormone dependency to guide adjuvant therapy.[13] ER positivity is strongly associated with age at diagnosis, being more prevalent among post-menopausal women.[14] In the present study, hormonally dependent patients were exclusively post-menopausal with average age of 68.9 years. It is well known that breast tumors are less well differentiated among younger women. After evaluation of breast cancer in women of 35 years of age or younger, Rosen et al.

found a high incidence of poorly differentiated tumors (53%) and ER negative cancer.[15,16] In the present study, group 3 patients had average age of 59.7 years, while group 2 patients had average age of 57.5 years. Kollias et al. reported similar findings in an evaluation of 2897 women with breast cancer; higher nuclear grade and lympho-vascular invasion observed in women younger than 35 years of age when compared with older women.[17] In the present study, group 3 tumors were predominantly poorly differentiated (60%), while in group 1 tumors, this category was not observed; tumors were moderately differentiated in 63.33% of cases. Group 1 tumors were mostly of grade II (63.33%), and there was no grade III present. Mink et al.

showed no correlation between steroid ER and PgR expression and grading, but they showed a slight decrease of ER positive cancer with increasing tumor size.[18] In the present study, we observed intra-tumoral lymphatic invasion in similar percentage of all three groups of tumors (10�C17%). In the present study, peri-tumoral lymphatic invasion was slightly higher in group 3, but without statistical significance. Lymphocyte infiltration was also similar in all the three groups (��2 = 0.3; P = 0.856). Vascular invasion was not present in group 1 tumors, while in the other two groups it was present in 23% and 30% cases, respectively. Analyzed Brefeldin_A tumors mostly showed infiltrating borders in 70% of the cases. Their size did not show statistically significant difference in the analyzed groups (F = 2.22; P = 0.11). It is known that in patients with small tumors treated with adjuvant hormonal therapy, survival was significantly longer. No difference in the changes of surrounding breast tissue was found in the present study in all three groups. HER-2/neu gene amplification or protein overexpression is evident in 20�C30% of breast tumors and correlates with poor prognosis.