The GEICAM-9401 and SWOG-8814 studies showed a trend to inferior survival outcomes with concurrent tamoxifen and chemotherapy, but the results were not statistically significant in either study. 16 , 17 An Italian randomized trial evaluated concurrent or sequential tamoxifen administration with anthracycline-based adjuvant chemotherapy and suggested
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Combination chemotherapy and hormone therapy in patients with hormone receptor positive and HER2 negative metastatic breast cancer.
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