RT Journal A1 Antman KH, Heitjan DF, Hortobagyi GN T1 HIgh-dose chemotherapy for breast cancer JF JAMA JO JAMA YR 1999 FD November 10 VO 282 IS 18 SP 1701 OP 1703 DO 10.1001/jama.282.18.1701 UL http://dx.doi.org/10.1001/jama.282.18.1701 AB While screening has resulted in a higher percentage of patients with early stage disease and improved survival, mortality at 10 years exceed 60% for those with 10 or more involved lymph nodes or large primary tumors. Virtually all patients who initially present with or later develop metastatic breast cancer ultimately die of their disease.3- 4