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Comment to “Effect of primary tumor extirpation in breast cancer patients who present with stage IV disease and intact primary tumor” by G V Babiera, R Rao, L Feng, F Meric-Bernstam, H M Kuerer, S E Singletary, K K Hunt, M I Ross, K M Gwyn, B W Feig, F C Ames, G N Horthobagyi. Ann Surg Oncol 2006;13:776–782

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