Abstract
are the implications of such bias and potential undertreatment of older women? One immediate consequence of omission of radiation may be the potential for older women to develop recurrences later in life when they may be less able to withstand intervention. This concern may be ameliorated by use of hormonal therapy among the women who are estrogen receptor positive and have small tumors because results of a recent clinical trial and a large observational study suggest that radiation may be omitted in this group. 7,8
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