http://bmj.com/cgi/content/full/324/7339/0/e
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Chemoprevention with naturally occurring and synthetic agents shows promise
for preventing, arresting, and reversing cancer development.
Chemoprevention agents must have low toxicities compared with
chemotherapeutic agents used in cancer patients. In his clinical
review, Greenwald (p
714) recommends that doctors should identify patients at high
risk of cancer who might benefit from participation in
chemoprevention trials. Validation of surrogate end point biomarkers
is essential to reduce size and duration of chemoprevention trials.
Greenwald also recommends that doctors emphasise cancer prevention in
addition to cancer treatment and cure as it is a multistage disease,
not a single event.
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