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In non-invasive breast cancer, malignant cells remain confined to the ducts or lobules and do not invade the surrounding fatty or connective tissues, whereas invasive breast cancer is characterised by cancer cells breaching the ductal or lobular walls and infiltrating adjacent tissues (130) Molecular profiling has further divided breast cancer into four major subtypes: Luminal A, Luminal B, basal-like/triple negative, and HER2-enriched (131, 132) Luminal A tumours exhibit high expression of ER and PR, but low HER2 expression (133135) Luminal B tumours show lower ER and PR levels, variable HER2 expression, and elevated expression of proliferation-associated genes (135, 136)

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The transcriptomic divergence could simply reflect the difference between acute chemical shock and steady-state adaptation

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doi:10.1213/ANE.0000000000003335 Facco FL, Parker CB, Reddy UM, et al