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Encyclopedia of Cancer PDF

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ENCYCLOPEDIA OF CANCER THIRD EDITION EDITORS IN CHIEF Paolo Boffetta Tisch Cancer Institute Icahn School of Medicine at Mount Sinai New York, NY, United States Pierre Hainaut Cancer Biology, Faculty of Medicine, University Grenoble-Alpes Grenoble, France Institute for Advanced Biosciences, Inserm, CNRS, UGA Grenoble, France VOLUME 1 Amsterdam(cid:129)Boston(cid:129)Heidelberg(cid:129)London(cid:129)NewYork(cid:129)Oxford Paris(cid:129)SanDiego(cid:129)SanFrancisco(cid:129)Singapore(cid:129)Sydney(cid:129)Tokyo AcademicPressisanimprintofElsevier AcademicPressisanimprintofElsevier TheBoulevard,LangfordLane,Kidlington,OxfordOX51GB,UK 50HampshireSt,5thFloor,Cambridge,MA02139,USA Copyright(cid:1)2019ElsevierInc.unlessotherwisestated.Allrightsreserved. Nopartofthispublicationmaybereproducedortransmittedinanyformorbyanymeans,electronicormechanical,includingphoto- copying,recording,oranyinformationstorageandretrievalsystem,withoutpermissioninwritingfromthepublisher.Detailsonhowto seekpermission,furtherinformationaboutthePublisher’spermissionspoliciesandourarrangementswithorganizationssuchasthe CopyrightClearanceCenterandtheCopyrightLicensingAgency,canbefoundatourwebsite:www.elsevier.com/permissions. ThisbookandtheindividualcontributionscontainedinitareprotectedundercopyrightbythePublisher(otherthanasmaybenoted herein). Notices Knowledgeandbestpracticeinthisfieldareconstantlychanging.Asnewresearchandexperiencebroadenourunderstanding,changesin researchmethods,professionalpractices,ormedicaltreatmentmaybecomenecessary. Practitionersandresearchersmayalwaysrelyontheirownexperienceandknowledgeinevaluatingandusinganyinformation,methods, compounds,orexperimentsdescribedherein.Inusingsuchinformationormethodstheyshouldbemindfuloftheirownsafetyandthe safetyofothers,includingpartiesforwhomtheyhaveaprofessionalresponsibility. Tothefullestextentofthelaw,neitherthePublishernortheauthors,contributors,oreditors,assumeanyliabilityforanyinjuryand/or damagetopersonsorpropertyasamatterofproductsliability,negligenceorotherwise,orfromanyuseoroperationofanymethods, products,instructions,orideascontainedinthematerialherein. LibraryofCongressCataloging-in-PublicationData AcatalogrecordforthisbookisavailablefromtheLibraryofCongress BritishLibraryCataloguing-in-PublicationData AcataloguerecordforthisbookisavailablefromtheBritishLibrary ISBN978-0-12-812484-0 Forinformationonallpublicationsvisitourwebsite athttp://store.elsevier.com Publisher:OliverWalter AcquisitionEditor:SamCrowe ContentProjectManager:KateMiklaszewska-Gorczyca Designer:MatthewLimbert PrintedandboundintheUnitedStates EDITORS IN CHIEF PaoloBoffetta,MD,MPH,graduatedinMedicinefromtheUniversityofTurinandobtainedaMaster inPublicHealthfromColumbiaUniversity.HeworkedattheAmericanCancerSociety,theInterna- tionalAgencyforResearchonCancer,aspecializedagencyoftheWorldHealthOrganizationlocated in Lyon, France, and at the German Cancer Research Center in Heidelberg, Germany. In 2010 he movedtoIcahnSchoolofMedicineatMountSinai,NewYork,whereheisProfessorofMedicine, Global Health, Oncological Sciences, and Preventive Medicine, and Associate Director for Global OncologyoftheTischCancerInstitute,aNCI-designatedCancerCenter. Dr.BoffettaalsoholdsafullprofessorshipattheUniversityofBolognaandadjunctappointments atHarvardSchoolofPublicHealth,VanderbiltUniversity,CatholicUniversityofRome,andUniver- sityofSouthCarolina.Since2017heisSeniorAdvisorforResearchatVinmecHealthSystem.His mainfieldsofresearcharecancerepidemiologyandcancerprevention,withemphasisonmodifiable riskfactors(environmentalexposureandpersonalbehaviors),gene–environmentinteractions,molec- ularepidemiology,andevidenceintegration.Heistheinitiatorandcoordinatorofseverallarge-scale international consortia of molecular cancer epidemiology studies, including ILCCO (lung cancer), INHANCE(headandneckcancer),PANC4(pancreaticcancer),StoP(stomachcancer),andILCEC (livercancer). Dr.Boffettaistheeditororassociateeditorof5scientificjournalsandmemberoftheeditorialboardof10additionaljournals;heis amemberofreviewpanelsofNIHandseveralmedicalresearchagenciesinEurope.Hehasedited13booksandisEditorinChiefof theneweditionofElsevier’sEncyclopediaofCancer.Hehaspublishedover1250peer-reviewedpublications;hispublicationshavebeen quotedmorethan90000times;hish-indexis148. Pierre Hainaut is Professor of Exceptional Class in Cancer Biology at University Grenoble-Alpes, FranceandDirectoroftheInstituteofAdvancedBiosciences(IAB),ajointresearchcenterofInstitut NationaldelaSantéetdelaRechercheMédicale(Inserm),CentreNationaldelaRechercheScientifi- que (CNRS), and University Grenoble-Alpes. He also heads the IAB research team on Molecular BiologyandBiomarkers. PierreHainautholdsaPhDinBiology(Zoology)fromUniversityofLiège,Belgium(1987).After postdocsinNice(France,1988–90),Cambridge,andYork(UnitedKingdom,1990–94),hejoinedthe InternationalAgencyforResearchonCancer(IARC,WorldHealthOrganization)in1995,wherehe heldthepostofHeadofMolecularCarcinogenesisfrom1999to2011.In2012,hejoinedtheInter- nationalPreventionResearchInstitute(Lyon,France)andbecameProfessorattheStrathclydeInstitute ofPharmacyandBiomedicalScience(Glasgow,UnitedKingdom).In2014,hewasawardedaChairof ExcellenceinTranslationalResearchfromUniversityGrenoble-Alpes(Grenoble,France). HisresearchfocusesonTP53mutationsandp53proteinregulationincancerandchronicdiseases. From1994to2011,hehasledthedevelopmentoftheinternationalIARCTP53database,asourceof information on the causes and consequences of mutations affecting the TP53 suppressor gene in cancer.HisworkaddressesthemechanismsofTP53mutagenesisaswellastheprognosticandpredic- tivesignificanceofTP53mutationsinlung,liver,andoesophagealcancers.Hisstudiesonp53regulationhavefocusedontheroleofenvi- ronmentalmutagensinTP53mutagenesis,onthebiochemicalmechanismsofp53controlbyoxidation-reductionandbymetabolism,and ontheidentificationofp53isoformsasfactorsactingasdominantinhibitorsofp53functionsincancerswithoutTP53mutations.His currentactivitiesfocusongermlineTP53mutationandonthediversityofgeneticandnongeneticfactorsthatmodulatethepenetrance oftheLi–FraumeniSyndrome,aswellasonthemechanismsthatmaintainoptimalp53proteinbalanceincellsandtissuesoverlifetime. Heistheauthorofover450publicationsand50bookchapters.HeisEditoroftheCancerBiologysectionofCurrentOpinioninOncology.He hasco-editedbooksonp53(25Yearsofp53Research,2005,2007,p53intheClinics,Springer),atextbookonmolecularepidemiology(Molec- ularEpidemiology:PrincipleandPractice,IARCPress,2011)andtwo-volumetextbookonhumanbiobanking(HumanBiobanking,Principleand Practice,2017,2018). v EDITORIAL BOARD Fred T. Bosman Instituteof Pathology University of Lausanne Medical Center (CHUV) Lausanne,Switzerland Graham A. Colditz Alvin J. Siteman Cancer Center and InstituteforPublicHealth Washington University School of Medicine St. Louis, MO, UnitedStates BarnesJewishHospital St. Louis, MO, UnitedStates Division of Public Health Sciences, Department of Surgery Washington University School of Medicine St. Louis, MO, UnitedStates Carlo La Vecchia Department of Clinical Sciencesand Community Health University of Milan Milan,Italy Gerd P. Pfeifer Center forEpigenetics Van Andel Research Institute Grand Rapids, MI, United States Marco Pierotti IFOM/Cogentech Milan,Italy Thomas Tursz University of Paris-Sud Orsay, France Institut Gustave Roussy Villejuif, France vii SECTION EDITORS FredT.BosmanMDPhD,studiedMedicineattheUniversityofLeiden(MD1971),wherehealso earnedhisPhDdegree(incytogenetics,1976),andtrainedasapathologist.Hewasstaffpathologist at the University of Leiden, Professor and Chair of Pathology at the Faculty of Medicine of the UniversityofMaastricht,FacultyofMedicineoftheErasmusUniversityinRotterdam,Directorof theUniversityInstituteofPathology,andProfessorofPathologyattheUniversityMedicalCenter (CHUV)ofLausanneinSwitzerland,nowemeritus.HeisHonoraryFellowoftheRoyalCollegeof Pathologists(UnitedKingdom)andforeigncorrespondentoftheRoyalNetherlandsAcademyof Sciences. FredBosman’sresearchactivities(combiningdiagnosticandexperimentalpathology)focused on the biology of digestive tract cancer, notably Barrett’s esophagus and colorectal cancer, with astrongemphasisonthedevelopmentofmoleculardiagnostics.Hehaswrittenover350original publicationsandover50bookchapters.FredBosmanwasSeriesco-editorofthe4theditionofthe WHOSeriesClassificationofHumanTumours,theinternationalstandardfortumorclassification,and co-editoroftheVolumeonTumoursoftheDigestiveTract. GrahamA.Colditz,MD,DrPH,FAFPHM,isaninternationallyrecognizedleaderincancerpreven- tion.Asanepidemiologistandpublichealthexpert,hehasalongstandinginterestintheprevent- ablecausesofchronicdisease,particularlyamongwomen.Hefocuseshisresearchonearlylifeand adolescent lifestyle, growth, andbreastcancerrisk.He is alsointerestedin approachestospeed translation of research findings into prevention strategies that work. Dr. Colditz developed the award-winningYourDiseaseRiskwebsite(www.yourdiseaserisk.wustl.edu)whichcommunicates tailoredpreventionmessagestothepublic.Hehaspublishedover1100peer-reviewedpublications, sixbooksandsixreportsfortheInstituteofMedicine,NationalAcademyofSciences.Hish-indexis over220. InOctober2006,onthebasisofprofessionalachievementandcommitmenttopublichealth, Dr.ColditzwaselectedtomembershipoftheNationalAcademyofMedicine,anindependentbody that advises the US governmenton issues affecting publichealth. In 2011,he was awarded the American Cancer Society Medal of Honor for cancer control research. In 2012 he received the AACR-AmericanCancerSocietyAwardforResearchExcellenceinCancerEpidemiologyandPreven- tion.Healsoreceivedawardsin2014forcancerpreventionresearchfromASCOandfromAACR. During2016heservedontheImplementationScienceWorkGroupoftheBlue-RibbonPanelto advisetheNationalCancerMoonshot.Hereceivedthe2018DanielP.SchusterAwardforDistinguishedWorkinClinicalandTranslational Science,WashingtonUniversitySchoolofMedicine.HewasalsoelectedasaFellow,AmericanAssociationfortheAdvancementofScience CarloLaVecchiareceivedhisMDfromtheUniversityofMilanandaMasterofSciencedegreein Medicine(epidemiology)fromOxfordUniversity.Presently,heisProfessorofMedicalStatistics andEpidemiologyattheFacultyofMedicineattheUniversityofMilan.Dr.LaVecchiaservesas an editor for numerous clinical and epidemiologic journals. He is among the most renowned andproductiveepidemiologistsinthefieldwithover2040peer-reviewedpapersintheliterature and is among the most highly cited medical researchers in the world, according to ISI HighlyCited.com,thedeveloperandpublisheroftheScienceCitationIndex(2003,2017,Hindex 153,H10index1543,secondItalianinClinicalMedicine).Dr.LaVecchiaisAdjunctProfessorof MedicineatVanderbiltMedicalCenterandtheVanderbilt-IngramCancerCenter(2002-18). ix x Section Editors Gerd.P.PfeiferreceivedaPhDdegreeinbiochemistryfromGoetheUniversityinFrankfurt,Ger- many.Afterpostdoctoraltraining,hebecameafacultymemberattheBeckmanResearchInstitute oftheCityofHopeinDuarte,California,wherehespentmuchofhiscareerworkingoncancer research.In2014,Dr.PfeiferjoinedthenewCenterforEpigeneticsattheVanAndelResearchInsti- tuteinGrandRapids,MI,UnitedStates,asaProfessorofEpigenetics.Dr.Pfeiferhasauthoredmore than300publications,hasheldanNIHMERITaward,andwaselectedFellowoftheAmericanAsso- ciationfortheAdvancementofSciencein2015.ResearchinDr.Pfeifer’slaboratoryhasbeencon- cernedwithgeneticandepigeneticmechanismsofhumancarcinogenesis,withemphasisonDNA methylationandgenetictoxicology. MarcoAlessandroPierottigraduatedin1973inBiologicalSciencesattheUniversityofMilan,Italy, andstartedworkingattheFondazioneIRCCSIstitutoNazionaledeiTumori(INT)inMilan.From 1978to1980hewasVisitingInvestigatorattheLaboratoryofChemicalCancerogenesisoftheNCI- NIH Bethesda(MD, United States) and Postdoctoral Research Fellow at the Laboratory of Viral Oncology of the Memorial Sloan-Kettering Institute in New York. In 2006, Dr. Pierotti was appointed Scientific Director of the Fondazione IRCCS Istituto Nazionale dei Tumori in Milan, where,since1970,hehadalreadyheldvariouspositions,includingDirectoroftheDepartment ofExperimentalOncology. Since1988,hehasbeenProfessorofMolecularGeneticsofCanceratthePostgraduateSchoolof Oncology,UniversityofMilanMedicalSchoolandco-directoroftheLaboratoryofMolecularDiag- nosisattheINT.InSeptember2014heresignedfromhispositionatINTtotakethepositionof PresidentandCEOofNervianoMedicalSciences(NMS)srl,oneofthebiggestoncologicalpharma companiesinEurope.InApril2015heleftthecompanyandtookthepositionofScientificCoor- dinatoroftheInstituteofPediatricResearches(IRP)inPadua,Italy,devotedtostudymolecular aspectsofthemainpediatricdiseaseswithparticularfocusonpediatriconco-hematology.TheInsti- tutewascreatedbyaprivateCharity,TheCityofHopeFoundationofMonteMalo(Vi). Since2000heisSeniorGroupleaderoftheMolecularGeneticsofCancergroupattheInstitute FIRCofMolecularOncology(IFOM,Milan).PastPresident(2006–08)oftheItalianCancerSociety,Dr.PierottiisamemberoftheAmerican AssociationforCancerResearchandofitsAdvisoryBoardandtheLaboratoryResearchAwardsSelectionCommittee.HehasalsobeenPres- ident(2006–08)oftheEuropeanAssociationforCancerResearch(EACR)andinthisrolewasamongthefoundersoftheEuropeanCanCer Organisation(ECCO)wherehewasappointedasmemberofthePolicyCommittee. Inrecentyears,hewastheItalianRepresentativeattheScientificCommitteeoftheInternationalAgencyforResearchonCancer(IARC), Lyon.From2006to2014hewasScientificSecretaryofAlleanzaControilCancro(ACC),promotedbytheItalianMinistryofHealth.In 2008hewasMemberof theEvaluation oftheResearchProgramFunctionalandStructural Genomicsfor DKFZ.He wasanexpertfor theOncologyResearchProjectsoftheEuropeanCommunityandwasaconsultantinoncologyresearchfortheMinistriesofResearchof differentCountries.From2006to2014hewasChairoftheregionalProject,TheRegionLombardyOncologicalNetwork(ROL),selected in2014bytheECasoneofthebestexamplesofoncologicalnetwork.HisappointmentsintheOrganisationofEuropeanCancerInstitutes (OECI)startedin2007whenhetookthepositionofVice-President.From2008hewasthePresident-electandthenthePresidentofthe Organization.Finally,in2014hewasappointedOECIExecutiveSecretary. Overtheyears,Dr.PierottihasbeenPrincipalInvestigatororHeadofseveralnationalandinternationalresearchgrants,fundedbyboth privateandpublicbodies.Hisauthorshipincludesover470publicationsthatdealwithvariousaspectofexperimentaloncologyincluding studiesonimmunology,biochemistry,andmolecularbiologyusingbothexperimentalandhumantumors. In addition, since its fifth edition he is the first author of the chapter on “Oncogenes” in the most reputed textbook Cancer Medicine (Holland-Frei). The metrics of his scientific activity is summarized by an H index of 96 and total citations of 37.256 (Google scholar June2018). Section Editors xi ProfessorThomasTursz,borninKraków,Poland,in1946,diedinParis,France,onApril272018. HewasProfessorofOncologyattheFacultyofMedicineParis-Sudsince1986andGeneralDirector oftheInstitutGustaveRoussy(1994–2010).HewastheleaderoftheFrenchDoctoralSchoolof Oncologywhichhefoundedin1999,andPresidentoftheFrenchFederationofComprehensive AnticancerCentres(FNCLCC)from2004to2010.HewashighlyinvolvedintheEuropeanOrga- nizationfortheResearchandTreatmentofCancer(EORTC)asbothChairmanoftheScientific AdvisoryCommittee(2003–06)andVicePresidentoftheBoard(2006–09).HisexperienceasPres- identoftheFNCLCCwascrucialfortheOrganizationofEuropeanCancerInstitutes(OECI)when heactedasPresidentfrom2002to2005. His scientific interests included the biology of virus-induced tumors, as well as immunological responsesincludingtheroleofthioredoxininlymphocytesinfectedbyEpstein–Barrvirus.Inthe clinical research area, he conducted a number of important clinical trials in breast cancer, lung cancer,and soft-tissuesarcoma.He hadaparticularinterestin cytokines andgenetherapy,and his clinical researchactivities were further disseminated to theEuropean level whenhe was the ChairmanoftheSarcomaGroupoftheEORTC(1993–96). Prof.Turszreceivedseveralprestigiousawards,suchasthePrixdeCancérologiefromtheFrench NationalLeagueAgainstCancer(1979),theBernardHalpernImmunologyAward(1983),theRosenOncologyAward(1989),theGrand PrixinOncologyfromtheAcademyofMedicine(1992),theHamiltonFairleyAwardforclinicalresearch(1998),andthePrixdeRayonne- mentFrançais(2001).Hewastheauthorof350internationalscientificpublications.HewasalsoanesteemedmemberoftheEditorial BoardofMolecularOncologyeversinceitscreationin2007. ModifiedfromUlrikRingborgandJulioE.Celis.ThomasTursz(1946–2018)in:MolecularOncology(2018).PublishedbyFEBSPressand JohnWiley&SonsLtd.https://doi.org/10.1002/1878-0261.12361 CONTRIBUTORS TO ALL VOLUMES Rachel Abbotts Christina Bamia University of Maryland School of Medicine, Baltimore, NationalandKapodistrianUniversityofAthens,Athens, MD, United States Greece Ludmil B Alexandrov Thomas D Bannister University of California San Diego, San Diego, CA, TheScrippsResearchInstitute,Jupiter,FL,UnitedStates United States Michael Baumann Geneviève Almouzni German Cancer Research Center (DKFZ), Heidelberg, Institut Curie, PSL Research University, CNRS, Equipe Germany; and Technical University of Dresden, Labellisée Ligue contre le Cancer, Paris, France; and Dresden, Germany Sorbonne University, UPMC Univ Paris 06, CNRS, Paris, France Daniel Baumhoer University Hospital Basel, Basel, Switzerland Fatima Ameer University of the Punjab, Lahore, Pakistan Aditya Bele University of Florida, Gainesville, FL, United States Volker M Arlt MRC-PHE Centre for Environment and Health, King’s Richard L Bennett College London, London, United Kingdom; and NIHR University of Florida, Gainesville, FL, United States Health Protection Research Unit in Health Impact of Environmental Hazards at King’s College London in Anton Berns partnership with Public Health England, London, Oncode Institute, Division of Molecular Genetics, United Kingdom The Netherlands Cancer Institute, Amsterdam, The Netherlands Elena Arrigoni University of Pisa, Pisa, Italy Venkaiah Betapudi US Army Medical Research Institute of Chemical Sylvia L Asa Defense, Aberdeen Proving Ground, MD, United States University Health Network and University of Toronto, Toronto, ON, Canada Joydeep Bhadury Caroline Aspord The University of Tokyo, Tokyo, Japan Institute for Advanced Biosciences, Immunobiology and Justin A Bishop Immunotherapy in Chronic Diseases Team, Inserm U University of Texas Southwestern Medical Center, 1209, CNRS UMR 5309, University Grenoble Alpes, Dallas, TX, United States Grenoble, France Stefania Boccia Livia S A Augustin Institute of Public Health, Catholic University of the National Cancer Institute IRCCS G. Pascale Sacred Heart, Fondazione Policlinico “Agostino Foundation, Naples, Italy; and Clinical Nutrition and Gemelli”, Rome, Italy Risk Factor Modification Centre, St Michael’s Hospital, Toronto, On, Canada Stefan K Bohlander University of Auckland, Auckland, New Zealand Rameshwar N K Bamezai National Centre of Applied Human Genetics, School of Lubor Borsig Life Sciences, Jawaharlal Nehru University, New Delhi, University of Zurich and Zurich Center for Integrative India Human Physiology, Zurich, Switzerland xiii xiv Contributors toAll Volumes Fred T Bosman Dhyan Chandra Institute of Pathology, University of Lausanne Medical Pharmacology and Therapeutics, Roswell Park Center (CHUV), Lausanne, Switzerland Comprehensive Cancer Center, Buffalo, NY, United States Ekaterina Bourova-Flin University of Grenoble Alpes, Grenoble, France Laurence Chaperot Institute for Advanced Biosciences, Immunobiology and Mariana Brandão Immunotherapy in Chronic Diseases Team, Inserm U University of Porto, Porto, Portugal; and Institute Jules 1209, CNRS UMR 5309, University Grenoble Alpes, Bordet, Brussels, Belgium Grenoble, France Kristen D Brantley Harvard T.H. Chan School of Public Health, Boston, Adrian K Charles MA, United States Sidra Medicine, Doha, Qatar Thomas Brenn Harvey Checkoway University of Calgary, Calgary, AB, Canada; and UniversityofCaliforniaSanDiego,LaJolla,CA,United Alberta Health Services, Calgary, AB, Canada States Jan Buckner Sai-Juan Chen Mayo Clinic, Rochester, MN, United States State Key Laboratory of Medical Genomics, Shanghai InstituteofHematology,RuiJinHospital,ShanghaiJiao Januario B Cabral-Neto Tong University School of Medicine, Shanghai, China Federal University of Rio de Janeiro, Rio de Janeiro, Brazil Zhu Chen Jean Cadet State Key Laboratory of Medical Genomics, Shanghai University of Sherbrooke, Sherbrooke, QC, Canada InstituteofHematology,RuiJinHospital,ShanghaiJiao Tong University School of Medicine, Shanghai, China Laia Caja Uppsala University, Uppsala, Sweden Nai-Kong V Cheung Memorial Sloan-Kettering Cancer Center, New York, Ilaria Calabrese NY, United States University of Naples Federico II, Naples, Italy Jennifer Choe Elías Campo Duke University School of Medicine, Durham, NC, University of Barcelona, Barcelona, Spain United States Kaixiang Cao Northwestern University, Chicago, IL, United States Edward Chow Odette Cancer Centre, Sunnybrook Health Sciences Fátima Carneiro Centre, Toronto, ON, Canada; and University of São João Hospital, Porto, Portugal; and University of Toronto, Toronto, ON, Canada Porto (FMUP), Porto, Portugal Ying-Hsia Chu Francesca Carozzi The University of Wisconsin School of Medicine and ISPO, Cancer Prevention and Research Institute, Public Health, Madison, WI, United States Florence, Italy Fabio Ciccarone France Carrier University of Rome “Tor Vergata”, Rome, Italy University of Maryland, Baltimore, MD, United States Maria Rosa Ciriolo Carla Carrilho University of Rome “Tor Vergata”, Rome, Italy HospitalCentralofMaputo,Maputo,Mozambique;and University Eduardo Mondlane, Maputo, Mozambique Graham A Colditz Alvin J. Siteman Cancer Center and Institute for Public Nathalie Cassoux Health, Washington University School of Medicine, Institut Curie, Paris, France St. Louis, MO, United States JoAnn C Castelli Laura C Collopy University of California San Francisco, San Francisco, University College London, London, United Kingdom CA, United States

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