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The improved outcome in the Italian series compared with other cohorts may have been partially related to the use of adjuvant hormonal therapy and chemotherapy, albeit without trastuzumab, in a sizeable proportion of patients ivermectin 3mg tabThe improved outcome in the Italian series compared with other cohorts may have been partially related to the use of adjuvant hormonal therapy and chemotherapy, albeit without trastuzumab, in a sizeable proportion of patients ivermectin 3mg tab