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An impor- tant recent study from the usa eastern cooperative oncology group has strongly suggested that in women with small t1n0m0 primary cancers who were over the age of 70 years buy apcalis sx 20mg otc erectile dysfunction at age of 30, had undergone total surgical excision by lumpectomy and also had er-positive tumours buy 20 mg apcalis sx with amex erectile dysfunction protocol book review, radiotherapy is entirely unnecessary, provided that they receive treatment for 5 years with tamoxifen see below .