id	sid	tid	token	lemma	pos
ajtas-3258	1	1	american	american	PROPN
ajtas-3258	1	2	journal	journal	PROPN
ajtas-3258	1	3	of	of	ADP
ajtas-3258	1	4	technology	technology	NOUN
ajtas-3258	1	5	and	and	CCONJ
ajtas-3258	1	6	applied	apply	VERB
ajtas-3258	1	7	sciences	sciences	PROPN
ajtas-3258	1	8	issn	issn	X
ajtas-3258	1	9	(	(	PUNCT
ajtas-3258	1	10	e	e	NOUN
ajtas-3258	1	11	):	):	PUNCT
ajtas-3258	1	12	2832	2832	NUM
ajtas-3258	1	13	-	-	SYM
ajtas-3258	1	14	1766	1766	NUM
ajtas-3258	1	15	volume	volume	NOUN
ajtas-3258	1	16	43	43	NUM
ajtas-3258	1	17	,	,	PUNCT
ajtas-3258	1	18	december	december	PROPN
ajtas-3258	1	19	2025	2025	NUM
ajtas-3258	1	20	p	p	NOUN
ajtas-3258	2	1	a	a	DET
ajtas-3258	2	2	g	g	NOUN
ajtas-3258	2	3	e	e	NOUN
ajtas-3258	2	4	|	|	ADV
ajtas-3258	2	5	61	61	NUM
ajtas-3258	2	6	www.americanjournal.org	www.americanjournal.org	NOUN
ajtas-3258	2	7	increased	increase	VERB
ajtas-3258	2	8	incidence	incidence	NOUN
ajtas-3258	2	9	of	of	ADP
ajtas-3258	2	10	breast	breast	NOUN
ajtas-3258	2	11	cancer	cancer	NOUN
ajtas-3258	2	12	in	in	ADP
ajtas-3258	2	13	women	woman	NOUN
ajtas-3258	2	14	aged	age	VERB
ajtas-3258	2	15	20–40	20–40	NUM
ajtas-3258	2	16	:	:	PUNCT
ajtas-3258	2	17	risk	risk	NOUN
ajtas-3258	2	18	factors	factor	NOUN
ajtas-3258	2	19	,	,	PUNCT
ajtas-3258	2	20	modern	modern	ADJ
ajtas-3258	2	21	diagnostic	diagnostic	ADJ
ajtas-3258	2	22	and	and	CCONJ
ajtas-3258	2	23	treatment	treatment	NOUN
ajtas-3258	2	24	trends	trend	NOUN
ajtas-3258	2	25	rahmonaliyeva	rahmonaliyeva	PROPN
ajtas-3258	2	26	mokhitabon	mokhitabon	PROPN
ajtas-3258	2	27	zohidjon	zohidjon	PROPN
ajtas-3258	2	28	kizi	kizi	PROPN
ajtas-3258	2	29	4th	4th	ADJ
ajtas-3258	2	30	year	year	NOUN
ajtas-3258	2	31	student	student	NOUN
ajtas-3258	2	32	of	of	ADP
ajtas-3258	2	33	the	the	DET
ajtas-3258	2	34	faculty	faculty	NOUN
ajtas-3258	2	35	of	of	ADP
ajtas-3258	2	36	medicine	medicine	PROPN
ajtas-3258	2	37	emu	emu	PROPN
ajtas-3258	2	38	university	university	PROPN
ajtas-3258	2	39	a	a	DET
ajtas-3258	2	40	b	b	PROPN
ajtas-3258	2	41	s	s	ADP
ajtas-3258	2	42	t	t	PROPN
ajtas-3258	2	43	r	r	NOUN
ajtas-3258	2	44	a	a	DET
ajtas-3258	2	45	c	c	NOUN
ajtas-3258	2	46	t	t	NOUN
ajtas-3258	2	47	k	k	X
ajtas-3258	2	48	e	e	PROPN
ajtas-3258	2	49	y	y	PROPN
ajtas-3258	2	50	w	w	NOUN
ajtas-3258	3	1	o	o	NOUN
ajtas-3258	3	2	r	r	NOUN
ajtas-3258	3	3	d	d	X
ajtas-3258	3	4	s	s	VERB
ajtas-3258	3	5	the	the	DET
ajtas-3258	3	6	incidence	incidence	NOUN
ajtas-3258	3	7	of	of	ADP
ajtas-3258	3	8	breast	breast	NOUN
ajtas-3258	3	9	cancer	cancer	NOUN
ajtas-3258	3	10	among	among	ADP
ajtas-3258	3	11	women	woman	NOUN
ajtas-3258	3	12	aged	age	VERB
ajtas-3258	3	13	20–40	20–40	NUM
ajtas-3258	3	14	has	have	AUX
ajtas-3258	3	15	shown	show	VERB
ajtas-3258	3	16	a	a	DET
ajtas-3258	3	17	significant	significant	ADJ
ajtas-3258	3	18	upward	upward	ADJ
ajtas-3258	3	19	trend	trend	NOUN
ajtas-3258	3	20	over	over	ADP
ajtas-3258	3	21	the	the	DET
ajtas-3258	3	22	past	past	ADJ
ajtas-3258	3	23	two	two	NUM
ajtas-3258	3	24	decades	decade	NOUN
ajtas-3258	3	25	,	,	PUNCT
ajtas-3258	3	26	making	make	VERB
ajtas-3258	3	27	early	early	ADJ
ajtas-3258	3	28	-	-	PUNCT
ajtas-3258	3	29	onset	onset	NOUN
ajtas-3258	3	30	breast	breast	NOUN
ajtas-3258	3	31	malignancies	malignancy	NOUN
ajtas-3258	3	32	an	an	DET
ajtas-3258	3	33	emerging	emerge	VERB
ajtas-3258	3	34	global	global	ADJ
ajtas-3258	3	35	health	health	NOUN
ajtas-3258	3	36	challenge	challenge	NOUN
ajtas-3258	3	37	.	.	PUNCT
ajtas-3258	4	1	this	this	DET
ajtas-3258	4	2	article	article	NOUN
ajtas-3258	4	3	examines	examine	VERB
ajtas-3258	4	4	the	the	DET
ajtas-3258	4	5	multifactorial	multifactorial	ADJ
ajtas-3258	4	6	risk	risk	NOUN
ajtas-3258	4	7	determinants	determinant	NOUN
ajtas-3258	4	8	contributing	contribute	VERB
ajtas-3258	4	9	to	to	ADP
ajtas-3258	4	10	this	this	DET
ajtas-3258	4	11	rise	rise	NOUN
ajtas-3258	4	12	,	,	PUNCT
ajtas-3258	4	13	including	include	VERB
ajtas-3258	4	14	genetic	genetic	ADJ
ajtas-3258	4	15	predisposition	predisposition	NOUN
ajtas-3258	4	16	,	,	PUNCT
ajtas-3258	4	17	lifestyle	lifestyle	NOUN
ajtas-3258	4	18	and	and	CCONJ
ajtas-3258	4	19	environmental	environmental	ADJ
ajtas-3258	4	20	exposures	exposure	NOUN
ajtas-3258	4	21	,	,	PUNCT
ajtas-3258	4	22	reproductive	reproductive	ADJ
ajtas-3258	4	23	patterns	pattern	NOUN
ajtas-3258	4	24	,	,	PUNCT
ajtas-3258	4	25	and	and	CCONJ
ajtas-3258	4	26	hormonal	hormonal	ADJ
ajtas-3258	4	27	influences	influence	NOUN
ajtas-3258	4	28	.	.	PUNCT
ajtas-3258	5	1	modern	modern	ADJ
ajtas-3258	5	2	diagnostic	diagnostic	ADJ
ajtas-3258	5	3	advances	advance	NOUN
ajtas-3258	5	4	such	such	ADJ
ajtas-3258	5	5	as	as	ADP
ajtas-3258	5	6	breast	breast	NOUN
ajtas-3258	5	7	mri	mri	NOUN
ajtas-3258	5	8	,	,	PUNCT
ajtas-3258	5	9	high	high	ADJ
ajtas-3258	5	10	-	-	PUNCT
ajtas-3258	5	11	resolution	resolution	NOUN
ajtas-3258	5	12	ultrasound	ultrasound	NOUN
ajtas-3258	5	13	,	,	PUNCT
ajtas-3258	5	14	molecular	molecular	ADJ
ajtas-3258	5	15	profiling	profiling	NOUN
ajtas-3258	5	16	,	,	PUNCT
ajtas-3258	5	17	artificial	artificial	ADJ
ajtas-3258	5	18	intelligence	intelligence	NOUN
ajtas-3258	5	19	–	–	PUNCT
ajtas-3258	5	20	assisted	assist	VERB
ajtas-3258	5	21	imaging	imaging	NOUN
ajtas-3258	5	22	and	and	CCONJ
ajtas-3258	5	23	liquid	liquid	ADJ
ajtas-3258	5	24	biopsy	biopsy	NOUN
ajtas-3258	5	25	technologies	technology	NOUN
ajtas-3258	5	26	are	be	AUX
ajtas-3258	5	27	analyzed	analyze	VERB
ajtas-3258	5	28	as	as	ADP
ajtas-3258	5	29	key	key	ADJ
ajtas-3258	5	30	tools	tool	NOUN
ajtas-3258	5	31	for	for	ADP
ajtas-3258	5	32	early	early	ADJ
ajtas-3258	5	33	and	and	CCONJ
ajtas-3258	5	34	precise	precise	ADJ
ajtas-3258	5	35	detection	detection	NOUN
ajtas-3258	5	36	in	in	ADP
ajtas-3258	5	37	younger	young	ADJ
ajtas-3258	5	38	patients	patient	NOUN
ajtas-3258	5	39	.	.	PUNCT
ajtas-3258	6	1	breast	breast	NOUN
ajtas-3258	6	2	cancer	cancer	NOUN
ajtas-3258	6	3	,	,	PUNCT
ajtas-3258	6	4	young	young	ADJ
ajtas-3258	6	5	women	woman	NOUN
ajtas-3258	6	6	,	,	PUNCT
ajtas-3258	6	7	early	early	ADJ
ajtas-3258	6	8	-	-	PUNCT
ajtas-3258	6	9	onset	onset	NOUN
ajtas-3258	6	10	cancer	cancer	NOUN
ajtas-3258	6	11	,	,	PUNCT
ajtas-3258	6	12	risk	risk	NOUN
ajtas-3258	6	13	factors	factor	NOUN
ajtas-3258	6	14	,	,	PUNCT
ajtas-3258	6	15	brca	brca	PROPN
ajtas-3258	6	16	mutations	mutation	NOUN
ajtas-3258	6	17	,	,	PUNCT
ajtas-3258	6	18	modern	modern	ADJ
ajtas-3258	6	19	diagnostics	diagnostic	NOUN
ajtas-3258	6	20	.	.	PUNCT
ajtas-3258	7	1	introduction	introduction	NOUN
ajtas-3258	7	2	breast	breast	NOUN
ajtas-3258	7	3	cancer	cancer	NOUN
ajtas-3258	7	4	,	,	PUNCT
ajtas-3258	7	5	historically	historically	ADV
ajtas-3258	7	6	considered	consider	VERB
ajtas-3258	7	7	a	a	DET
ajtas-3258	7	8	disease	disease	NOUN
ajtas-3258	7	9	predominant	predominant	ADJ
ajtas-3258	7	10	in	in	ADP
ajtas-3258	7	11	older	old	ADJ
ajtas-3258	7	12	women	woman	NOUN
ajtas-3258	7	13	,	,	PUNCT
ajtas-3258	7	14	has	have	AUX
ajtas-3258	7	15	shown	show	VERB
ajtas-3258	7	16	a	a	DET
ajtas-3258	7	17	worrying	worry	VERB
ajtas-3258	7	18	shift	shift	NOUN
ajtas-3258	7	19	in	in	ADP
ajtas-3258	7	20	epidemiological	epidemiological	ADJ
ajtas-3258	7	21	patterns	pattern	NOUN
ajtas-3258	7	22	over	over	ADP
ajtas-3258	7	23	the	the	DET
ajtas-3258	7	24	last	last	ADJ
ajtas-3258	7	25	two	two	NUM
ajtas-3258	7	26	decades	decade	NOUN
ajtas-3258	7	27	,	,	PUNCT
ajtas-3258	7	28	with	with	ADP
ajtas-3258	7	29	a	a	DET
ajtas-3258	7	30	noticeable	noticeable	ADJ
ajtas-3258	7	31	rise	rise	NOUN
ajtas-3258	7	32	in	in	ADP
ajtas-3258	7	33	incidence	incidence	NOUN
ajtas-3258	7	34	among	among	ADP
ajtas-3258	7	35	young	young	ADJ
ajtas-3258	7	36	women	woman	NOUN
ajtas-3258	7	37	aged	age	VERB
ajtas-3258	7	38	20–40	20–40	NUM
ajtas-3258	7	39	.	.	PUNCT
ajtas-3258	8	1	this	this	DET
ajtas-3258	8	2	trend	trend	NOUN
ajtas-3258	8	3	represents	represent	VERB
ajtas-3258	8	4	a	a	DET
ajtas-3258	8	5	significant	significant	ADJ
ajtas-3258	8	6	clinical	clinical	ADJ
ajtas-3258	8	7	and	and	CCONJ
ajtas-3258	8	8	public	public	ADJ
ajtas-3258	8	9	-	-	PUNCT
ajtas-3258	8	10	health	health	NOUN
ajtas-3258	8	11	concern	concern	NOUN
ajtas-3258	8	12	,	,	PUNCT
ajtas-3258	8	13	as	as	SCONJ
ajtas-3258	8	14	early	early	ADJ
ajtas-3258	8	15	-	-	PUNCT
ajtas-3258	8	16	onset	onset	NOUN
ajtas-3258	8	17	breast	breast	NOUN
ajtas-3258	8	18	cancer	cancer	NOUN
ajtas-3258	8	19	frequently	frequently	ADV
ajtas-3258	8	20	demonstrates	demonstrate	VERB
ajtas-3258	8	21	more	more	ADV
ajtas-3258	8	22	aggressive	aggressive	ADJ
ajtas-3258	8	23	biological	biological	ADJ
ajtas-3258	8	24	behavior	behavior	NOUN
ajtas-3258	8	25	,	,	PUNCT
ajtas-3258	8	26	carries	carry	VERB
ajtas-3258	8	27	a	a	DET
ajtas-3258	8	28	higher	high	ADJ
ajtas-3258	8	29	risk	risk	NOUN
ajtas-3258	8	30	of	of	ADP
ajtas-3258	8	31	recurrence	recurrence	NOUN
ajtas-3258	8	32	,	,	PUNCT
ajtas-3258	8	33	and	and	CCONJ
ajtas-3258	8	34	often	often	ADV
ajtas-3258	8	35	affects	affect	VERB
ajtas-3258	8	36	women	woman	NOUN
ajtas-3258	8	37	at	at	ADP
ajtas-3258	8	38	the	the	DET
ajtas-3258	8	39	peak	peak	NOUN
ajtas-3258	8	40	of	of	ADP
ajtas-3258	8	41	their	their	PRON
ajtas-3258	8	42	reproductive	reproductive	ADJ
ajtas-3258	8	43	,	,	PUNCT
ajtas-3258	8	44	social	social	ADJ
ajtas-3258	8	45	,	,	PUNCT
ajtas-3258	8	46	and	and	CCONJ
ajtas-3258	8	47	economic	economic	ADJ
ajtas-3258	8	48	productivity	productivity	NOUN
ajtas-3258	8	49	.	.	PUNCT
ajtas-3258	9	1	understanding	understand	VERB
ajtas-3258	9	2	the	the	DET
ajtas-3258	9	3	factors	factor	NOUN
ajtas-3258	9	4	driving	drive	VERB
ajtas-3258	9	5	this	this	DET
ajtas-3258	9	6	increase	increase	NOUN
ajtas-3258	9	7	,	,	PUNCT
ajtas-3258	9	8	alongside	alongside	ADP
ajtas-3258	9	9	advances	advance	NOUN
ajtas-3258	9	10	in	in	ADP
ajtas-3258	9	11	diagnostic	diagnostic	ADJ
ajtas-3258	9	12	strategies	strategy	NOUN
ajtas-3258	9	13	and	and	CCONJ
ajtas-3258	9	14	evolving	evolve	VERB
ajtas-3258	9	15	treatment	treatment	NOUN
ajtas-3258	9	16	paradigms	paradigm	NOUN
ajtas-3258	9	17	,	,	PUNCT
ajtas-3258	9	18	is	be	AUX
ajtas-3258	9	19	essential	essential	ADJ
ajtas-3258	9	20	for	for	ADP
ajtas-3258	9	21	improving	improve	VERB
ajtas-3258	9	22	outcomes	outcome	NOUN
ajtas-3258	9	23	in	in	ADP
ajtas-3258	9	24	this	this	DET
ajtas-3258	9	25	population	population	NOUN
ajtas-3258	10	1	[	[	X
ajtas-3258	10	2	1	1	NUM
ajtas-3258	10	3	]	]	PUNCT
ajtas-3258	10	4	.	.	PUNCT
ajtas-3258	11	1	mаtеriаls	mаtеriаls	PROPN
ajtas-3258	11	2	аnd	аnd	PROPN
ajtas-3258	11	3	mеthоds	mеthоds	PROPN
ajtas-3258	11	4	the	the	DET
ajtas-3258	11	5	rise	rise	NOUN
ajtas-3258	11	6	in	in	ADP
ajtas-3258	11	7	breast	breast	NOUN
ajtas-3258	11	8	cancer	cancer	NOUN
ajtas-3258	11	9	among	among	ADP
ajtas-3258	11	10	younger	young	ADJ
ajtas-3258	11	11	women	woman	NOUN
ajtas-3258	11	12	is	be	AUX
ajtas-3258	11	13	influenced	influence	VERB
ajtas-3258	11	14	by	by	ADP
ajtas-3258	11	15	a	a	DET
ajtas-3258	11	16	complex	complex	ADJ
ajtas-3258	11	17	interplay	interplay	NOUN
ajtas-3258	11	18	of	of	ADP
ajtas-3258	11	19	genetic	genetic	ADJ
ajtas-3258	11	20	,	,	PUNCT
ajtas-3258	11	21	lifestyle	lifestyle	NOUN
ajtas-3258	11	22	,	,	PUNCT
ajtas-3258	11	23	environmental	environmental	ADJ
ajtas-3258	11	24	,	,	PUNCT
ajtas-3258	11	25	and	and	CCONJ
ajtas-3258	11	26	hormonal	hormonal	ADJ
ajtas-3258	11	27	determinants	determinant	NOUN
ajtas-3258	11	28	.	.	PUNCT
ajtas-3258	12	1	genetic	genetic	ADJ
ajtas-3258	12	2	predisposition	predisposition	NOUN
ajtas-3258	12	3	remains	remain	VERB
ajtas-3258	12	4	one	one	NUM
ajtas-3258	12	5	of	of	ADP
ajtas-3258	12	6	the	the	DET
ajtas-3258	12	7	most	most	ADV
ajtas-3258	12	8	decisive	decisive	ADJ
ajtas-3258	12	9	factors	factor	NOUN
ajtas-3258	12	10	;	;	PUNCT
ajtas-3258	12	11	mutations	mutation	NOUN
ajtas-3258	12	12	in	in	ADP
ajtas-3258	12	13	brca1	brca1	PROPN
ajtas-3258	12	14	,	,	PUNCT
ajtas-3258	12	15	brca2	brca2	PROPN
ajtas-3258	12	16	,	,	PUNCT
ajtas-3258	12	17	tp53	tp53	PROPN
ajtas-3258	12	18	,	,	PUNCT
ajtas-3258	12	19	palb2	palb2	NOUN
ajtas-3258	12	20	and	and	CCONJ
ajtas-3258	12	21	other	other	ADJ
ajtas-3258	12	22	hereditary	hereditary	ADJ
ajtas-3258	12	23	cancer	cancer	NOUN
ajtas-3258	12	24	genes	gene	NOUN
ajtas-3258	12	25	significantly	significantly	ADV
ajtas-3258	12	26	elevate	elevate	VERB
ajtas-3258	12	27	lifetime	lifetime	NOUN
ajtas-3258	12	28	risk	risk	NOUN
ajtas-3258	12	29	,	,	PUNCT
ajtas-3258	12	30	with	with	ADP
ajtas-3258	12	31	carriers	carrier	NOUN
ajtas-3258	12	32	often	often	ADV
ajtas-3258	12	33	presenting	present	VERB
ajtas-3258	12	34	before	before	ADP
ajtas-3258	12	35	age	age	NOUN
ajtas-3258	12	36	40	40	NUM
ajtas-3258	12	37	.	.	PUNCT
ajtas-3258	13	1	however	however	ADV
ajtas-3258	13	2	,	,	PUNCT
ajtas-3258	13	3	genetics	genetic	NOUN
ajtas-3258	13	4	alone	alone	ADV
ajtas-3258	13	5	do	do	AUX
ajtas-3258	13	6	not	not	PART
ajtas-3258	13	7	explain	explain	VERB
ajtas-3258	13	8	the	the	DET
ajtas-3258	13	9	epidemiological	epidemiological	ADJ
ajtas-3258	13	10	shift	shift	NOUN
ajtas-3258	13	11	.	.	PUNCT
ajtas-3258	14	1	lifestyle	lifestyle	NOUN
ajtas-3258	14	2	-	-	PUNCT
ajtas-3258	14	3	related	relate	VERB
ajtas-3258	14	4	risk	risk	NOUN
ajtas-3258	14	5	factors	factor	NOUN
ajtas-3258	14	6	have	have	AUX
ajtas-3258	14	7	expanded	expand	VERB
ajtas-3258	14	8	in	in	ADP
ajtas-3258	14	9	scope	scope	NOUN
ajtas-3258	14	10	:	:	PUNCT
ajtas-3258	14	11	increasing	increase	VERB
ajtas-3258	14	12	rates	rate	NOUN
ajtas-3258	14	13	of	of	ADP
ajtas-3258	14	14	obesity	obesity	NOUN
ajtas-3258	14	15	and	and	CCONJ
ajtas-3258	14	16	metabolic	metabolic	NOUN
ajtas-3258	14	17	syndrome	syndrome	NOUN
ajtas-3258	14	18	among	among	ADP
ajtas-3258	14	19	younger	young	ADJ
ajtas-3258	14	20	women	woman	NOUN
ajtas-3258	14	21	,	,	PUNCT
ajtas-3258	14	22	early	early	ADJ
ajtas-3258	14	23	exposure	exposure	NOUN
ajtas-3258	14	24	to	to	ADP
ajtas-3258	14	25	environmental	environmental	ADJ
ajtas-3258	14	26	endocrine	endocrine	NOUN
ajtas-3258	14	27	disruptors	disruptor	NOUN
ajtas-3258	14	28	,	,	PUNCT
ajtas-3258	14	29	excessive	excessive	ADJ
ajtas-3258	14	30	alcohol	alcohol	NOUN
ajtas-3258	14	31	consumption	consumption	NOUN
ajtas-3258	14	32	,	,	PUNCT
ajtas-3258	14	33	chronic	chronic	ADJ
ajtas-3258	14	34	stress	stress	NOUN
ajtas-3258	14	35	,	,	PUNCT
ajtas-3258	14	36	physical	physical	ADJ
ajtas-3258	14	37	inactivity	inactivity	NOUN
ajtas-3258	14	38	,	,	PUNCT
ajtas-3258	14	39	and	and	CCONJ
ajtas-3258	14	40	sleep	sleep	NOUN
ajtas-3258	14	41	pattern	pattern	NOUN
ajtas-3258	14	42	disturbances	disturbance	NOUN
ajtas-3258	14	43	all	all	PRON
ajtas-3258	14	44	contribute	contribute	VERB
ajtas-3258	14	45	to	to	ADP
ajtas-3258	14	46	higher	high	ADJ
ajtas-3258	14	47	susceptibility	susceptibility	NOUN
ajtas-3258	14	48	.	.	PUNCT
ajtas-3258	15	1	reproductive	reproductive	ADJ
ajtas-3258	15	2	behaviors	behavior	NOUN
ajtas-3258	15	3	american	american	PROPN
ajtas-3258	15	4	journal	journal	PROPN
ajtas-3258	15	5	of	of	ADP
ajtas-3258	15	6	technology	technology	NOUN
ajtas-3258	15	7	and	and	CCONJ
ajtas-3258	15	8	applied	apply	VERB
ajtas-3258	15	9	sciences	science	NOUN
ajtas-3258	15	10	43	43	NUM
ajtas-3258	15	11	,	,	PUNCT
ajtas-3258	15	12	december	december	PROPN
ajtas-3258	15	13	2025	2025	NUM
ajtas-3258	15	14	p	p	NOUN
ajtas-3258	15	15	a	a	DET
ajtas-3258	15	16	g	g	NOUN
ajtas-3258	15	17	e	e	NOUN
ajtas-3258	15	18	|	|	ADV
ajtas-3258	15	19	62	62	NUM
ajtas-3258	15	20	www.americanjournal.org	www.americanjournal.org	NOUN
ajtas-3258	15	21	have	have	AUX
ajtas-3258	15	22	also	also	ADV
ajtas-3258	15	23	changed	change	VERB
ajtas-3258	15	24	globally	globally	ADV
ajtas-3258	15	25	—	—	PUNCT
ajtas-3258	15	26	later	later	ADV
ajtas-3258	15	27	age	age	NOUN
ajtas-3258	15	28	at	at	ADP
ajtas-3258	15	29	first	first	ADJ
ajtas-3258	15	30	pregnancy	pregnancy	NOUN
ajtas-3258	15	31	,	,	PUNCT
ajtas-3258	15	32	reduced	reduce	VERB
ajtas-3258	15	33	breastfeeding	breastfeeding	NOUN
ajtas-3258	15	34	duration	duration	NOUN
ajtas-3258	15	35	,	,	PUNCT
ajtas-3258	15	36	increased	increase	VERB
ajtas-3258	15	37	use	use	NOUN
ajtas-3258	15	38	of	of	ADP
ajtas-3258	15	39	hormonal	hormonal	ADJ
ajtas-3258	15	40	contraceptives	contraceptive	NOUN
ajtas-3258	15	41	,	,	PUNCT
ajtas-3258	15	42	and	and	CCONJ
ajtas-3258	15	43	rising	rise	VERB
ajtas-3258	15	44	infertility	infertility	NOUN
ajtas-3258	15	45	rates	rate	NOUN
ajtas-3258	15	46	—	—	PUNCT
ajtas-3258	15	47	all	all	PRON
ajtas-3258	15	48	of	of	ADP
ajtas-3258	15	49	which	which	PRON
ajtas-3258	15	50	modify	modify	VERB
ajtas-3258	15	51	cumulative	cumulative	ADJ
ajtas-3258	15	52	hormonal	hormonal	ADJ
ajtas-3258	15	53	exposure	exposure	NOUN
ajtas-3258	15	54	,	,	PUNCT
ajtas-3258	15	55	ultimately	ultimately	ADV
ajtas-3258	15	56	elevating	elevate	VERB
ajtas-3258	15	57	risk	risk	NOUN
ajtas-3258	15	58	.	.	PUNCT
ajtas-3258	16	1	furthermore	furthermore	ADV
ajtas-3258	16	2	,	,	PUNCT
ajtas-3258	16	3	early	early	ADJ
ajtas-3258	16	4	menarche	menarche	NOUN
ajtas-3258	16	5	,	,	PUNCT
ajtas-3258	16	6	irregular	irregular	ADJ
ajtas-3258	16	7	ovulatory	ovulatory	ADJ
ajtas-3258	16	8	cycles	cycle	NOUN
ajtas-3258	16	9	,	,	PUNCT
ajtas-3258	16	10	and	and	CCONJ
ajtas-3258	16	11	estrogen	estrogen	NOUN
ajtas-3258	16	12	-	-	PUNCT
ajtas-3258	16	13	dominant	dominant	ADJ
ajtas-3258	16	14	hormonal	hormonal	ADJ
ajtas-3258	16	15	profiles	profile	NOUN
ajtas-3258	16	16	observed	observe	VERB
ajtas-3258	16	17	in	in	ADP
ajtas-3258	16	18	many	many	ADJ
ajtas-3258	16	19	young	young	ADJ
ajtas-3258	16	20	patients	patient	NOUN
ajtas-3258	16	21	present	present	VERB
ajtas-3258	16	22	additional	additional	ADJ
ajtas-3258	16	23	biological	biological	ADJ
ajtas-3258	16	24	vulnerability	vulnerability	NOUN
ajtas-3258	16	25	[	[	X
ajtas-3258	16	26	2	2	NUM
ajtas-3258	16	27	]	]	PUNCT
ajtas-3258	16	28	.	.	PUNCT
ajtas-3258	17	1	rеsults	rеsults	PROPN
ajtas-3258	17	2	аnd	аnd	PROPN
ajtas-3258	17	3	disсussiоn	disсussiоn	PROPN
ajtas-3258	17	4	modern	modern	ADJ
ajtas-3258	17	5	diagnostic	diagnostic	ADJ
ajtas-3258	17	6	strategies	strategy	NOUN
ajtas-3258	17	7	have	have	AUX
ajtas-3258	17	8	adapted	adapt	VERB
ajtas-3258	17	9	to	to	ADP
ajtas-3258	17	10	the	the	DET
ajtas-3258	17	11	unique	unique	ADJ
ajtas-3258	17	12	challenges	challenge	NOUN
ajtas-3258	17	13	of	of	ADP
ajtas-3258	17	14	detecting	detect	VERB
ajtas-3258	17	15	breast	breast	NOUN
ajtas-3258	17	16	cancer	cancer	NOUN
ajtas-3258	17	17	in	in	ADP
ajtas-3258	17	18	younger	young	ADJ
ajtas-3258	17	19	women	woman	NOUN
ajtas-3258	17	20	.	.	PUNCT
ajtas-3258	18	1	dense	dense	ADJ
ajtas-3258	18	2	breast	breast	NOUN
ajtas-3258	18	3	tissue	tissue	NOUN
ajtas-3258	18	4	,	,	PUNCT
ajtas-3258	18	5	more	more	ADV
ajtas-3258	18	6	common	common	ADJ
ajtas-3258	18	7	in	in	ADP
ajtas-3258	18	8	this	this	DET
ajtas-3258	18	9	age	age	NOUN
ajtas-3258	18	10	group	group	NOUN
ajtas-3258	18	11	,	,	PUNCT
ajtas-3258	18	12	decreases	decrease	VERB
ajtas-3258	18	13	the	the	DET
ajtas-3258	18	14	sensitivity	sensitivity	NOUN
ajtas-3258	18	15	of	of	ADP
ajtas-3258	18	16	traditional	traditional	ADJ
ajtas-3258	18	17	mammography	mammography	NOUN
ajtas-3258	18	18	,	,	PUNCT
ajtas-3258	18	19	often	often	ADV
ajtas-3258	18	20	delaying	delay	VERB
ajtas-3258	18	21	diagnosis	diagnosis	NOUN
ajtas-3258	18	22	.	.	PUNCT
ajtas-3258	19	1	as	as	ADP
ajtas-3258	19	2	a	a	DET
ajtas-3258	19	3	result	result	NOUN
ajtas-3258	19	4	,	,	PUNCT
ajtas-3258	19	5	imaging	imaging	NOUN
ajtas-3258	19	6	approaches	approach	NOUN
ajtas-3258	19	7	increasingly	increasingly	ADV
ajtas-3258	19	8	rely	rely	VERB
ajtas-3258	19	9	on	on	ADP
ajtas-3258	19	10	ultrasound	ultrasound	ADJ
ajtas-3258	19	11	and	and	CCONJ
ajtas-3258	19	12	contrast	contrast	NOUN
ajtas-3258	19	13	-	-	PUNCT
ajtas-3258	19	14	enhanced	enhance	VERB
ajtas-3258	19	15	mri	mri	NOUN
ajtas-3258	19	16	,	,	PUNCT
ajtas-3258	19	17	which	which	PRON
ajtas-3258	19	18	provide	provide	VERB
ajtas-3258	19	19	higher	high	ADJ
ajtas-3258	19	20	sensitivity	sensitivity	NOUN
ajtas-3258	19	21	for	for	ADP
ajtas-3258	19	22	dense	dense	ADJ
ajtas-3258	19	23	tissue	tissue	NOUN
ajtas-3258	19	24	and	and	CCONJ
ajtas-3258	19	25	early	early	ADJ
ajtas-3258	19	26	lesions	lesion	NOUN
ajtas-3258	19	27	.	.	PUNCT
ajtas-3258	20	1	artificial	artificial	ADJ
ajtas-3258	20	2	intelligence	intelligence	NOUN
ajtas-3258	20	3	has	have	AUX
ajtas-3258	20	4	also	also	ADV
ajtas-3258	20	5	begun	begin	VERB
ajtas-3258	20	6	to	to	PART
ajtas-3258	20	7	improve	improve	VERB
ajtas-3258	20	8	lesion	lesion	NOUN
ajtas-3258	20	9	detection	detection	NOUN
ajtas-3258	20	10	and	and	CCONJ
ajtas-3258	20	11	reduce	reduce	VERB
ajtas-3258	20	12	false	false	ADJ
ajtas-3258	20	13	-	-	PUNCT
ajtas-3258	20	14	negative	negative	ADJ
ajtas-3258	20	15	rates	rate	NOUN
ajtas-3258	20	16	.	.	PUNCT
ajtas-3258	21	1	the	the	DET
ajtas-3258	21	2	integration	integration	NOUN
ajtas-3258	21	3	of	of	ADP
ajtas-3258	21	4	genomics	genomic	NOUN
ajtas-3258	21	5	into	into	ADP
ajtas-3258	21	6	diagnostics	diagnostic	NOUN
ajtas-3258	21	7	has	have	AUX
ajtas-3258	21	8	shifted	shift	VERB
ajtas-3258	21	9	the	the	DET
ajtas-3258	21	10	paradigm	paradigm	NOUN
ajtas-3258	21	11	from	from	ADP
ajtas-3258	21	12	morphology	morphology	NOUN
ajtas-3258	21	13	-	-	PUNCT
ajtas-3258	21	14	based	base	VERB
ajtas-3258	21	15	assessment	assessment	NOUN
ajtas-3258	21	16	to	to	ADP
ajtas-3258	21	17	molecular	molecular	ADJ
ajtas-3258	21	18	profiling	profiling	NOUN
ajtas-3258	21	19	:	:	PUNCT
ajtas-3258	21	20	gene	gene	NOUN
ajtas-3258	21	21	-	-	PUNCT
ajtas-3258	21	22	expression	expression	NOUN
ajtas-3258	21	23	panels	panel	NOUN
ajtas-3258	21	24	(	(	PUNCT
ajtas-3258	21	25	such	such	ADJ
ajtas-3258	21	26	as	as	ADP
ajtas-3258	21	27	oncotype	oncotype	PROPN
ajtas-3258	21	28	dx	dx	PROPN
ajtas-3258	21	29	,	,	PUNCT
ajtas-3258	21	30	mammaprint	mammaprint	NOUN
ajtas-3258	21	31	,	,	PUNCT
ajtas-3258	21	32	and	and	CCONJ
ajtas-3258	21	33	prosigna	prosigna	NOUN
ajtas-3258	21	34	)	)	PUNCT
ajtas-3258	21	35	enable	enable	VERB
ajtas-3258	21	36	risk	risk	NOUN
ajtas-3258	21	37	stratification	stratification	NOUN
ajtas-3258	21	38	,	,	PUNCT
ajtas-3258	21	39	recurrence	recurrence	NOUN
ajtas-3258	21	40	prediction	prediction	NOUN
ajtas-3258	21	41	,	,	PUNCT
ajtas-3258	21	42	and	and	CCONJ
ajtas-3258	21	43	personalization	personalization	NOUN
ajtas-3258	21	44	of	of	ADP
ajtas-3258	21	45	adjuvant	adjuvant	ADJ
ajtas-3258	21	46	therapy	therapy	NOUN
ajtas-3258	21	47	.	.	PUNCT
ajtas-3258	22	1	liquid	liquid	ADJ
ajtas-3258	22	2	biopsy	biopsy	NOUN
ajtas-3258	22	3	technologies	technology	NOUN
ajtas-3258	22	4	,	,	PUNCT
ajtas-3258	22	5	though	though	SCONJ
ajtas-3258	22	6	still	still	ADV
ajtas-3258	22	7	developing	develop	VERB
ajtas-3258	22	8	,	,	PUNCT
ajtas-3258	22	9	offer	offer	VERB
ajtas-3258	22	10	promising	promising	ADJ
ajtas-3258	22	11	prospects	prospect	NOUN
ajtas-3258	22	12	for	for	ADP
ajtas-3258	22	13	early	early	ADJ
ajtas-3258	22	14	detection	detection	NOUN
ajtas-3258	22	15	through	through	ADP
ajtas-3258	22	16	circulating	circulate	VERB
ajtas-3258	22	17	tumor	tumor	NOUN
ajtas-3258	22	18	dna	dna	PROPN
ajtas-3258	22	19	(	(	PUNCT
ajtas-3258	22	20	ctdna	ctdna	NOUN
ajtas-3258	22	21	)	)	PUNCT
ajtas-3258	22	22	,	,	PUNCT
ajtas-3258	22	23	enabling	enable	VERB
ajtas-3258	22	24	monitoring	monitoring	NOUN
ajtas-3258	22	25	of	of	ADP
ajtas-3258	22	26	minimal	minimal	ADJ
ajtas-3258	22	27	residual	residual	ADJ
ajtas-3258	22	28	disease	disease	NOUN
ajtas-3258	22	29	and	and	CCONJ
ajtas-3258	22	30	early	early	ADJ
ajtas-3258	22	31	relapse	relapse	NOUN
ajtas-3258	22	32	.	.	PUNCT
ajtas-3258	23	1	these	these	DET
ajtas-3258	23	2	diagnostic	diagnostic	ADJ
ajtas-3258	23	3	innovations	innovation	NOUN
ajtas-3258	23	4	together	together	ADV
ajtas-3258	23	5	reflect	reflect	VERB
ajtas-3258	23	6	a	a	DET
ajtas-3258	23	7	decisive	decisive	ADJ
ajtas-3258	23	8	move	move	NOUN
ajtas-3258	23	9	toward	toward	ADP
ajtas-3258	23	10	precision	precision	NOUN
ajtas-3258	23	11	oncology	oncology	NOUN
ajtas-3258	23	12	.	.	PUNCT
ajtas-3258	24	1	treatment	treatment	NOUN
ajtas-3258	24	2	strategies	strategy	NOUN
ajtas-3258	24	3	for	for	ADP
ajtas-3258	24	4	early	early	ADJ
ajtas-3258	24	5	-	-	PUNCT
ajtas-3258	24	6	onset	onset	NOUN
ajtas-3258	24	7	breast	breast	NOUN
ajtas-3258	24	8	cancer	cancer	NOUN
ajtas-3258	24	9	are	be	AUX
ajtas-3258	24	10	also	also	ADV
ajtas-3258	24	11	undergoing	undergo	VERB
ajtas-3258	24	12	rapid	rapid	ADJ
ajtas-3258	24	13	evolution	evolution	NOUN
ajtas-3258	24	14	,	,	PUNCT
ajtas-3258	24	15	shaped	shape	VERB
ajtas-3258	24	16	by	by	ADP
ajtas-3258	24	17	the	the	DET
ajtas-3258	24	18	need	need	NOUN
ajtas-3258	24	19	for	for	ADP
ajtas-3258	24	20	aggressive	aggressive	ADJ
ajtas-3258	24	21	disease	disease	NOUN
ajtas-3258	24	22	control	control	NOUN
ajtas-3258	24	23	balanced	balance	VERB
ajtas-3258	24	24	with	with	ADP
ajtas-3258	24	25	fertility	fertility	NOUN
ajtas-3258	24	26	preservation	preservation	NOUN
ajtas-3258	24	27	and	and	CCONJ
ajtas-3258	24	28	long	long	ADJ
ajtas-3258	24	29	-	-	PUNCT
ajtas-3258	24	30	term	term	NOUN
ajtas-3258	24	31	quality	quality	NOUN
ajtas-3258	24	32	of	of	ADP
ajtas-3258	24	33	life	life	NOUN
ajtas-3258	24	34	.	.	PUNCT
ajtas-3258	25	1	younger	young	ADJ
ajtas-3258	25	2	patients	patient	NOUN
ajtas-3258	25	3	more	more	ADV
ajtas-3258	25	4	commonly	commonly	ADV
ajtas-3258	25	5	present	present	ADJ
ajtas-3258	25	6	with	with	ADP
ajtas-3258	25	7	triple	triple	ADJ
ajtas-3258	25	8	-	-	PUNCT
ajtas-3258	25	9	negative	negative	ADJ
ajtas-3258	25	10	and	and	CCONJ
ajtas-3258	25	11	her2	her2	NOUN
ajtas-3258	25	12	-	-	PUNCT
ajtas-3258	25	13	positive	positive	ADJ
ajtas-3258	25	14	subtypes	subtype	NOUN
ajtas-3258	25	15	,	,	PUNCT
ajtas-3258	25	16	both	both	DET
ajtas-3258	25	17	of	of	ADP
ajtas-3258	25	18	which	which	PRON
ajtas-3258	25	19	demand	demand	NOUN
ajtas-3258	25	20	tailored	tailor	VERB
ajtas-3258	25	21	systemic	systemic	ADJ
ajtas-3258	25	22	therapy	therapy	NOUN
ajtas-3258	25	23	.	.	PUNCT
ajtas-3258	26	1	neoadjuvant	neoadjuvant	ADJ
ajtas-3258	26	2	chemotherapy	chemotherapy	NOUN
ajtas-3258	26	3	has	have	AUX
ajtas-3258	26	4	become	become	VERB
ajtas-3258	26	5	standard	standard	ADJ
ajtas-3258	26	6	for	for	ADP
ajtas-3258	26	7	many	many	ADJ
ajtas-3258	26	8	young	young	ADJ
ajtas-3258	26	9	patients	patient	NOUN
ajtas-3258	26	10	,	,	PUNCT
ajtas-3258	26	11	as	as	SCONJ
ajtas-3258	26	12	it	it	PRON
ajtas-3258	26	13	increases	increase	VERB
ajtas-3258	26	14	breast	breast	NOUN
ajtas-3258	26	15	-	-	PUNCT
ajtas-3258	26	16	conservation	conservation	NOUN
ajtas-3258	26	17	rates	rate	NOUN
ajtas-3258	26	18	,	,	PUNCT
ajtas-3258	26	19	facilitates	facilitate	VERB
ajtas-3258	26	20	pathological	pathological	ADJ
ajtas-3258	26	21	complete	complete	ADJ
ajtas-3258	26	22	response	response	NOUN
ajtas-3258	26	23	assessment	assessment	NOUN
ajtas-3258	26	24	,	,	PUNCT
ajtas-3258	26	25	and	and	CCONJ
ajtas-3258	26	26	informs	inform	VERB
ajtas-3258	26	27	post	post	ADJ
ajtas-3258	26	28	-	-	ADJ
ajtas-3258	26	29	surgical	surgical	ADJ
ajtas-3258	26	30	treatment	treatment	NOUN
ajtas-3258	26	31	decisions	decision	NOUN
ajtas-3258	26	32	[	[	X
ajtas-3258	26	33	3	3	NUM
ajtas-3258	26	34	]	]	PUNCT
ajtas-3258	26	35	.	.	PUNCT
ajtas-3258	27	1	for	for	ADP
ajtas-3258	27	2	her2	her2	NOUN
ajtas-3258	27	3	-	-	PUNCT
ajtas-3258	27	4	positive	positive	ADJ
ajtas-3258	27	5	disease	disease	NOUN
ajtas-3258	27	6	,	,	PUNCT
ajtas-3258	27	7	dualtargeted	dualtargete	VERB
ajtas-3258	27	8	regimens	regimen	NOUN
ajtas-3258	27	9	combining	combine	VERB
ajtas-3258	27	10	trastuzumab	trastuzumab	NOUN
ajtas-3258	27	11	and	and	CCONJ
ajtas-3258	27	12	pertuzumab	pertuzumab	NOUN
ajtas-3258	27	13	have	have	AUX
ajtas-3258	27	14	dramatically	dramatically	ADV
ajtas-3258	27	15	improved	improve	VERB
ajtas-3258	27	16	survival	survival	NOUN
ajtas-3258	27	17	.	.	PUNCT
ajtas-3258	28	1	in	in	ADP
ajtas-3258	28	2	triple	triple	ADJ
ajtas-3258	28	3	-	-	PUNCT
ajtas-3258	28	4	negative	negative	ADJ
ajtas-3258	28	5	cancers	cancer	NOUN
ajtas-3258	28	6	,	,	PUNCT
ajtas-3258	28	7	immunotherapy	immunotherapy	NOUN
ajtas-3258	28	8	with	with	ADP
ajtas-3258	28	9	pembrolizumab	pembrolizumab	NOUN
ajtas-3258	28	10	,	,	PUNCT
ajtas-3258	28	11	in	in	ADP
ajtas-3258	28	12	combination	combination	NOUN
ajtas-3258	28	13	with	with	ADP
ajtas-3258	28	14	chemotherapy	chemotherapy	NOUN
ajtas-3258	28	15	,	,	PUNCT
ajtas-3258	28	16	represents	represent	VERB
ajtas-3258	28	17	one	one	NUM
ajtas-3258	28	18	of	of	ADP
ajtas-3258	28	19	the	the	DET
ajtas-3258	28	20	most	most	ADV
ajtas-3258	28	21	significant	significant	ADJ
ajtas-3258	28	22	therapeutic	therapeutic	ADJ
ajtas-3258	28	23	breakthroughs	breakthrough	NOUN
ajtas-3258	28	24	of	of	ADP
ajtas-3258	28	25	the	the	DET
ajtas-3258	28	26	past	past	ADJ
ajtas-3258	28	27	decade	decade	NOUN
ajtas-3258	28	28	.	.	PUNCT
ajtas-3258	29	1	endocrine	endocrine	NOUN
ajtas-3258	29	2	therapy	therapy	NOUN
ajtas-3258	29	3	remains	remain	VERB
ajtas-3258	29	4	central	central	ADJ
ajtas-3258	29	5	for	for	ADP
ajtas-3258	29	6	hormone	hormone	NOUN
ajtas-3258	29	7	receptor	receptor	NOUN
ajtas-3258	29	8	–	–	PUNCT
ajtas-3258	29	9	positive	positive	ADJ
ajtas-3258	29	10	tumors	tumor	NOUN
ajtas-3258	29	11	,	,	PUNCT
ajtas-3258	29	12	though	though	SCONJ
ajtas-3258	29	13	treatment	treatment	NOUN
ajtas-3258	29	14	must	must	AUX
ajtas-3258	29	15	account	account	VERB
ajtas-3258	29	16	for	for	ADP
ajtas-3258	29	17	ovarian	ovarian	ADJ
ajtas-3258	29	18	function	function	NOUN
ajtas-3258	29	19	suppression	suppression	NOUN
ajtas-3258	29	20	,	,	PUNCT
ajtas-3258	29	21	especially	especially	ADV
ajtas-3258	29	22	since	since	SCONJ
ajtas-3258	29	23	many	many	ADJ
ajtas-3258	29	24	young	young	ADJ
ajtas-3258	29	25	patients	patient	NOUN
ajtas-3258	29	26	desire	desire	VERB
ajtas-3258	29	27	future	future	ADJ
ajtas-3258	29	28	fertility	fertility	NOUN
ajtas-3258	29	29	.	.	PUNCT
ajtas-3258	30	1	oncofertility	oncofertility	NOUN
ajtas-3258	30	2	practices	practice	NOUN
ajtas-3258	30	3	—	—	PUNCT
ajtas-3258	30	4	including	include	VERB
ajtas-3258	30	5	oocyte	oocyte	NOUN
ajtas-3258	30	6	or	or	CCONJ
ajtas-3258	30	7	embryo	embryo	NOUN
ajtas-3258	30	8	cryopreservation	cryopreservation	NOUN
ajtas-3258	30	9	,	,	PUNCT
ajtas-3258	30	10	ovarian	ovarian	ADJ
ajtas-3258	30	11	tissue	tissue	NOUN
ajtas-3258	30	12	preservation	preservation	NOUN
ajtas-3258	30	13	,	,	PUNCT
ajtas-3258	30	14	and	and	CCONJ
ajtas-3258	30	15	ovarian	ovarian	ADJ
ajtas-3258	30	16	suppression	suppression	NOUN
ajtas-3258	30	17	during	during	ADP
ajtas-3258	30	18	chemotherapy	chemotherapy	NOUN
ajtas-3258	30	19	—	—	PUNCT
ajtas-3258	30	20	have	have	AUX
ajtas-3258	30	21	become	become	VERB
ajtas-3258	30	22	indispensable	indispensable	ADJ
ajtas-3258	30	23	components	component	NOUN
ajtas-3258	30	24	of	of	ADP
ajtas-3258	30	25	modern	modern	ADJ
ajtas-3258	30	26	care	care	NOUN
ajtas-3258	30	27	.	.	PUNCT
ajtas-3258	31	1	surgical	surgical	ADJ
ajtas-3258	31	2	management	management	NOUN
ajtas-3258	31	3	continues	continue	VERB
ajtas-3258	31	4	to	to	PART
ajtas-3258	31	5	emphasize	emphasize	VERB
ajtas-3258	31	6	individualized	individualized	ADJ
ajtas-3258	31	7	planning	planning	NOUN
ajtas-3258	31	8	.	.	PUNCT
ajtas-3258	32	1	breast	breast	NOUN
ajtas-3258	32	2	-	-	PUNCT
ajtas-3258	32	3	conserving	conserve	VERB
ajtas-3258	32	4	surgery	surgery	NOUN
ajtas-3258	32	5	combined	combine	VERB
ajtas-3258	32	6	with	with	ADP
ajtas-3258	32	7	targeted	target	VERB
ajtas-3258	32	8	radiotherapy	radiotherapy	NOUN
ajtas-3258	32	9	offers	offer	VERB
ajtas-3258	32	10	excellent	excellent	ADJ
ajtas-3258	32	11	oncologic	oncologic	ADJ
ajtas-3258	32	12	safety	safety	NOUN
ajtas-3258	32	13	for	for	ADP
ajtas-3258	32	14	many	many	ADJ
ajtas-3258	32	15	young	young	ADJ
ajtas-3258	32	16	patients	patient	NOUN
ajtas-3258	32	17	,	,	PUNCT
ajtas-3258	32	18	though	though	SCONJ
ajtas-3258	32	19	mastectomy	mastectomy	NOUN
ajtas-3258	32	20	rates	rate	NOUN
ajtas-3258	32	21	remain	remain	VERB
ajtas-3258	32	22	higher	high	ADJ
ajtas-3258	32	23	in	in	ADP
ajtas-3258	32	24	this	this	DET
ajtas-3258	32	25	population	population	NOUN
ajtas-3258	32	26	due	due	ADP
ajtas-3258	32	27	to	to	ADP
ajtas-3258	32	28	genetic	genetic	ADJ
ajtas-3258	32	29	risk	risk	NOUN
ajtas-3258	32	30	,	,	PUNCT
ajtas-3258	32	31	anxiety	anxiety	NOUN
ajtas-3258	32	32	about	about	ADP
ajtas-3258	32	33	recurrence	recurrence	NOUN
ajtas-3258	32	34	,	,	PUNCT
ajtas-3258	32	35	and	and	CCONJ
ajtas-3258	32	36	aggressive	aggressive	ADJ
ajtas-3258	32	37	tumor	tumor	NOUN
ajtas-3258	32	38	biology	biology	NOUN
ajtas-3258	32	39	.	.	PUNCT
ajtas-3258	33	1	advances	advance	NOUN
ajtas-3258	33	2	in	in	ADP
ajtas-3258	33	3	oncoplastic	oncoplastic	ADJ
ajtas-3258	33	4	techniques	technique	NOUN
ajtas-3258	33	5	provide	provide	VERB
ajtas-3258	33	6	improved	improve	VERB
ajtas-3258	33	7	cosmetic	cosmetic	ADJ
ajtas-3258	33	8	outcomes	outcome	NOUN
ajtas-3258	33	9	without	without	ADP
ajtas-3258	33	10	compromising	compromise	VERB
ajtas-3258	33	11	cancer	cancer	NOUN
ajtas-3258	33	12	control	control	NOUN
ajtas-3258	33	13	.	.	PUNCT
ajtas-3258	34	1	postoperative	postoperative	ADJ
ajtas-3258	34	2	radiotherapy	radiotherapy	NOUN
ajtas-3258	34	3	has	have	AUX
ajtas-3258	34	4	become	become	VERB
ajtas-3258	34	5	more	more	ADV
ajtas-3258	34	6	precise	precise	ADJ
ajtas-3258	34	7	with	with	ADP
ajtas-3258	34	8	hypofractionation	hypofractionation	NOUN
ajtas-3258	34	9	and	and	CCONJ
ajtas-3258	34	10	deep	deep	ADJ
ajtas-3258	34	11	-	-	PUNCT
ajtas-3258	34	12	inspiration	inspiration	NOUN
ajtas-3258	34	13	breath	breath	NOUN
ajtas-3258	34	14	hold	hold	VERB
ajtas-3258	34	15	techniques	technique	NOUN
ajtas-3258	34	16	,	,	PUNCT
ajtas-3258	34	17	reducing	reduce	VERB
ajtas-3258	34	18	long	long	ADJ
ajtas-3258	34	19	-	-	PUNCT
ajtas-3258	34	20	term	term	NOUN
ajtas-3258	34	21	toxicity	toxicity	NOUN
ajtas-3258	34	22	for	for	ADP
ajtas-3258	34	23	this	this	DET
ajtas-3258	34	24	younger	young	ADJ
ajtas-3258	34	25	cohort	cohort	NOUN
ajtas-3258	34	26	.	.	PUNCT
ajtas-3258	35	1	beyond	beyond	ADP
ajtas-3258	35	2	active	active	ADJ
ajtas-3258	35	3	treatment	treatment	NOUN
ajtas-3258	35	4	,	,	PUNCT
ajtas-3258	35	5	survivorship	survivorship	NOUN
ajtas-3258	35	6	management	management	NOUN
ajtas-3258	35	7	is	be	AUX
ajtas-3258	35	8	gaining	gain	VERB
ajtas-3258	35	9	recognition	recognition	NOUN
ajtas-3258	35	10	as	as	ADP
ajtas-3258	35	11	a	a	DET
ajtas-3258	35	12	critical	critical	ADJ
ajtas-3258	35	13	phase	phase	NOUN
ajtas-3258	35	14	of	of	ADP
ajtas-3258	35	15	care	care	NOUN
ajtas-3258	35	16	.	.	PUNCT
ajtas-3258	36	1	young	young	ADJ
ajtas-3258	36	2	women	woman	NOUN
ajtas-3258	36	3	face	face	VERB
ajtas-3258	36	4	higher	high	ADJ
ajtas-3258	36	5	rates	rate	NOUN
ajtas-3258	36	6	of	of	ADP
ajtas-3258	36	7	psychosocial	psychosocial	ADJ
ajtas-3258	36	8	stress	stress	NOUN
ajtas-3258	36	9	,	,	PUNCT
ajtas-3258	36	10	body	body	NOUN
ajtas-3258	36	11	-	-	PUNCT
ajtas-3258	36	12	image	image	NOUN
ajtas-3258	36	13	disturbances	disturbance	NOUN
ajtas-3258	36	14	,	,	PUNCT
ajtas-3258	36	15	sexual	sexual	ADJ
ajtas-3258	36	16	dysfunction	dysfunction	NOUN
ajtas-3258	36	17	,	,	PUNCT
ajtas-3258	36	18	cardiovascular	cardiovascular	ADJ
ajtas-3258	36	19	toxicity	toxicity	NOUN
ajtas-3258	36	20	from	from	ADP
ajtas-3258	36	21	chemotherapy	chemotherapy	NOUN
ajtas-3258	36	22	and	and	CCONJ
ajtas-3258	36	23	radiotherapy	radiotherapy	NOUN
ajtas-3258	36	24	,	,	PUNCT
ajtas-3258	36	25	and	and	CCONJ
ajtas-3258	36	26	challenges	challenge	NOUN
ajtas-3258	36	27	in	in	ADP
ajtas-3258	36	28	returning	return	VERB
ajtas-3258	36	29	to	to	ADP
ajtas-3258	36	30	work	work	NOUN
ajtas-3258	36	31	or	or	CCONJ
ajtas-3258	36	32	family	family	NOUN
ajtas-3258	36	33	responsibilities	responsibility	NOUN
ajtas-3258	36	34	.	.	PUNCT
ajtas-3258	37	1	these	these	DET
ajtas-3258	37	2	realities	reality	NOUN
ajtas-3258	37	3	demand	demand	VERB
ajtas-3258	37	4	multidisciplinary	multidisciplinary	ADJ
ajtas-3258	37	5	,	,	PUNCT
ajtas-3258	37	6	long	long	ADJ
ajtas-3258	37	7	-	-	PUNCT
ajtas-3258	37	8	term	term	NOUN
ajtas-3258	37	9	follow	follow	NOUN
ajtas-3258	37	10	-	-	PUNCT
ajtas-3258	37	11	up	up	NOUN
ajtas-3258	37	12	that	that	PRON
ajtas-3258	37	13	integrates	integrate	VERB
ajtas-3258	37	14	american	american	ADJ
ajtas-3258	37	15	journal	journal	PROPN
ajtas-3258	37	16	of	of	ADP
ajtas-3258	37	17	technology	technology	NOUN
ajtas-3258	37	18	and	and	CCONJ
ajtas-3258	37	19	applied	apply	VERB
ajtas-3258	37	20	sciences	science	NOUN
ajtas-3258	37	21	43	43	NUM
ajtas-3258	37	22	,	,	PUNCT
ajtas-3258	37	23	december	december	PROPN
ajtas-3258	37	24	2025	2025	NUM
ajtas-3258	37	25	p	p	NOUN
ajtas-3258	38	1	a	a	DET
ajtas-3258	38	2	g	g	NOUN
ajtas-3258	38	3	e	e	NOUN
ajtas-3258	38	4	|	|	ADV
ajtas-3258	38	5	63	63	NUM
ajtas-3258	38	6	www.americanjournal.org	www.americanjournal.org	PROPN
ajtas-3258	38	7	psychological	psychological	ADJ
ajtas-3258	38	8	care	care	NOUN
ajtas-3258	38	9	,	,	PUNCT
ajtas-3258	38	10	lifestyle	lifestyle	NOUN
ajtas-3258	38	11	intervention	intervention	NOUN
ajtas-3258	38	12	,	,	PUNCT
ajtas-3258	38	13	cardiotoxicity	cardiotoxicity	NOUN
ajtas-3258	38	14	monitoring	monitoring	NOUN
ajtas-3258	38	15	,	,	PUNCT
ajtas-3258	38	16	and	and	CCONJ
ajtas-3258	38	17	structured	structured	ADJ
ajtas-3258	38	18	rehabilitation	rehabilitation	NOUN
ajtas-3258	38	19	.	.	PUNCT
ajtas-3258	39	1	evidence	evidence	NOUN
ajtas-3258	39	2	increasingly	increasingly	ADV
ajtas-3258	39	3	supports	support	VERB
ajtas-3258	39	4	the	the	DET
ajtas-3258	39	5	protective	protective	ADJ
ajtas-3258	39	6	role	role	NOUN
ajtas-3258	39	7	of	of	ADP
ajtas-3258	39	8	physical	physical	ADJ
ajtas-3258	39	9	activity	activity	NOUN
ajtas-3258	39	10	,	,	PUNCT
ajtas-3258	39	11	mediterranean	mediterranean	PROPN
ajtas-3258	39	12	-	-	PUNCT
ajtas-3258	39	13	based	base	VERB
ajtas-3258	39	14	nutrition	nutrition	NOUN
ajtas-3258	39	15	,	,	PUNCT
ajtas-3258	39	16	weight	weight	NOUN
ajtas-3258	39	17	control	control	NOUN
ajtas-3258	39	18	,	,	PUNCT
ajtas-3258	39	19	and	and	CCONJ
ajtas-3258	39	20	stress	stress	NOUN
ajtas-3258	39	21	-	-	PUNCT
ajtas-3258	39	22	reduction	reduction	NOUN
ajtas-3258	39	23	strategies	strategy	NOUN
ajtas-3258	39	24	in	in	ADP
ajtas-3258	39	25	improving	improve	VERB
ajtas-3258	39	26	survival	survival	NOUN
ajtas-3258	39	27	and	and	CCONJ
ajtas-3258	39	28	preventing	prevent	VERB
ajtas-3258	39	29	recurrence	recurrence	NOUN
ajtas-3258	39	30	,	,	PUNCT
ajtas-3258	39	31	making	make	VERB
ajtas-3258	39	32	lifestyle	lifestyle	NOUN
ajtas-3258	39	33	modification	modification	NOUN
ajtas-3258	39	34	a	a	DET
ajtas-3258	39	35	core	core	NOUN
ajtas-3258	39	36	therapeutic	therapeutic	ADJ
ajtas-3258	39	37	recommendation	recommendation	NOUN
ajtas-3258	39	38	rather	rather	ADV
ajtas-3258	39	39	than	than	ADP
ajtas-3258	39	40	an	an	DET
ajtas-3258	39	41	optional	optional	ADJ
ajtas-3258	39	42	supplement	supplement	NOUN
ajtas-3258	39	43	[	[	X
ajtas-3258	39	44	4	4	NUM
ajtas-3258	39	45	]	]	PUNCT
ajtas-3258	39	46	.	.	PUNCT
ajtas-3258	40	1	in	in	ADP
ajtas-3258	40	2	conclusion	conclusion	NOUN
ajtas-3258	40	3	,	,	PUNCT
ajtas-3258	40	4	the	the	DET
ajtas-3258	40	5	increasing	increase	VERB
ajtas-3258	40	6	incidence	incidence	NOUN
ajtas-3258	40	7	of	of	ADP
ajtas-3258	40	8	breast	breast	NOUN
ajtas-3258	40	9	cancer	cancer	NOUN
ajtas-3258	40	10	among	among	ADP
ajtas-3258	40	11	women	woman	NOUN
ajtas-3258	40	12	aged	age	VERB
ajtas-3258	40	13	20–40	20–40	NUM
ajtas-3258	40	14	reflects	reflect	VERB
ajtas-3258	40	15	a	a	DET
ajtas-3258	40	16	multifactorial	multifactorial	ADJ
ajtas-3258	40	17	and	and	CCONJ
ajtas-3258	40	18	evolving	evolve	VERB
ajtas-3258	40	19	phenomenon	phenomenon	NOUN
ajtas-3258	40	20	influenced	influence	VERB
ajtas-3258	40	21	by	by	ADP
ajtas-3258	40	22	genetics	genetic	NOUN
ajtas-3258	40	23	,	,	PUNCT
ajtas-3258	40	24	lifestyle	lifestyle	NOUN
ajtas-3258	40	25	,	,	PUNCT
ajtas-3258	40	26	environmental	environmental	ADJ
ajtas-3258	40	27	exposures	exposure	NOUN
ajtas-3258	40	28	,	,	PUNCT
ajtas-3258	40	29	and	and	CCONJ
ajtas-3258	40	30	shifting	shift	VERB
ajtas-3258	40	31	reproductive	reproductive	ADJ
ajtas-3258	40	32	patterns	pattern	NOUN
ajtas-3258	40	33	.	.	PUNCT
ajtas-3258	41	1	modern	modern	ADJ
ajtas-3258	41	2	diagnostics	diagnostic	NOUN
ajtas-3258	41	3	have	have	AUX
ajtas-3258	41	4	become	become	VERB
ajtas-3258	41	5	more	more	ADV
ajtas-3258	41	6	advanced	advanced	ADJ
ajtas-3258	41	7	,	,	PUNCT
ajtas-3258	41	8	precise	precise	ADJ
ajtas-3258	41	9	,	,	PUNCT
ajtas-3258	41	10	and	and	CCONJ
ajtas-3258	41	11	individualized	individualize	VERB
ajtas-3258	41	12	,	,	PUNCT
ajtas-3258	41	13	enabling	enable	VERB
ajtas-3258	41	14	earlier	early	ADJ
ajtas-3258	41	15	detection	detection	NOUN
ajtas-3258	41	16	despite	despite	SCONJ
ajtas-3258	41	17	the	the	DET
ajtas-3258	41	18	challenges	challenge	NOUN
ajtas-3258	41	19	posed	pose	VERB
ajtas-3258	41	20	by	by	ADP
ajtas-3258	41	21	dense	dense	ADJ
ajtas-3258	41	22	breast	breast	NOUN
ajtas-3258	41	23	tissue	tissue	NOUN
ajtas-3258	41	24	and	and	CCONJ
ajtas-3258	41	25	aggressive	aggressive	ADJ
ajtas-3258	41	26	tumor	tumor	NOUN
ajtas-3258	41	27	biology	biology	NOUN
ajtas-3258	41	28	.	.	PUNCT
ajtas-3258	42	1	treatment	treatment	NOUN
ajtas-3258	42	2	strategies	strategy	NOUN
ajtas-3258	42	3	continue	continue	VERB
ajtas-3258	42	4	to	to	PART
ajtas-3258	42	5	incorporate	incorporate	VERB
ajtas-3258	42	6	targeted	targeted	ADJ
ajtas-3258	42	7	therapies	therapy	NOUN
ajtas-3258	42	8	,	,	PUNCT
ajtas-3258	42	9	immunotherapy	immunotherapy	NOUN
ajtas-3258	42	10	,	,	PUNCT
ajtas-3258	42	11	molecular	molecular	ADJ
ajtas-3258	42	12	profiling	profiling	NOUN
ajtas-3258	42	13	,	,	PUNCT
ajtas-3258	42	14	fertility	fertility	NOUN
ajtas-3258	42	15	preservation	preservation	NOUN
ajtas-3258	42	16	,	,	PUNCT
ajtas-3258	42	17	and	and	CCONJ
ajtas-3258	42	18	refined	refined	ADJ
ajtas-3258	42	19	surgical	surgical	ADJ
ajtas-3258	42	20	techniques	technique	NOUN
ajtas-3258	42	21	,	,	PUNCT
ajtas-3258	42	22	reflecting	reflect	VERB
ajtas-3258	42	23	a	a	DET
ajtas-3258	42	24	transition	transition	NOUN
ajtas-3258	42	25	toward	toward	ADP
ajtas-3258	42	26	comprehensive	comprehensive	ADJ
ajtas-3258	42	27	,	,	PUNCT
ajtas-3258	42	28	personalized	personalized	ADJ
ajtas-3258	42	29	oncology	oncology	NOUN
ajtas-3258	42	30	.	.	PUNCT
ajtas-3258	43	1	to	to	PART
ajtas-3258	43	2	effectively	effectively	ADV
ajtas-3258	43	3	confront	confront	VERB
ajtas-3258	43	4	the	the	DET
ajtas-3258	43	5	rising	rise	VERB
ajtas-3258	43	6	burden	burden	NOUN
ajtas-3258	43	7	of	of	ADP
ajtas-3258	43	8	early	early	ADJ
ajtas-3258	43	9	-	-	PUNCT
ajtas-3258	43	10	onset	onset	NOUN
ajtas-3258	43	11	breast	breast	NOUN
ajtas-3258	43	12	cancer	cancer	NOUN
ajtas-3258	43	13	,	,	PUNCT
ajtas-3258	43	14	healthcare	healthcare	NOUN
ajtas-3258	43	15	systems	system	NOUN
ajtas-3258	43	16	must	must	AUX
ajtas-3258	43	17	expand	expand	VERB
ajtas-3258	43	18	awareness	awareness	NOUN
ajtas-3258	43	19	programs	program	NOUN
ajtas-3258	43	20	,	,	PUNCT
ajtas-3258	43	21	ensure	ensure	VERB
ajtas-3258	43	22	equitable	equitable	ADJ
ajtas-3258	43	23	access	access	NOUN
ajtas-3258	43	24	to	to	ADP
ajtas-3258	43	25	advanced	advanced	ADJ
ajtas-3258	43	26	diagnostics	diagnostic	NOUN
ajtas-3258	43	27	,	,	PUNCT
ajtas-3258	43	28	develop	develop	VERB
ajtas-3258	43	29	supportive	supportive	ADJ
ajtas-3258	43	30	oncofertility	oncofertility	NOUN
ajtas-3258	43	31	services	service	NOUN
ajtas-3258	43	32	,	,	PUNCT
ajtas-3258	43	33	and	and	CCONJ
ajtas-3258	43	34	provide	provide	VERB
ajtas-3258	43	35	multidisciplinary	multidisciplinary	ADJ
ajtas-3258	43	36	survivorship	survivorship	NOUN
ajtas-3258	43	37	care	care	NOUN
ajtas-3258	43	38	.	.	PUNCT
ajtas-3258	44	1	only	only	ADV
ajtas-3258	44	2	through	through	ADP
ajtas-3258	44	3	such	such	ADJ
ajtas-3258	44	4	integrative	integrative	ADJ
ajtas-3258	44	5	approaches	approach	NOUN
ajtas-3258	44	6	can	can	AUX
ajtas-3258	44	7	long	long	ADJ
ajtas-3258	44	8	-	-	PUNCT
ajtas-3258	44	9	term	term	NOUN
ajtas-3258	44	10	outcomes	outcome	NOUN
ajtas-3258	44	11	for	for	ADP
ajtas-3258	44	12	young	young	ADJ
ajtas-3258	44	13	women	woman	NOUN
ajtas-3258	44	14	be	be	AUX
ajtas-3258	44	15	meaningfully	meaningfully	ADV
ajtas-3258	44	16	improved	improve	VERB
ajtas-3258	44	17	.	.	PUNCT
ajtas-3258	45	1	соnсlusiоn	соnсlusiоn	VERB
ajtas-3258	45	2	the	the	DET
ajtas-3258	45	3	rising	rise	VERB
ajtas-3258	45	4	incidence	incidence	NOUN
ajtas-3258	45	5	of	of	ADP
ajtas-3258	45	6	breast	breast	NOUN
ajtas-3258	45	7	cancer	cancer	NOUN
ajtas-3258	45	8	in	in	ADP
ajtas-3258	45	9	women	woman	NOUN
ajtas-3258	45	10	aged	age	VERB
ajtas-3258	45	11	20–40	20–40	NUM
ajtas-3258	45	12	reflects	reflect	VERB
ajtas-3258	45	13	a	a	DET
ajtas-3258	45	14	complex	complex	ADJ
ajtas-3258	45	15	interplay	interplay	NOUN
ajtas-3258	45	16	of	of	ADP
ajtas-3258	45	17	hereditary	hereditary	ADJ
ajtas-3258	45	18	,	,	PUNCT
ajtas-3258	45	19	environmental	environmental	ADJ
ajtas-3258	45	20	,	,	PUNCT
ajtas-3258	45	21	metabolic	metabolic	NOUN
ajtas-3258	45	22	and	and	CCONJ
ajtas-3258	45	23	reproductive	reproductive	ADJ
ajtas-3258	45	24	determinants	determinant	NOUN
ajtas-3258	45	25	,	,	PUNCT
ajtas-3258	45	26	demanding	demand	VERB
ajtas-3258	45	27	an	an	DET
ajtas-3258	45	28	expanded	expand	VERB
ajtas-3258	45	29	clinical	clinical	ADJ
ajtas-3258	45	30	and	and	CCONJ
ajtas-3258	45	31	scientific	scientific	ADJ
ajtas-3258	45	32	response	response	NOUN
ajtas-3258	45	33	.	.	PUNCT
ajtas-3258	46	1	early	early	ADJ
ajtas-3258	46	2	-	-	PUNCT
ajtas-3258	46	3	onset	onset	NOUN
ajtas-3258	46	4	tumors	tumor	NOUN
ajtas-3258	46	5	tend	tend	VERB
ajtas-3258	46	6	to	to	PART
ajtas-3258	46	7	be	be	AUX
ajtas-3258	46	8	biologically	biologically	ADV
ajtas-3258	46	9	aggressive	aggressive	ADJ
ajtas-3258	46	10	,	,	PUNCT
ajtas-3258	46	11	diagnostically	diagnostically	ADV
ajtas-3258	46	12	challenging	challenging	ADJ
ajtas-3258	46	13	,	,	PUNCT
ajtas-3258	46	14	and	and	CCONJ
ajtas-3258	46	15	emotionally	emotionally	ADV
ajtas-3258	46	16	burdensome	burdensome	ADJ
ajtas-3258	46	17	,	,	PUNCT
ajtas-3258	46	18	making	make	VERB
ajtas-3258	46	19	timely	timely	ADJ
ajtas-3258	46	20	detection	detection	NOUN
ajtas-3258	46	21	and	and	CCONJ
ajtas-3258	46	22	individualized	individualized	ADJ
ajtas-3258	46	23	treatment	treatment	NOUN
ajtas-3258	46	24	essential	essential	ADJ
ajtas-3258	46	25	.	.	PUNCT
ajtas-3258	47	1	technological	technological	ADJ
ajtas-3258	47	2	innovations	innovation	NOUN
ajtas-3258	47	3	—	—	PUNCT
ajtas-3258	47	4	from	from	ADP
ajtas-3258	47	5	advanced	advanced	ADJ
ajtas-3258	47	6	imaging	imaging	NOUN
ajtas-3258	47	7	to	to	ADP
ajtas-3258	47	8	genomic	genomic	ADJ
ajtas-3258	47	9	profiling	profiling	NOUN
ajtas-3258	47	10	and	and	CCONJ
ajtas-3258	47	11	immunotherapeutic	immunotherapeutic	ADJ
ajtas-3258	47	12	regimens	regimen	NOUN
ajtas-3258	47	13	—	—	PUNCT
ajtas-3258	47	14	have	have	AUX
ajtas-3258	47	15	reshaped	reshape	VERB
ajtas-3258	47	16	modern	modern	ADJ
ajtas-3258	47	17	clinical	clinical	ADJ
ajtas-3258	47	18	practice	practice	NOUN
ajtas-3258	47	19	,	,	PUNCT
ajtas-3258	47	20	offering	offer	VERB
ajtas-3258	47	21	improved	improved	ADJ
ajtas-3258	47	22	accuracy	accuracy	NOUN
ajtas-3258	47	23	and	and	CCONJ
ajtas-3258	47	24	survival	survival	NOUN
ajtas-3258	47	25	prospects	prospect	NOUN
ajtas-3258	47	26	.	.	PUNCT
ajtas-3258	48	1	however	however	ADV
ajtas-3258	48	2	,	,	PUNCT
ajtas-3258	48	3	these	these	DET
ajtas-3258	48	4	advances	advance	NOUN
ajtas-3258	48	5	must	must	AUX
ajtas-3258	48	6	be	be	AUX
ajtas-3258	48	7	paired	pair	VERB
ajtas-3258	48	8	with	with	ADP
ajtas-3258	48	9	proactive	proactive	ADJ
ajtas-3258	48	10	prevention	prevention	NOUN
ajtas-3258	48	11	strategies	strategy	NOUN
ajtas-3258	48	12	,	,	PUNCT
ajtas-3258	48	13	lifestylebased	lifestylebase	VERB
ajtas-3258	48	14	risk	risk	NOUN
ajtas-3258	48	15	reduction	reduction	NOUN
ajtas-3258	48	16	,	,	PUNCT
ajtas-3258	48	17	and	and	CCONJ
ajtas-3258	48	18	accessible	accessible	ADJ
ajtas-3258	48	19	screening	screening	NOUN
ajtas-3258	48	20	routes	route	NOUN
ajtas-3258	48	21	tailored	tailor	VERB
ajtas-3258	48	22	to	to	ADP
ajtas-3258	48	23	younger	young	ADJ
ajtas-3258	48	24	populations	population	NOUN
ajtas-3258	48	25	.	.	PUNCT
ajtas-3258	49	1	in	in	ADP
ajtas-3258	49	2	addition	addition	NOUN
ajtas-3258	49	3	,	,	PUNCT
ajtas-3258	49	4	fertility	fertility	NOUN
ajtas-3258	49	5	preservation	preservation	NOUN
ajtas-3258	49	6	,	,	PUNCT
ajtas-3258	49	7	psychosocial	psychosocial	ADJ
ajtas-3258	49	8	support	support	NOUN
ajtas-3258	49	9	and	and	CCONJ
ajtas-3258	49	10	long	long	ADJ
ajtas-3258	49	11	-	-	PUNCT
ajtas-3258	49	12	term	term	NOUN
ajtas-3258	49	13	monitoring	monitoring	NOUN
ajtas-3258	49	14	must	must	AUX
ajtas-3258	49	15	be	be	AUX
ajtas-3258	49	16	integrated	integrate	VERB
ajtas-3258	49	17	into	into	ADP
ajtas-3258	49	18	standard	standard	ADJ
ajtas-3258	49	19	care	care	NOUN
ajtas-3258	49	20	,	,	PUNCT
ajtas-3258	49	21	considering	consider	VERB
ajtas-3258	49	22	the	the	DET
ajtas-3258	49	23	profound	profound	ADJ
ajtas-3258	49	24	life	life	NOUN
ajtas-3258	49	25	-	-	PUNCT
ajtas-3258	49	26	stage	stage	NOUN
ajtas-3258	49	27	impact	impact	NOUN
ajtas-3258	49	28	of	of	ADP
ajtas-3258	49	29	cancer	cancer	NOUN
ajtas-3258	49	30	in	in	ADP
ajtas-3258	49	31	early	early	ADJ
ajtas-3258	49	32	adulthood	adulthood	NOUN
ajtas-3258	49	33	.	.	PUNCT
ajtas-3258	50	1	ultimately	ultimately	ADV
ajtas-3258	50	2	,	,	PUNCT
ajtas-3258	50	3	progress	progress	NOUN
ajtas-3258	50	4	against	against	ADP
ajtas-3258	50	5	this	this	DET
ajtas-3258	50	6	growing	grow	VERB
ajtas-3258	50	7	trend	trend	NOUN
ajtas-3258	50	8	will	will	AUX
ajtas-3258	50	9	depend	depend	VERB
ajtas-3258	50	10	on	on	ADP
ajtas-3258	50	11	coordinated	coordinated	ADJ
ajtas-3258	50	12	efforts	effort	NOUN
ajtas-3258	50	13	across	across	ADP
ajtas-3258	50	14	oncology	oncology	NOUN
ajtas-3258	50	15	,	,	PUNCT
ajtas-3258	50	16	public	public	ADJ
ajtas-3258	50	17	health	health	NOUN
ajtas-3258	50	18	,	,	PUNCT
ajtas-3258	50	19	genetics	genetic	NOUN
ajtas-3258	50	20	,	,	PUNCT
ajtas-3258	50	21	and	and	CCONJ
ajtas-3258	50	22	reproductive	reproductive	ADJ
ajtas-3258	50	23	medicine	medicine	NOUN
ajtas-3258	50	24	to	to	PART
ajtas-3258	50	25	ensure	ensure	VERB
ajtas-3258	50	26	comprehensive	comprehensive	ADJ
ajtas-3258	50	27	,	,	PUNCT
ajtas-3258	50	28	patient	patient	NOUN
ajtas-3258	50	29	-	-	PUNCT
ajtas-3258	50	30	centered	center	VERB
ajtas-3258	50	31	care	care	NOUN
ajtas-3258	50	32	for	for	ADP
ajtas-3258	50	33	young	young	ADJ
ajtas-3258	50	34	women	woman	NOUN
ajtas-3258	50	35	at	at	ADP
ajtas-3258	50	36	risk	risk	NOUN
ajtas-3258	50	37	.	.	PUNCT
ajtas-3258	51	1	rеfеrеnсеs	rеfеrеnсеs	NOUN
ajtas-3258	51	2	1	1	NUM
ajtas-3258	51	3	.	.	PUNCT
ajtas-3258	52	1	who	who	PRON
ajtas-3258	52	2	.	.	PUNCT
ajtas-3258	53	1	breast	breast	NOUN
ajtas-3258	53	2	cancer	cancer	NOUN
ajtas-3258	53	3	:	:	PUNCT
ajtas-3258	53	4	prevention	prevention	NOUN
ajtas-3258	53	5	and	and	CCONJ
ajtas-3258	53	6	control	control	NOUN
ajtas-3258	53	7	.	.	PUNCT
ajtas-3258	54	1	–	–	PUNCT
ajtas-3258	54	2	geneva	geneva	NOUN
ajtas-3258	54	3	:	:	PUNCT
ajtas-3258	54	4	world	world	PROPN
ajtas-3258	54	5	health	health	PROPN
ajtas-3258	54	6	organization	organization	NOUN
ajtas-3258	54	7	,	,	PUNCT
ajtas-3258	54	8	2022	2022	NUM
ajtas-3258	54	9	.	.	PUNCT
ajtas-3258	55	1	–	–	PUNCT
ajtas-3258	56	1	68	68	NUM
ajtas-3258	56	2	p.	p.	NOUN
ajtas-3258	56	3	2	2	NUM
ajtas-3258	56	4	.	.	PUNCT
ajtas-3258	56	5	bray	bray	PROPN
ajtas-3258	56	6	f.	f.	PROPN
ajtas-3258	56	7	,	,	PUNCT
ajtas-3258	56	8	ferlay	ferlay	PROPN
ajtas-3258	56	9	j.	j.	PROPN
ajtas-3258	56	10	,	,	PUNCT
ajtas-3258	56	11	soerjomataram	soerjomataram	PROPN
ajtas-3258	56	12	i.	i.	PROPN
ajtas-3258	56	13	,	,	PUNCT
ajtas-3258	56	14	siegel	siegel	PROPN
ajtas-3258	56	15	r.	r.	PROPN
ajtas-3258	56	16	global	global	PROPN
ajtas-3258	56	17	cancer	cancer	PROPN
ajtas-3258	56	18	statistics	statistic	NOUN
ajtas-3258	56	19	2020	2020	NUM
ajtas-3258	56	20	.	.	PUNCT
ajtas-3258	56	21	–	–	PUNCT
ajtas-3258	56	22	ca	ca	NOUN
ajtas-3258	56	23	:	:	PUNCT
ajtas-3258	56	24	a	a	DET
ajtas-3258	56	25	cancer	cancer	NOUN
ajtas-3258	56	26	journal	journal	NOUN
ajtas-3258	56	27	for	for	ADP
ajtas-3258	56	28	clinicians	clinician	NOUN
ajtas-3258	56	29	,	,	PUNCT
ajtas-3258	56	30	2021	2021	NUM
ajtas-3258	56	31	.	.	PUNCT
ajtas-3258	57	1	–	–	PUNCT
ajtas-3258	57	2	71	71	NUM
ajtas-3258	57	3	p.	p.	NOUN
ajtas-3258	57	4	3	3	NUM
ajtas-3258	57	5	.	.	PUNCT
ajtas-3258	58	1	narod	narod	PROPN
ajtas-3258	58	2	s.	s.	PROPN
ajtas-3258	58	3	on	on	ADP
ajtas-3258	58	4	the	the	DET
ajtas-3258	58	5	genetics	genetic	NOUN
ajtas-3258	58	6	of	of	ADP
ajtas-3258	58	7	breast	breast	NOUN
ajtas-3258	58	8	cancer	cancer	NOUN
ajtas-3258	58	9	in	in	ADP
ajtas-3258	58	10	young	young	ADJ
ajtas-3258	58	11	women	woman	NOUN
ajtas-3258	58	12	.	.	PUNCT
ajtas-3258	59	1	–	–	PUNCT
ajtas-3258	59	2	nature	nature	NOUN
ajtas-3258	59	3	reviews	review	VERB
ajtas-3258	59	4	clinical	clinical	ADJ
ajtas-3258	59	5	oncology	oncology	NOUN
ajtas-3258	59	6	,	,	PUNCT
ajtas-3258	59	7	2020	2020	NUM
ajtas-3258	59	8	.	.	PUNCT
ajtas-3258	60	1	–	–	PUNCT
ajtas-3258	60	2	17(6	17(6	NUM
ajtas-3258	60	3	)	)	PUNCT
ajtas-3258	60	4	.	.	PUNCT
ajtas-3258	61	1	–	–	PUNCT
ajtas-3258	62	1	p.	p.	NOUN
ajtas-3258	62	2	347–359	347–359	NUM
ajtas-3258	62	3	.	.	PUNCT
ajtas-3258	63	1	4	4	NUM
ajtas-3258	63	2	.	.	X
ajtas-3258	63	3	early	early	ADJ
ajtas-3258	63	4	breast	breast	NOUN
ajtas-3258	63	5	cancer	cancer	NOUN
ajtas-3258	63	6	trialists	trialist	NOUN
ajtas-3258	63	7	’	'	PUNCT
ajtas-3258	63	8	collaborative	collaborative	ADJ
ajtas-3258	63	9	group	group	NOUN
ajtas-3258	63	10	.	.	PUNCT
ajtas-3258	64	1	treatments	treatment	NOUN
ajtas-3258	64	2	for	for	ADP
ajtas-3258	64	3	early	early	ADJ
ajtas-3258	64	4	breast	breast	NOUN
ajtas-3258	64	5	cancer	cancer	NOUN
ajtas-3258	64	6	:	:	PUNCT
ajtas-3258	64	7	overview	overview	NOUN
ajtas-3258	64	8	of	of	ADP
ajtas-3258	64	9	the	the	DET
ajtas-3258	64	10	evidence	evidence	NOUN
ajtas-3258	64	11	.	.	PUNCT
ajtas-3258	65	1	–	–	PUNCT
ajtas-3258	65	2	lancet	lancet	NOUN
ajtas-3258	65	3	,	,	PUNCT
ajtas-3258	65	4	2021	2021	NUM
ajtas-3258	65	5	.	.	PUNCT
ajtas-3258	66	1	–	–	PUNCT
ajtas-3258	66	2	398(10302	398(10302	NUM
ajtas-3258	66	3	)	)	PUNCT
ajtas-3258	66	4	.	.	PUNCT
ajtas-3258	67	1	–	–	PUNCT
ajtas-3258	68	1	p.	p.	NOUN
ajtas-3258	68	2	168–185	168–185	NUM
ajtas-3258	68	3	.	.	PUNCT
ajtas-3258	69	1	5	5	X
ajtas-3258	69	2	.	.	X
ajtas-3258	69	3	gradishar	gradishar	PROPN
ajtas-3258	69	4	w.	w.	PROPN
ajtas-3258	69	5	,	,	PUNCT
ajtas-3258	69	6	moran	moran	PROPN
ajtas-3258	69	7	m.	m.	PROPN
ajtas-3258	69	8	nccn	nccn	PROPN
ajtas-3258	69	9	guidelines	guideline	NOUN
ajtas-3258	69	10	for	for	ADP
ajtas-3258	69	11	breast	breast	NOUN
ajtas-3258	69	12	cancer	cancer	NOUN
ajtas-3258	69	13	.	.	PUNCT
ajtas-3258	70	1	–	–	PUNCT
ajtas-3258	70	2	national	national	ADJ
ajtas-3258	70	3	comprehensive	comprehensive	ADJ
ajtas-3258	70	4	cancer	cancer	NOUN
ajtas-3258	70	5	network	network	NOUN
ajtas-3258	70	6	,	,	PUNCT
ajtas-3258	70	7	2023	2023	NUM
ajtas-3258	70	8	.	.	PUNCT
ajtas-3258	71	1	–	–	PUNCT
ajtas-3258	71	2	312	312	NUM
ajtas-3258	71	3	p.	p.	NOUN