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Relative survival by time since diagnosis for women diagnosed with de novo stage IV in the SEER-11 areas in 1992–2007 at ages 15–84 (black) and the adjusted survival for recurrence stage IV for ages 15–84 based on a 1.35 relative risk adjustment (dashed black). The gray curves represent survival from a University of Texas M. D. Anderson Cancer Center (MDACC) study that included women diagnosed with de novo (gray) and recurrence MBC (dashed gray).
