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Drug that cuts risk of breast cancer returning is approved for use in England

Up to 4,000 patients a year with early stage of disease could receive ribociclib, but charities want wider access to drug

Thousands of women with early breast cancer could be offered a drug to stop the cancer returning, after the medicines watchdog approved its use in England.

Up to 4,000 patients a year could be given ribociclib alongside hormone therapy, for hormone receptor-positive, HER2-negative early breast cancer, which despite initial treatment has a higher risk of returning.

Cancer present in at least four lymph nodes.

Cancer present in one to three lymph nodes that is either grade 3 (more advanced), or has a primary tumour at least 5cm in size.

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