“…Initial results suggested that smaller, lymph nodenegative tumors were more likely to be telomerasenegative than their larger, lymph node-positive counterparts (Hiyama et al, 1996;Kim et al, 1994), and it was postulated that telomerase activity is acquired during tumor progression to metastasis (Hiyama et al, 1996). More recently, some studies have found correlations between telomerase activity and stage, traditional prognostic indicators, and clinical outcome in invasive breast cancer (Clark et al, 1997;Hoos et al, 1998). Other studies, however, failed to show a correlation between telomerase activity and prognostic factors or clinical outcome in breast cancer (Bednarek et al, 1997;Carey et al, 1998;Nawaz et al, 1997;Sugino et al, 1996;Tsao et al, 1997) and (Carey et al, in preparation, 1999).…”