“…The growth effects of both are mediated predominantly via IGF-1 receptors, which have been demonstrated in 67-93% of primary human breast cancers (Pekonen et al, 1988;Peyrat et al, 1988a;Foekens et al, 1989a;Klijn et al, 1993) at higher density than in normal or benign breast tissue (Peyrat et al, 1988b). In vivo, pituitary-derived growth hormone (GH) regulates endocrinologically the secretion of IGF-1 (Kelly et al, 1991;Lamberts et al, 1991), but possibly also has regulatory effects on local IGF-1 secretion within (tumour) tissues (Davoren et al, 1986;Schally et al, 1987;Kelly et al, 1991). In addition, in breast cancer local production of GH with a potential paracrine function has been described (Mol et al, 1995).…”