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Fig 1.

Design of the post-diagnostic study with definitions of the different observation times.

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Table 1.

Overview of the study population (415 cases), according to breast cancer stage at the time of diagnosis.

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Fig 2.

Number of significantly differentially expressed genes for each follow-up time period.

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Fig 3.

Number of significantly differentially expressed genes for each follow-up time period stratified on stage of breast cancer; invasive and metastatic.

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Fig 4.

Number of significantly differentially expressed genes for each follow-up time period stratified on vital status at the end of follow-up; death or survival.

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Fig 5.

Heat maps with 74 selected genes in each stratum; invasive versus metastatic, and death or survival, at end of follow-up.

The 50 topmost genes in the heat maps are the 50 top genes for the metastatic cases that died, the next 19 are the significantly up-regulated or down-regulated genes for the metastatic cases that survived, and the last five are the significantly up-regulated or down-regulated genes for the invasive cases that survived. There were no significantly up-regulated or down-regulated genes for the invasive cases that died. The heat maps show log fold change for each gene (y-axis) for each quarter of the years after diagnosis (x-axis).

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Table 2.

Comparison of the number of differentially expressed genes between the four strata of breast cancer cases, using using metastatic breast cancer patients that died as reference.

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Fig 6.

Venn diagram for the three strata with significantly different gene expression profiles; metastatic cases who died (labeled as met died), metastatic cases who survived (met surv), and invasive cases who survived (inv surv).

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Table 3.

Significant gene sets (overlap analysis, FDR<5%) among the top differentially expressed genes, in blood gene expression profiles from metastatic cases who died during follow-up, compared to controls.

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Table 4.

Results from the fgsea analysis of enriched gene sets in blood gene expression profiles from metastatic cases who died during follow-up, compared to controls.

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Fig 7.

Kaplan-Meier curves for death by stratum.

Kaplan-Meier plot for cases and controls in the dataset with up to 15 years of follow-up (metastasis and follow-up time information from the intitial/first breast cancer diagnosis): 52 in situ cases, 232 invasive cases, 137 metastatic cases.

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