https://brandviagra.top>viagra spc Documented estrogen receptor ER positive and HER2 negative breast tumor, as assessed locally on a primary disease specimen Participants who have multicentric the presence of two of more tumor foci within different quadrants of the same breast and or multifocal the presence of two or more tumor foci within a single quadrant of the breast breast cancer are also eligible if all examined tumors meet pathologic criteria for ER positivity and HER2 negativity Participants must have undergone definitive surgery of their primary breast tumor s and axillary lymph nodes axillary lymph node dissection ALND and or sentinel lymph node biopsy SLNB Participants who received or will be receiving adjuvant chemotherapy must have completed adjuvant chemotherapy prior to randomization