The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. The National Cancer Institute initiated the prevention trial under its National Surgical Adjuvant Breast and Bowel Project (NSABP). Listing a study does not mean it has been evaluated by the U. The National Heart, Lung, and Blood Institute provided support to obtain blood pressure and lipid measurements, and lipoprotein and selected coagulation factor measurements in a subsample. To assess the impact of tamoxifen on development of breast cancer, coronary heart disease, and bone fractures. BACKGROUND: Tamoxifen is nominally called an 'anti-estrogen' although it has some estrogen-agonist activities and tends to increase plasma endogenous estrogen levels. 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