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The overall survival rate decreased with age, but the breast cancer-specific survival (BCSS) at 5years remained similar. The rate of other cause of death in the oldest group was about a half, and more than double that in those aged 55-64years. We showed clinical data of older breast cancer patients in Japan. Their disease was more advanced at the time of diagnosis, post-BCS irradiation and primary systemic chemotherapy were omitted more frequently, and overall, BCSS was similar among age categories, although the rate of other causes of