Thus, approximately half of the estrogen receptor-positive tumors do not respond to tamoxifen therapy (Jaiyesimi et al., 1995; Osborne, 1998; Buzdar, 2001), and the 15-year recurrence probability in early breast cancer patients treated with tamoxifen for 5 years is approximately one third [Early Breast Cancer Trialists Collaborative Group (EBCTCG), 2005]. Here, ESR1 is linked to breast carcinoma.