in a previous comment of mine posted on PLOS web site (Stagnaro Sergio. Single Patient Based Medicine: its paramount role in Future Medicine. Public Library of Science. 2005. http://medicine.plosjournals.org/perlserv/?request=read-\nresponse ), I referred to my earlier researches stating that, as a working hypothesis, I thought a long time ago that all chromosomal alterations, of whatever nature, of both n-DNA and m-DNA, are necessarily accompanied, according to Angiobiopathy Theory with similar microvascular modification of the local microcirculatory bed, both structural and functional in nature, i.e. microcirculatory remodelling in subjects involved by abnormalities of pschyco-neuro-endocrinological-immune system, that's, in malignancy biological control system, I defined as Oncological Terrain(1). As a matter of fact, both genetical and environmental factors, induce contemporaneously parenchymal and microvascular cells alterations, according to the well-known concept of Tiscendorf?s Angiobiotopie, I completed with above-mentioned Angiobiopathy Theory new concept (1,3, 4, 6, 7). In a few words, all oncological cell-dependent events (control, regulation, duplication, a.s.o.), may happen only by means of singular changes in local structural and functional microcirculation, which notoriously supplies information-material-energy to related tissue cells (See my web site www.semeioticabiofisica.it and particularly the linked site Microangiologia.it). In fact, now-a-days, thanks to Biophysical Semeiotics, we can fortunately evaluate clinically microcirculatory bed structure and function in a precise manner of breast cancer as well as of all other biological systems, including lymphnodes and bone-marrow, assessing clinically local vasomotility and vasomotion (1-6). Evaluating properly the type of microcirculatory activation of breast cancer as well as of lymphnodes and bone-marrow (type I, associated, physiological; type II, intermediate, partially dissociated, characteristic of real oncological risk, and finally type III, dissociated, indicating cancer onset) we can evaluate in a quantitative way the alterations of physiological relation between vasomotility (= chaotic deterministic oscillations of small arterioles and arterioles, according to Hammersen, on the one hand, and vasomotion (= chaotic deterministic oscillations of related capillary and post-capillary primary venules), since the intensity of such as dissociation is correlated with the seriousness of underlying oncological disorders. \n Finally, I recently discovered that both Biophysical-Semeiotic Constitutions (2) and human disorder Real Risks are based on microvascular remodelling, principally caused by newborn-pathological, type I, subtype a), oncological, and b), common to all other disease risch Endoarterial Blocking Devices (8)\n\n1) Stagnaro Sergio, Stagnaro-Neri Marina. Introduzione alla Semeiotica Biofisica. Il Terreno oncologico. Travel Factory SRL., Roma, 2004. \nhttp://www.travelfactory.it/semeiotica_biofisica.htm\n\n2) Stagnaro S., Stagnaro-Neri M., Le Costituzioni Semeiotico-Biofisiche.Strumento clinico fondamentale per la prevenzione primaria e la definizione della Single Patient Based Medicine. Ediz. Travel Factory, Roma, 2004. http://www.travelfactory.it/semeiotica_biofisica.htm \n\n3) Stagnaro-Neri M., Moscatelli G. Stagnaro S., Biophysical Semeiotics: deterministic Chaos and biological Systems. Gazz. Med. It. Arch. Sc. Med. 155, 125 ,1996 \n\n4) Stagnaro-Neri M., Stagnaro S., Deterministic Chaos, Preconditioning and Myocardial Oxygenation evaluated clinically with the aid of Biophysical Semeiotics in the Diagnosis of ischaemic Heart Disease even silent. Acta Med. Medit. 13, 109 ,1997\n\n5) Stagnaro-Neri M., Stagnaro S., Semeiotica Biofisica: valutazione clinica del picco precoce della secrezione insulinica di base e dopo stimolazione tiroidea, surrenalica, con glucagone endogeno e dopo attivazione del sistema renina-angiotesina circolante e tessutale – Acta Med. Medit. 13, 99, 1997 \n\n6) Stagnaro-Neri M., Stagnaro S., Deterministic chaotic biological system: the microcirculatoory bed. Theoretical and practical aspects. Gazz. Med. It.; Arch. Sc. Med. 153, 99, 1994 \n\n7) Stagnaro-Neri M., Stagnaro S.,Teoria Patogenetica Unificata. Ed Travel Factory, Rome, 2005 www.travelfactory.it.\n8) Stagnaro-Neri M., Stagnaro S., Reale Rischio Semeiotico-Biofisico. Ruolo Diagnostico e Patogenetico dei Dispositivi Endoarteriolari di Blocco neoformati-patologici. Ed Travel Factory, Roma, Luglio 2009. \n \n