It is treated with surgery, radiation and chemo, but when it returns there is little hope.
If, instead, it pumps less, there is little hope that other countries could make up the shortfall.
There is little hope that the company can sustain that kind of growth.
After German gross domestic product data was lower than expected there is little hope of other regions posting better-than-expected numbers.
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And Newell believes there is little hope of Read being given a run in the team while Fletcher is in charge.
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Fighting money laundering is rather like tackling global warming: unless everybody joins in, there is little hope of curbing the problem.
Almost three months after a power-sharing deal was signed, there is little hope that a new government will be in place soon.
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There is little hope of passing urgent legislative business, such as a long-stalled deal on sharing proceeds from deep-sea oil drilling between states, while politicians gossip, plot and counter-plot.
Rescue work at the site of the Rana Plaza garment factory continued for a sixth day on Monday, but army spokesman Shahinul Islam said "there is little hope of finding anyone alive".
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According to an AP story by Ricardo Alonso-Zaldivar, the report is "a worrisome assessment for Democrats, " showing that while cost savings could come sometime after 2020, there is little hope of reducing spending in the next ten years.
On the other hand, there is precious little hope of Mr Gore doing so either.
"There is still a little hope, " Nelson, who is wrapping up a U.S. visit, tells Steve Inskeep.
Yet the example of the neighbouring Philippines shows how little hope there is of a quick fix.
Which is why Bernanke was forced to concede that without major reductions in federal spending, there is little, if any, hope of bringing the deficit under control.
Carrie is not out to save the world, but there were a few little glimmers of hope in the pilot, as far as the character is concerned.
In other words, even though the final confrontation with Woodbury is just one week away, and even though things have never looked more bleak and terrifying for our little band of survivors, there is still hope and resilience.
As much as these folks can hope for the best, there is little reason to believe that the best will always be the result.
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Sri Lanka Cricket hope the tour can be rescheduled, but there is little room for manoeuvre with the ICC World Twenty20 in England starting in June.
Russian commentator Masha Lipman of the Carnegie Moscow Centre shares the scepticism of many: "I think the best we can hope for is that there is some chemistry or some little glimpse of building trust for the future, " she told me.
And there is little the outside world can do to help them but wait, and hope.
It is clear that this is Van Rompuy's chosen approach - find a little more from that fund, a little more from administration (Eurocrat pay and pensions), a little more from here or there and hope that all 27 leaders agree it is acceptable, if not just right.
Perhaps the message of the little oak tree is that, if we take the time to look, there are shoots of hope.
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