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Marginally enhancing lesions with necrosis were seen in the liver and para-aortic lymph nodes.
The article by Sasako et al. (July 31 issue) 1 addresses the efficacy of D2 lymphadenectomy alone versus D2 lymphadenectomy plus para-aortic nodal dissection (PAND) for gastric cancer.
Autopsy demonstrated the primary tumor to be collecting duct carcinoma, with metastases to lung, liver, spleen, bone marrow, right adrenal gland, and para-aortic lymph node.
Autopsy revealed a primary tumor of collecting duct carcinoma with metastases to the liver, right adrenal gland, right upper ureter, bone marrow, para-aortic and mediastinal lymph nodes, and bone.
Computed tomography revealed a progressively enlarging right renal lesion, multiple liver masses, enlargement of the para-aortic lymph nodes, and multiple osteoblastic and osteoclastic lesions.
Computed tomography done while the patient was alive detected lung, liver, and para-aortic lymph node metastases.
This included regional but not para-aortic lymph node disease.
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