Shut your whisky dripping mouth
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add horsefaced
You would do anything for a drink.
did elezzzark tell you off on skype?
fucking owned
Who?
You have self-respect yet you watch star trek. plot thickens
wow, wtf is going on?
i thought this thread was about elezzzark fighting with people on skype
none of your god damned business, Sambo.
stfu, start your own thread and let elezzzsark express himself
Drink yourself to fucking death, lil bitch. lol See if I care
plain bagel above me.
GulDucat, are you a furry?
Paget's disease of the breast areola mimicking cutaneous melanoma.
Mitchell S, Lachica R, Randall MB, Beech DJ.
Source
Department of Surgery/Section of Surgical Oncology, Plastic/Reconstructive Surgery, University of Tennessee Health Science Center, College of Medicine, Memphis, 37208, USA.
Abstract
Paget's disease of the breast nipple and areola complex represents a cutaneous manifestation of an underlying breast malignancy. The typical skin changes characteristic of breast Paget's disease are usually easily distinguished from those found of malignant melanoma. The rare finding of a pigmented cutaneous breast lesion mimicking melanoma presents a diagnostic dilemma. This case presentation describes a pigmented mammary lesion involving the areola that had undergone changes in diameter and pigmentation. The lesion was not associated with nipple drainage, nipple excoriation, dermal ulceration, or a palpable breast mass. The areola lesion was highly suggestive of a dermatologic malignancy such as malignant melanoma. As such, a biopsy was performed with initial findings suggestive of cutaneous melanoma. Upon more detailed analysis of a larger excision specimen, immunohistochemical staining was highly supportive of the diagnosis of breast Paget's disease. A total mastectomy with sentinel lymph node evaluation was performed along with immediate reconstruction. The final pathology revealed a small focus of ductal carcinoma in situ of the breast associated with the areola changes. Histologic and immunohistochemical analysis of a biopsy specimen were paramount in differentiating these two lesions.
if by furry you mean a 5 o clock shadow then yes yes he is
cag i want to spank your lady chicken
garfield trying to fit into cag's vag
that guy has cock blocked so many times, from millie to gush and ramen and lisa it's frightening what his pretty little face can do
watch the fuck out
he never posts anything funny.
too busy scooping up chicas when you guys lose your grip
chilaquiles
tim told me garfailed fucks whales
my man...