Results 61 to 90 of 142
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always steveyking steveyos06-10-2013
Drink yourself to fucking death, lil bitch. lol See if I care
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06-10-2013
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.
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06-10-2013
if by furry you mean a 5 o clock shadow then yes yes he is
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06-10-2013
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
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06-10-2013
he never posts anything funny.
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06-10-2013
too busy scooping up chicas when you guys lose your grip
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06-10-2013
tim told me garfailed fucks whales
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06-10-2013
its all a problem about race isnt it? Hitler employed the same tactic -- if you can get the entire nation on the bandwagon of hating one group of individuals, it motivates them.
Without blacks and illegal aliens, you'd be turning on your neighbors
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always steveyking steveyos06-10-2013
You must spread some Reputation around before giving it to Camoron again.
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06-10-2013
wow, welcome to my field of ignorance, bitch
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06-10-2013
welcome to jenny craig.
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06-10-2013
send all the spics, kikes, niggers AND sand niggers off to the camps; then we'll be free to sit at home eating hotdogs, drinkin buds, and beating our wives as much as we want
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06-10-2013
seriously, i added both of you
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06-10-2013
that's funny, i had the same idea for the incompetent drug addicts
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