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Mucinous adenocarcinoma of the urinary bladder.

Am J Case Rep · 2012 · PMC3616107 · PMID 23569500

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a decreasing trendno p-value reported
Some onco markers were sampled before surgery, and Ca 19-9 showed very high values, with a decreasing trend after pelvectomy.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.