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Surgical treatment of malignant paraganglioma with spinal invasion in a juvenile patient: A case report.

Medicine (Baltimore) · 2019 · PMC6775344 · PMID 31574816

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[ 26 , 27 ] As the tumor is highly vascular, there may be significant intraoperative blood loss which may influence the hemodynamic instability and necessitate blood transfusion.

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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.