The low rate of LN and liver metastases (points 3 and 5) also allows only a minor significance of the local lymphatic and local venous, i. e. direct renal-portal metastatic pathway, since this would have to be associated with an increased rate of LNN and liver metastases).
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Isolated Pancreatic Metastases of Renal Cell Carcinoma-Clinical Particularities and Seed and Soil Hypothesis.
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