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A 51-year-old male presented with headache. CT scan showed multiple lesions in the brain. Neurological examination was normal. Examination of other organs did not reveal any abnormalities. Pathology results from brain tumor removal surgery indicated papillary metastasis. Further investigation did not find metastases in the thyroid or prostate. The patient developed acute stomatitis and skin hematoma post-surgery, suggesting a compromised immune system or hematological disorder, but laboratory tests were nor

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downloadmichael

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