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  1. Article ; Online: Platelet-Derived Growth Factor-D Fusion-Positive Dermatofibrosarcoma Protuberans: Case Report of an Atypical Breast Mass and Literature Review.

    Chandler, Blake / Jing, Frank / David, Marjorie Parker / Nazarullah, Alia

    International journal of surgical pathology

    2023  Volume 31, Issue 8, Page(s) 1610–1617

    Abstract: Dermatofibrosarcoma protuberans (DFSP) is a rare, CD34+ mesenchymal neoplasm that classically involves the dermis. ... ...

    Abstract Dermatofibrosarcoma protuberans (DFSP) is a rare, CD34+ mesenchymal neoplasm that classically involves the dermis. A
    MeSH term(s) Female ; Humans ; Dermatofibrosarcoma/diagnosis ; Dermatofibrosarcoma/genetics ; Dermatofibrosarcoma/surgery ; In Situ Hybridization, Fluorescence ; Oncogene Proteins, Fusion/genetics ; Oncogene Proteins, Fusion/metabolism ; Proto-Oncogene Proteins c-sis/genetics ; Skin Neoplasms/diagnosis ; Skin Neoplasms/genetics ; Skin Neoplasms/surgery ; Translocation, Genetic
    Chemical Substances Oncogene Proteins, Fusion ; Proto-Oncogene Proteins c-sis ; PDGFD protein, human
    Language English
    Publishing date 2023-04-04
    Publishing country United States
    Document type Review ; Case Reports ; Journal Article
    ZDB-ID 1336393-1
    ISSN 1940-2465 ; 1066-8969
    ISSN (online) 1940-2465
    ISSN 1066-8969
    DOI 10.1177/10668969231160261
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Indolent T-lymphoblastic proliferation involving hepatocellular carcinoma-presentation in novel settings and comprehensive review of literature.

    Ghezavati, Alireza / Liang, Christine A / Mais, Daniel / Nazarullah, Alia

    Journal of hematopathology

    2023  Volume 16, Issue 3, Page(s) 167–175

    Abstract: Indolent T-lymphoblastic proliferation (iT-LBP) is a rare, non-clonal, extrathymic lymphoid proliferation with an immature T cell phenotype, indolent clinical course, and excellent prognosis. Although their pathogenesis is unclear, they are reported to ... ...

    Abstract Indolent T-lymphoblastic proliferation (iT-LBP) is a rare, non-clonal, extrathymic lymphoid proliferation with an immature T cell phenotype, indolent clinical course, and excellent prognosis. Although their pathogenesis is unclear, they are reported to be associated with Castleman disease, follicular dendritic cell tumors/sarcomas, angioimmunoblastic T cell lymphoma, hepatocellular carcinoma (HCC), myasthenia gravis, and acinic cell carcinoma. There are around 51 reported cases of iT-LBP in the literature. Recognition and accurate diagnosis of this entity is critical as it shares morphologic and immunophenotypic features with an aggressive malignancy-acute T cell leukemia/lymphoma (T-ALL). IT-LBP in HCC post-liver transplant and in metastatic sites has not been reported in the literature. Two case reports of patients presenting with recurrent and metastatic HCC in post-liver transplant settings are described. A 50-year-old man with an end-stage liver disease with HCC underwent liver transplant. A year later, he developed pulmonary metastasis with associated iT-LBP. A 69-year-old man underwent liver transplant for end-stage liver disease and HCC. Eighteen months later, he developed recurrent HCC in the transplanted liver and omental metastasis; both sites showed HCC with iT-LBP. iT-LBP in both patients expressed TdT, CD3, and CD4 and lacked CD34 and clonal T cell receptor gene rearrangements. On retrospective review, the pre-transplant HCC specimens lacked iT-LBP. We present two cases of iT-LBP associated with HCC in novel settings-in post-liver transplant patients and in recurrent/metastatic sites of HCC. In addition, a comprehensive literature review of clinical, histological, and immunophenotypic characteristics of reported cases of iT-LBP is presented.
    MeSH term(s) Male ; Humans ; Middle Aged ; Aged ; Carcinoma, Hepatocellular ; End Stage Liver Disease ; Liver Neoplasms ; Lymphoma, Non-Hodgkin ; Cell Proliferation
    Language English
    Publishing date 2023-07-16
    Publishing country Germany
    Document type Review ; Case Reports ; Journal Article
    ZDB-ID 2438687-X
    ISSN 1865-5785 ; 1868-9256
    ISSN (online) 1865-5785
    ISSN 1868-9256
    DOI 10.1007/s12308-023-00554-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Estrogen Receptor, Progesterone Receptor, and Human Epidermal Growth Factor Receptor 2 Expression Rates in Invasive Breast Carcinoma: A Study of 21 Institutions.

    Mais, Daniel D / Nazarullah, Alia N / Guidi, Anthony J / Dintzis, Suzanne / Blond, Barbara J / Long, Thomas A / Coulter, Suzanne N / Brown, Richard W

    Archives of pathology & laboratory medicine

    2024  

    Abstract: Context.—: Laboratories performing predictive marker testing for breast carcinoma are encouraged to compare patient results to published benchmarks.: Objective.—: To collect expression rates for estrogen receptor (ER), progesterone receptor (PgR), ... ...

    Abstract Context.—: Laboratories performing predictive marker testing for breast carcinoma are encouraged to compare patient results to published benchmarks.
    Objective.—: To collect expression rates for estrogen receptor (ER), progesterone receptor (PgR), and human epidermal growth factor receptor 2 (HER2) in invasive breast carcinoma from multiple laboratories.
    Design.—: Participants submitted data from up to 50 primary cases during the study period. Participants reported ER, PgR, and HER2 results in addition to demographic and histologic information. Participants also provided annual institution-level expression rates.
    Results.—: A total of 21 institutions submitted data for 687 cases. Aggregate positivity rates for ER and PgR were 85.6% and 75.1%, respectively. Receptor positivity rates were higher in well-differentiated (grade 1) tumors (ER, 97.4%; PgR, 88.0%) compared with moderately differentiated (grade 2) tumors (ER, 92.4%; PgR, 84.0%) and poorly differentiated (grade 3) tumors (ER, 61.8%; PgR, 48.0%). Expression rates were higher in postmenopausal women (ER, 87.2%) than premenopausal women (ER, 79.6%) and higher in lobular carcinomas (ER, 98.7%; PgR, 85.3%) than ductal carcinomas (ER, 84.1%; PgR, 74.5%). The aggregate HER2 positivity (score 3+) rate was 9.0%. The aggregate HER2 equivocal (score 2+) rate was 14.5%. Of 81 equivocal (score 2+) cases, 70 (86.4%) were nonamplified.
    Conclusions.—: The data from this study provide multi-institutional benchmark data to assist laboratories performing periodic comparisons as part of a quality management program. Overall expression rates were generally similar to those of other published reports, with the exception of the ER-negative and HER2-positive rates, both of which were somewhat lower.
    Language English
    Publishing date 2024-04-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 194119-7
    ISSN 1543-2165 ; 0363-0153 ; 0096-8528 ; 0003-9985
    ISSN (online) 1543-2165
    ISSN 0363-0153 ; 0096-8528 ; 0003-9985
    DOI 10.5858/arpa.2022-0384-CP
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Incidental Microscopic Granulosa Cell Proliferations: Tumorlet or Non-neoplastic?

    Menon, Preethi D / Valente, Philip / Nazarullah, Alia

    International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists

    2019  Volume 39, Issue 2, Page(s) 199–202

    Abstract: Microscopic granulosa cell proliferations are rare incidental findings in ovarian and extraovarian tissue, and can simulate granulosa cell tumors. We report a case of a 22-yr-old nulliparous woman with incidental microscopic granulosa cell proliferation ... ...

    Abstract Microscopic granulosa cell proliferations are rare incidental findings in ovarian and extraovarian tissue, and can simulate granulosa cell tumors. We report a case of a 22-yr-old nulliparous woman with incidental microscopic granulosa cell proliferation in the wall of an endometriotic cyst. Excision of the cyst revealed extensive endometriosis and incidental microscopic nests and cords of granulosa cells measuring 1.5 mm and positive for inhibin A and calretinin. A rare Call-Exner body was noted. An extensive literature review of both ovarian and extraovarian granulosa cell proliferations were performed to determine their possible origin, variable morphologic features and differential diagnosis. Forty-seven cases were identified occurring in pregnant (26%) and nonpregnant (74%) settings. The nonpregnant cases reveal an association with endometriosis and endometrioid adenocarcinomas. Follow-up data is very limited, but no reports of subsequent granulosa cell tumors are reported. We hypothesize that possible anovulation may play a role in the development of these proliferations. Because of unknown pathogenesis and limited follow-up data being available, their clinical significance and risk of neoplasia remain unclear.
    MeSH term(s) Cysts/surgery ; Endometriosis/surgery ; Female ; Granulosa Cells/pathology ; Humans ; Incidental Findings ; Young Adult
    Language English
    Publishing date 2019-01-22
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 604859-6
    ISSN 1538-7151 ; 0277-1691
    ISSN (online) 1538-7151
    ISSN 0277-1691
    DOI 10.1097/PGP.0000000000000577
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Bilateral Paget's Disease of the Breast in a Patient with CHEK2 Mutation.

    Owusu-Brackett, Nicci / Menon, Preethi Dileep / Nazarullah, Alia / Jatoi, Ismail / Elmi, Maryam

    European journal of breast health

    2020  Volume 16, Issue 2, Page(s) 152–154

    Abstract: We report a case of a 53-year-old woman with a CHEK2 mutation who was found on histology to have bilateral incidental Paget's disease of the breast following bilateral prophylactic mastectomy. ...

    Abstract We report a case of a 53-year-old woman with a CHEK2 mutation who was found on histology to have bilateral incidental Paget's disease of the breast following bilateral prophylactic mastectomy.
    Language English
    Publishing date 2020-04-01
    Publishing country Turkey
    Document type Case Reports
    ISSN 2587-0831
    ISSN 2587-0831
    DOI 10.5152/ejbh.2020.5568
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Pulmonary Adenocarcinoma, Intra-alveolar Variant: A Rare Entity Mimicking Desquamative Interstitial Pneumonia.

    Hirsch, Eric / Jagirdar, Jaishree / Nazarullah, Alia

    International journal of surgical pathology

    2017  Volume 26, Issue 2, Page(s) 185–189

    Abstract: Exclusive discohesive tumor cells within intra-alveolar spaces is a rare pattern of involvement of primary and metastatic lung tumors. In the absence of a tumoral mass, this pattern closely mimics desquamative interstitial pneumonia (DIP) clinically, ... ...

    Abstract Exclusive discohesive tumor cells within intra-alveolar spaces is a rare pattern of involvement of primary and metastatic lung tumors. In the absence of a tumoral mass, this pattern closely mimics desquamative interstitial pneumonia (DIP) clinically, radiologically, and histologically. However, a secondary DIP pattern may be seen adjacent to a tumor mass not infrequently. Here, we describe a case of a 64-year-old woman status post bilateral lung transplantation, who was radiologically thought to have an interstitial lung disease. The autopsy lung specimen revealed extensive involvement by intra-alveolar adenocarcinoma, with a cytomorphology mimicking alveolar macrophages as seen in DIP in the absence of a tumoral mass. The presence of subtle clustering with signet ring cell features and rare micropapillae were an important clue to the diagnosis. The tumor cells were positive for CK7, napsin-A, and TTF-1, and negative for CD68. This case represents an unusual variant of pulmonary adenocarcinoma with a pure intra-alveolar pattern of involvement, mimicking DIP. To the best of our knowledge, excluding biopsy specimens, only one similar case has been reported in the literature and none in the posttransplant setting.
    MeSH term(s) Adenocarcinoma/diagnosis ; Adenocarcinoma/pathology ; Adenocarcinoma of Lung ; Diagnosis, Differential ; Female ; Humans ; Idiopathic Interstitial Pneumonias/diagnosis ; Lung Neoplasms/diagnosis ; Lung Neoplasms/pathology ; Lung Transplantation ; Middle Aged
    Language English
    Publishing date 2017-09-01
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1336393-1
    ISSN 1940-2465 ; 1066-8969
    ISSN (online) 1940-2465
    ISSN 1066-8969
    DOI 10.1177/1066896917729436
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Peripheral Blood Examination Findings in SARS-CoV-2 Infection.

    Nazarullah, Alia / Liang, Christine / Villarreal, Andrew / Higgins, Russell A / Mais, Daniel D

    American journal of clinical pathology

    2020  Volume 154, Issue 3, Page(s) 319–329

    Abstract: Objectives: Peripheral blood abnormalities in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have not been fully elucidated. We report qualitative and quantitative peripheral blood findings in coronavirus disease 2019 (COVID-19) patients ... ...

    Abstract Objectives: Peripheral blood abnormalities in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have not been fully elucidated. We report qualitative and quantitative peripheral blood findings in coronavirus disease 2019 (COVID-19) patients and compare them with a control group.
    Methods: We reviewed electronic medical records, complete blood counts, peripheral blood smears, and flow cytometry data in 12 patients with SARS-CoV-2. These were compared with 10 control patients with symptoms suspicious for SARS-CoV-2 but who tested negative.
    Results: No significant differences were noted in blood counts, except that absolute lymphopenia was present frequently in the control group (P < .05). Acquired Pelger-Huët anomaly (APHA) was noted in all COVID-19 cases, in most cases affecting over 5% of granulocytes. This contrasted with APHA in only 50% of control cases, affecting fewer than 5% of granulocytes in all cases (P < .05). Monolobate neutrophils were exclusive to COVID-19 cases. COVID-19 patients had greater frequency of plasmacytoid lymphocytes (P < .05). Flow cytometry data revealed absolute CD3+ T-cell count reduction in 6 of 7 patients; all of them required mechanical ventilation.
    Conclusions: Lymphopenia was infrequent in our COVID-19 cohort; however, flow cytometric analysis revealed absolute T-cell count reduction in most cases. COVID-19 cases had significant APHA with monolobate neutrophils and plasmacytoid lymphocytes as compared to controls.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/blood ; Coronavirus Infections/complications ; Coronavirus Infections/immunology ; Female ; Humans ; Male ; Middle Aged ; Pandemics ; Pelger-Huet Anomaly/epidemiology ; Pelger-Huet Anomaly/etiology ; Pneumonia, Viral/blood ; Pneumonia, Viral/complications ; Pneumonia, Viral/immunology ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-07-31
    Publishing country England
    Document type Journal Article
    ZDB-ID 2944-0
    ISSN 1943-7722 ; 0002-9173
    ISSN (online) 1943-7722
    ISSN 0002-9173
    DOI 10.1093/ajcp/aqaa108
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Accuracy of Intraoperative Frozen Section in Detection of Acute Invasive Fungal Rhinosinusitis.

    Alkhateb, Rahaf / Menon, Preethi Dileep / Tariq, Hamza / Hackman, Sarah / Nazarullah, Alia / Mais, Daniel D

    Archives of pathology & laboratory medicine

    2020  Volume 145, Issue 6, Page(s) 736–743

    Abstract: Context.—: Acute invasive fungal rhinosinusitis (AIFRS) is an aggressive form of fungal sinusitis, which remains a significant cause of morbidity and mortality. Early diagnosis and intervention are keys to improving patient outcomes. Intraoperative ... ...

    Abstract Context.—: Acute invasive fungal rhinosinusitis (AIFRS) is an aggressive form of fungal sinusitis, which remains a significant cause of morbidity and mortality. Early diagnosis and intervention are keys to improving patient outcomes. Intraoperative consultation has shown promise in facilitating early surgical intervention, but the accuracy of frozen section has not been clarified in this setting.
    Objectives.—: To assess the accuracy of frozen-section diagnosis in patients with clinically suspected AIFRS.
    Design.—: All cases of clinically suspected AIFRS during a 10-year period (2009-2019) were retrospectively reviewed. The frozen-section results were compared with the final permanent sections as well as the tissue fungal culture results, following which the accuracy of frozen section was determined.
    Results.—: Forty-eight patients with 133 frozen-section evaluations for AIFRS were included in the study. Thirty of 48 patients and 61 of 133 specimens were positive for AIFRS on final pathology. Of 30 positive patients, 27 (90%) had at least 1 specimen diagnosed as positive during intraoperative consultation; among the 61 positive specimens, 54 (88.5%) were diagnosed as positive during intraoperative consultation. Of 72 negative specimens, all were interpreted as negative on frozen section. Thus, frozen sections had a sensitivity of 88.5% (95% CI, 0.78-0.97), specificity of 100% (95% CI, 0.94-1), positive predictive value of 100% (95% CI, 0.92-1), and negative predictive value of 90.6% (95% CI, 0.82-0.97).
    Conclusions.—: This study represents the largest series assessing the diagnostic accuracy of frozen section analysis in AIFRS. These findings are useful in frozen section-informed intraoperative decision making.
    MeSH term(s) Acute Disease ; Adult ; Aged ; Early Diagnosis ; Female ; Frozen Sections/methods ; Humans ; Intraoperative Care ; Male ; Middle Aged ; Mycoses/diagnosis ; Reproducibility of Results ; Retrospective Studies ; Rhinitis/diagnosis ; Sensitivity and Specificity ; Sinusitis/diagnosis
    Language English
    Publishing date 2020-10-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 194119-7
    ISSN 1543-2165 ; 0363-0153 ; 0096-8528 ; 0003-9985
    ISSN (online) 1543-2165
    ISSN 0363-0153 ; 0096-8528 ; 0003-9985
    DOI 10.5858/arpa.2019-0696-OA
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: mTOR inhibition abrogates human mammary stem cells and early breast cancer progression markers.

    Bouamar, Hakim / Broome, Larry Esteban / Lathrop, Kate Ida / Jatoi, Ismail / Brenner, Andrew Jacob / Nazarullah, Alia / Gorena, Karla Moncada / Garcia, Michael / Chen, Yidong / Kaklamani, Virginia / Sun, Lu-Zhe

    Breast cancer research : BCR

    2023  Volume 25, Issue 1, Page(s) 131

    Abstract: Background: Mammary physiology is distinguished in containing adult stem/progenitor cells that are actively amending the breast tissue throughout the reproductive lifespan of women. Despite their importance in both mammary gland development, ... ...

    Abstract Background: Mammary physiology is distinguished in containing adult stem/progenitor cells that are actively amending the breast tissue throughout the reproductive lifespan of women. Despite their importance in both mammary gland development, physiological maintenance, and reproduction, the exact role of mammary stem/progenitor cells in mammary tumorigenesis has not been fully elucidated in humans or animal models. The implications of modulating adult stem/progenitor cells in women could lead to a better understanding of not only their function, but also toward possible breast cancer prevention led us to evaluate the efficacy of rapamycin in reducing mammary stem/progenitor cell activity and malignant progression markers.
    Methods: We analyzed a large number of human breast tissues for their basal and luminal cell composition with flow cytometry and their stem and progenitor cell function with sphere formation assay with respect to age and menopausal status in connection with a clinical study (NCT02642094) involving a low-dose (2 mg/day) and short-term (5-7 days) treatment of the mTOR inhibitor sirolimus. The expression of biomarkers in biopsies and surgical breast samples were measured with quantitative analysis of immunohistochemistry.
    Results: Sirolimus treatment significantly abrogated mammary stem cell activity, particularly in postmenopausal patients. It did not affect the frequency of luminal progenitors but decreased their self-renewal capacity. While sirolimus had no effect on basal cell population, it decreased luminal cell population, particularly in postmenopausal patients. It also significantly diminished prognostic biomarkers associated with breast cancer progression from ductal carcinoma in situ to invasive breast cancer including p16INK4A, COX-2, and Ki67, as well as markers of the senescence-associated secretary phenotype, thereby possibly functioning in preventing early breast cancer progression.
    Conclusion: Overall, these findings indicate a link from mTOR signaling to mammary stem and progenitor cell activity and cancer progression. Trial registration This study involves a clinical trial registered under the ClinicalTrials.gov identifier NCT02642094 registered December 30, 2015.
    MeSH term(s) Animals ; Humans ; Female ; Breast Neoplasms/genetics ; Mammary Glands, Animal/metabolism ; Stem Cells/metabolism ; Biomarkers/metabolism ; TOR Serine-Threonine Kinases/metabolism ; Sirolimus/pharmacology ; Sirolimus/metabolism ; Epithelial Cells/metabolism
    Chemical Substances Biomarkers ; TOR Serine-Threonine Kinases (EC 2.7.11.1) ; Sirolimus (W36ZG6FT64)
    Language English
    Publishing date 2023-10-30
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 2015059-3
    ISSN 1465-542X ; 1465-5411
    ISSN (online) 1465-542X
    ISSN 1465-5411
    DOI 10.1186/s13058-023-01727-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Testicular Germ Cell Tumors: Classification, Pathologic Features, Imaging Findings, and Management.

    Katabathina, Venkata S / Vargas-Zapata, Daniel / Monge, Roberto A / Nazarullah, Alia / Ganeshan, Dhakshina / Tammisetti, Varaha / Prasad, Srinivasa R

    Radiographics : a review publication of the Radiological Society of North America, Inc

    2021  Volume 41, Issue 6, Page(s) 1698–1716

    Abstract: Testicular germ cell tumors (TGCTs) demonstrate a wide variety of histopathologic, genetic, pathogenetic, and immunocytochemical characteristics and various clinical-biologic profiles and prognoses. Most TGCTs arise from an intratubular precursor cell ... ...

    Abstract Testicular germ cell tumors (TGCTs) demonstrate a wide variety of histopathologic, genetic, pathogenetic, and immunocytochemical characteristics and various clinical-biologic profiles and prognoses. Most TGCTs arise from an intratubular precursor cell referred to as germ cell neoplasia in situ (GCNIS), which is an embryonic germ cell with the potential to differentiate into a plethora of embryonic and extraembryonic lineages. Advances in pathologic examination and genetics paved the way for the 2016 World Health Organization (WHO) classification system, which recognizes two pathogenetically distinct groups of TGCTs. Although postpubertal tumors originate from GCNIS, almost all prepubertal tumors belong to the non-GCNIS category. Molecular testing for chromosome 12p amplification helps to distinguish the two tumor categories. Imaging techniques such as US, CT, MRI, and fluorine 18 (
    MeSH term(s) Humans ; Male ; Neoplasms, Germ Cell and Embryonal/diagnostic imaging ; Neoplasms, Germ Cell and Embryonal/therapy ; Positron Emission Tomography Computed Tomography ; Seminoma ; Testicular Neoplasms/diagnostic imaging ; Testicular Neoplasms/therapy
    Language English
    Publishing date 2021-10-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603172-9
    ISSN 1527-1323 ; 0271-5333
    ISSN (online) 1527-1323
    ISSN 0271-5333
    DOI 10.1148/rg.2021210024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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