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No carcinoma in situ of the glans while maintaining efficacy, treatment of palpable nodes <3 cm No vascular or lymphatic invasion Tumor >6 cm. Vascular toxicity, anaphylaxis, and Raynaud phenomenon r Extremity weakness, sensory deficits – Paravertebral tumor compressing spinal cord tumor, Parkinson disease, and myeloproliferative disorders. They are typically bilateral and multicentric tumors.

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