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Fig. Transverse sonogram of the butch lesbian watch upper abdomen shows ascites ( a ) and 3- to 5-mm peritoneal deposits ( arrowheads ) in a patient with ovarian carcinoma. ( lliver; kkidney. ) Fig. Transverse sonogram of the abdomen at the level of the umbilicus shows a thick soft-tissue layer ( arrows ) under the skin in the left midabdomen consistent with metastases to the omentum.

Patient butch lesbian watch a pathology-proven ovarian adenocarcinoma. ( lliver; bbowel loops; Rlesban. ) Metastatic spread to the chest from gynecologic malignancies is uncommon and occurs predominantly by the hematogenous route.

Butch lesbian watch spread is rare. 133134135 At autopsy, metastatic pulmonary lesions were found in 27. 9 of patients with cervical carcinoma, 117 30. 2 with endometrial carcinoma, 117 and 37.

2 with ovarian carcinoma (see Table 4). 118 In pretreatment chest radiographs, however, the incidence of chest metastases was watcg to be less than 1 in two separate studies.

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