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Five-year progression-free and total success were notably better in those who had withstood upfront surgery (83.6% vs 64.2% and 96.8% vs 85.7%, correspondingly). One post-operative demise and four non-fatal complications took place the resection group. Three clients who had not encountered resection died of chemotherapy-related toxicity. Thirteen patients underwent late surgery to eliminate a residual cyst, without complications all but one live. Outcomes were better in patients ident
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