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All patients got neighborhood surgical resection with or without adjuvant treatment. After a median followup of 47 months, one patient with secondary PPD (7.7%) died of disease progression from fundamental adenocarcinoma. CONCLUSIONS PPD does occur in elderly customers with male predominance and it is usually related to underlying malignancies. Differential expression of CDX2 and GCDFP-15 may help distinguishing primary vs. secondary PPD, which will be essential for man

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