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She remains alive without recurrence at half a year following the 2nd operation.Case 1 is a 56-year-old man. During postoperative adjuvant chemotherapy for pancreatic cancer, weakness within the right upper and lower limbs showed up, and a head CT scan had been carried out, but no abnormal findings were noted. Diffusion- weighted MRI scan for the head showed multiple cerebral infarcts, and a diagnosis of Trousseau problem ended up being made. Instance 2 is an
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