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Aoyagi S et al. – The authors found that the presence of an asymmetrical cortical area with high elasticity should be included in the determination of metastatic involvement in small lymph nodes. It has high predictive values in the differentiation of benign and malignant superficial lymph nodes in patients with clinically node–negative skin cancer. More cases are needed to validate this efficiency in differentiating benign from malignant lymph–node status, but if confirmed, it may have an important role in the diagnosis of high–risk cutaneous squamous cell carcinoma.

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