<transcript><audio_132> Esto nos habla que seguramente acá esté empezando a haber una infiltración metastásica. Fíjense acá, más o menos lo mismo. Es otro paciente que tenía una lesión en la ingle, pero el paciente tenía un melanoma. Entonces vemos cómo la corteza acá se comió una pelota</transcript><transcript><audio_133> Toda esa hipertrofia que hace la corteza y tiene un aumento de vascularización, esto no está hablando de una metástasis. Si bien, fíjense que tiene ilio, pero en realidad en el contexto del paciente ya nos hace pensar algo más.</transcript><transcript><audio_134> características es que pierden el hilo y son bien hipoicoicos. Fíjense, acá a nivel supraclavicular, carótida y ocular, y al centro mismo un ganglio bien hipoicoico, que es bien redondo, que no tiene</transcript><caption><image_135>The image is a collage of two images, one on the left side and the other on the right side. The left image shows a close-up of a person's ear with a red dot in the center, which appears to be a surgical instrument. The red dot is likely a surgical marker, indicating that the person is undergoing a surgical procedure. The image is accompanied by text that reads "Ganglios Patalogicos Ausencia de Hilo Ecogenico Hipococigenicidad Ganglionar" which translates to "Ausencia of Hilo Ecosystemico Hipoecigenicidad Ganglionalar" in English. The background of the image is black, and the text is in white.</caption> this tells us that surely they had metastasis infiltration here. Look here, more or less the same thing.  In other patients they had a permanent lesion in the groin to have melanoma, so we see how the court is almost like a ball, let's say if 36 Petrov already has the cortex and has a meta vascularization, this was not talking about a metastasis, although notice that it has  and Liam gave a problem in the context of the patient and it makes us think something else. The things that are quite characteristic are that they lose balance and are well and protein. Look here at the supraclavicular carotid jugular level and there is also a good lymph node, type of code, it is very round, it does not  has the
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