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The tumour is fairly well defined despite its malignant nature because of a pseudocapsule, but may exert a mass effect or encase neurovascular bundles.
In cases of neurologic compromise the cartilaginous exostosis may exert a mass effect in the expected nerve location, but the nerve itself may be too small to discern.
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The infection may become symptomatic if the cysts either rupture or exert a mass-effect.
Finally, the Teflon granuloma presents as a "tumor-like lesion" adherent to the nerve, vessels, and brainstem exerting a mass effect.
The lesion exerts a mass effect on the oesophagus (black arrow) and is inseparable from the trachea Open image in new window Fig. 9 A 58-year-old male patient with persistence PTC at thyroid bed with hypervascular nodal metastasis.
Repeat surgery may be considered for resectable tumors exerting a mass effect [ 3], while for smaller tumors, re-irradiation is increasingly being considered.
At ultrasonography, FNHs are circumscribed, exert a local mass effect, and may appear hypoechoic, isoechoic, or hyperechoic.
Despite their locally aggressive features, prostate sarcomas can also exert a significant mass effect on adjacent structures such as the bladder and rectum (Fig. 2).
Generally, they cause clinical symptoms late in the course of the disease, as they exert a space occupying mass effect on the surrounding structures.
The strength of gravity, represented by the numerical constant "big G," is quite puny--it takes a huge amount of mass to exert a palpable pull.
Using longitudinal data for a sample of 650 mobile phone consumers and a split-population hazard model that accounts for the notion that some customers are never at risk of defection, the authors show that both the focal firm's (incumbent) and the competitors' price and mass advertising exert a significant influence on the probability of terminating an existing incumbent relationship.
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