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The primary lesion, usually on the genitalia, appears from 3 to 21 days after infection.
Autopsy was performed to find the primary lesion.
(B) Primary lesion of the kidney (high magnification).
(A) Primary lesion of the kidney (low magnification).
However, we could not identify the primary lesion.
Metastases are usually delayed, long after diagnosis of the primary lesion.
Then, endoscopic retrograde cholangiopancreatography (ERCP) was performed; nevertheless, the primary lesion was not discovered.
The primary lesion in the esophagus achieved almost complete response as assessed by esophageal endoscopy.
a, c The primary lesion on the lower left lobe was larger than before.
In conclusion, pancreatic metastasis can develop years after the treatment of primary lesion.
Evaluation using MRI indicated that the size of the primary lesion had decreased (Figure 3).
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