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Physical examination classically reveals an early diastolic tumor plop , though patients may also develop an S3 and S4 due to secondary heart failure or altered ventricular compliance from chronic mitral valve dysfunction

Int J Gynecol cancer.15266373

In the current study, recurrence may be attributed to the sunny nature of our country even in winter which necessitate application of an efficient sun blocking agent frequently, this is an issue that is not guaranteed to be followed by all patients throughout treatment and follow-up period