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Postoperative chest computed tomography (CT) after one month indicated right lung metastasis (A) and vertebral metastasis (B). Postoperative CT after three month indicated para-aortic lymph node metastasis directly invaded to the duodenum (C). Postoperative gastro-intestinal fiber (GIF) after three months showed invasion of para-aortic lymph node to the duodenum with active bleeding (D).
