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. 2020 Nov 25;6:298. doi: 10.1186/s40792-020-01040-3

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© The Author(s) 2020

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 1 — Endoscopic and computed tomography (CT) images before nivolumab therapy. a First gastric endoscopy examination showing Borrmann type 3 gastric cancer occupying the entire circumference of the gastric body. b First CT image showing the primary tumor invading the pancreatic tail (white arrows). c The spleen was also invaded (white arrows), and the lesser curvature lymph nodes were enlarged (yellow arrows). d Enlarged para-aortic lymph nodes (white arrows)