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Published in: Current Oncology Reports 4/2016

01-04-2016 | Gynecologic Cancers (NS Reed, Section Editor)

Lymphovascular Space Invasion as a Risk Factor in Early Endometrial Cancer

Authors: Azmat H. Sadozye, Rosie L. Harrand, Nick S. Reed

Published in: Current Oncology Reports | Issue 4/2016

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Abstract

Management of early endometrial cancer is contentious these days with little agreement between oncologists as well as across MDTs or tumour boards and indeed across countries. This is because of the state of knowledge with regards to risk factors in early endometrial cancer; although we recognise risk factors affect outcome, we haven’t yet been able to demonstrate that our treatments make a significant difference. We have reviewed available literature on LVSI and are able to demonstrate that it is an independent risk factor for nodal metastasis as well as distant recurrence. We need a randomised trial integrating grade and LVSI and testing therapeutic options of radiotherapy and chemotherapy. However, it is unlikely to see the light of day. Therefore, we are left with this knowledge of prognostic factors and it is our duty to integrate this into our decision-making during our multidisciplinary team meetings and make decisions tailored to individual patient circumstances.
Literature
1.
go back to reference Nout RA, van de Poll-Franse LV, Lybeert MLM, Wárlám-Rodenhuis CC, Jobsen JJ, Mens JWM, et al. Long-term outcome and quality of life of patients with endometrial carcinoma treated with or without pelvic radiotherapy in the post operative radiation therapy in endometrial carcinoma 1 (PORTEC-1) Trial. J Clin Oncol. 2011;29:1692–700.CrossRefPubMed Nout RA, van de Poll-Franse LV, Lybeert MLM, Wárlám-Rodenhuis CC, Jobsen JJ, Mens JWM, et al. Long-term outcome and quality of life of patients with endometrial carcinoma treated with or without pelvic radiotherapy in the post operative radiation therapy in endometrial carcinoma 1 (PORTEC-1) Trial. J Clin Oncol. 2011;29:1692–700.CrossRefPubMed
2.
go back to reference Keys HM, Roberts JA, Brunetto VL, Zaino RJ, Spirtos NM, Bloss JD, et al. A phase III trial of surgery with or without adjunctive external pelvic radiation therapy in intermediate risk endometrial adenocarcinoma: a Gynecologic Oncology Group study. Gynecol Oncol. 2004;92:744–51.CrossRefPubMed Keys HM, Roberts JA, Brunetto VL, Zaino RJ, Spirtos NM, Bloss JD, et al. A phase III trial of surgery with or without adjunctive external pelvic radiation therapy in intermediate risk endometrial adenocarcinoma: a Gynecologic Oncology Group study. Gynecol Oncol. 2004;92:744–51.CrossRefPubMed
3.
go back to reference Nout RA, Smit VTHBM, Putter H, Jürgenliemk-Schulz IM, Jobsen JJ, Lutgens LCHW, et al. Vaginal brachytherapy versus pelvic external beam radiotherapy for patients with endometrial cancer of high-intermediate risk (PORTEC-2): an open-label, non-inferiority, randomised trial. Lancet. 2010;375:816–23.CrossRefPubMed Nout RA, Smit VTHBM, Putter H, Jürgenliemk-Schulz IM, Jobsen JJ, Lutgens LCHW, et al. Vaginal brachytherapy versus pelvic external beam radiotherapy for patients with endometrial cancer of high-intermediate risk (PORTEC-2): an open-label, non-inferiority, randomised trial. Lancet. 2010;375:816–23.CrossRefPubMed
4.
go back to reference Lee CM, Szabo A, Shrieve DC, Macdonald OK, Gaffney DK. Frequency and effect of adjuvant radiation therapy among women with stage I endometrial adenocarcinoma. JAMA. 2006;295:389–97.CrossRefPubMed Lee CM, Szabo A, Shrieve DC, Macdonald OK, Gaffney DK. Frequency and effect of adjuvant radiation therapy among women with stage I endometrial adenocarcinoma. JAMA. 2006;295:389–97.CrossRefPubMed
5.
go back to reference Hogberg T, Signorelli M, de Oliveira CF, Fossati R, Lissoni AA, Sorbe B, et al. Sequential adjuvant chemotherapy and radiotherapy in endometrial cancer—results from two randomised studies. Eur J Cancer. 2010;46(13):2422–31.CrossRefPubMedPubMedCentral Hogberg T, Signorelli M, de Oliveira CF, Fossati R, Lissoni AA, Sorbe B, et al. Sequential adjuvant chemotherapy and radiotherapy in endometrial cancer—results from two randomised studies. Eur J Cancer. 2010;46(13):2422–31.CrossRefPubMedPubMedCentral
6.
go back to reference Cohn DE, Horowitz NS, Mutch DG, Kim S-M, Manolitsas T, Fowler JM. Should the presence of lymphvascular space involvement be used to assign patients to adjuvant therapy following hysterectomy for unstaged endometrial cancer? Gynecol Oncol. 2002;87:243–6.CrossRefPubMed Cohn DE, Horowitz NS, Mutch DG, Kim S-M, Manolitsas T, Fowler JM. Should the presence of lymphvascular space involvement be used to assign patients to adjuvant therapy following hysterectomy for unstaged endometrial cancer? Gynecol Oncol. 2002;87:243–6.CrossRefPubMed
7.
go back to reference Briet JM, Hollema H, Reesink N, Aalders JG, Mourits MJE, ten Hoor KA, et al. Lymphvascular space involvement: an independent prognostic factor in endometrial cancer. Gynecol Oncol. 2005;96:799–804.CrossRefPubMed Briet JM, Hollema H, Reesink N, Aalders JG, Mourits MJE, ten Hoor KA, et al. Lymphvascular space involvement: an independent prognostic factor in endometrial cancer. Gynecol Oncol. 2005;96:799–804.CrossRefPubMed
8.•
go back to reference Koskas M, Bassot K, Graesslin O, Aristizabal P, Barranger E, Clavel-Chapelon F, et al. Impact of lymphovascular space invasion on a nomogram for predicting lymph node metastasis in endometrial cancer. Gynecol Oncol. 2013;129:292–7. Presence of LVSI was associated with higher grade tumours, more than 50% myometrial invasion, cervical involvement and nodal spread. Koskas M, Bassot K, Graesslin O, Aristizabal P, Barranger E, Clavel-Chapelon F, et al. Impact of lymphovascular space invasion on a nomogram for predicting lymph node metastasis in endometrial cancer. Gynecol Oncol. 2013;129:292–7. Presence of LVSI was associated with higher grade tumours, more than 50% myometrial invasion, cervical involvement and nodal spread.
9.
go back to reference Narayan K, Khaw P, Bernshaw D, Mileshkin L, Kondalsamy-Chennakesavan S. Prognostic significance of lymphovascular space invasion and nodal involvement in intermediate- and high-risk endometrial cancer patients treated with curative intent using surgery and adjuvant radiotherapy. Int J Gynecol Cancer. 2012;22:260–6.CrossRefPubMed Narayan K, Khaw P, Bernshaw D, Mileshkin L, Kondalsamy-Chennakesavan S. Prognostic significance of lymphovascular space invasion and nodal involvement in intermediate- and high-risk endometrial cancer patients treated with curative intent using surgery and adjuvant radiotherapy. Int J Gynecol Cancer. 2012;22:260–6.CrossRefPubMed
10.•
go back to reference Guntupalli SR, Zighelboim I, Kizer NT, Zhang Q, Powell MA, Thaker PH, et al. Lymphovascular space invasion is an independent risk factor for nodal disease and poor outcomes in endometrioid endometrial cancer. Gynecol Oncol. 2012;124:31–5. LVSI (OR 6.34) and deep myometrial invasion (OR 4.9) were strong predictors for node positivity. Guntupalli SR, Zighelboim I, Kizer NT, Zhang Q, Powell MA, Thaker PH, et al. Lymphovascular space invasion is an independent risk factor for nodal disease and poor outcomes in endometrioid endometrial cancer. Gynecol Oncol. 2012;124:31–5. LVSI (OR 6.34) and deep myometrial invasion (OR 4.9) were strong predictors for node positivity.
11.
go back to reference Cheewakriangkrai C, Panggid K, Siriaungkul S, Khunamornpong S, Suprasert P, Srisomboon J. Lymphovascular space invasion as a prognostic determinant in uterine cancer. Asian Pac J Cancer Prev. 2007;8:363–6.PubMed Cheewakriangkrai C, Panggid K, Siriaungkul S, Khunamornpong S, Suprasert P, Srisomboon J. Lymphovascular space invasion as a prognostic determinant in uterine cancer. Asian Pac J Cancer Prev. 2007;8:363–6.PubMed
12.•
go back to reference Bosse T, Peters EEM, Creutzberg CL, Jürgenliemk-Schulz IM, Jobsen JJ, Mens JWM, et al. Substantial lymph-vascular space invasion (LVSI) is a significant risk factor for recurrence in endometrial cancer – a pooled analysis of PORTEC 1 and 2 trials. Eur J Cancer. 2015;51:1742–50. In a multivariate analysis, (including: age, depth of myometrial invasion, grade, treatment) substantial LVSI remained the strongest independent prognostic factor for pelvic regional recurrence (HR 6.2 CI 2.4–16). Bosse T, Peters EEM, Creutzberg CL, Jürgenliemk-Schulz IM, Jobsen JJ, Mens JWM, et al. Substantial lymph-vascular space invasion (LVSI) is a significant risk factor for recurrence in endometrial cancer – a pooled analysis of PORTEC 1 and 2 trials. Eur J Cancer. 2015;51:1742–50. In a multivariate analysis, (including: age, depth of myometrial invasion, grade, treatment) substantial LVSI remained the strongest independent prognostic factor for pelvic regional recurrence (HR 6.2 CI 2.4–16).
13.
go back to reference Zhang GY, Wu LY, Li B, Huang MN, Zhang R, Li XG. Retrospective analysis of prognostic variables and clinical outcomes in surgically staged intermediate risk endometrial carcinoma. Eur J Obstet Gynecol Reprod Biol. 2013;169(2):309–16.CrossRefPubMed Zhang GY, Wu LY, Li B, Huang MN, Zhang R, Li XG. Retrospective analysis of prognostic variables and clinical outcomes in surgically staged intermediate risk endometrial carcinoma. Eur J Obstet Gynecol Reprod Biol. 2013;169(2):309–16.CrossRefPubMed
14.
go back to reference Zhang C, Wang C, Feng W. Clinicopathological risk factors for pelvic lymph node metastasis in clinical early-stage endometrioid endometrial adenocarcinoma. Int J Gynecol Cancer. 2012;22:1373–7.CrossRefPubMed Zhang C, Wang C, Feng W. Clinicopathological risk factors for pelvic lymph node metastasis in clinical early-stage endometrioid endometrial adenocarcinoma. Int J Gynecol Cancer. 2012;22:1373–7.CrossRefPubMed
15.
go back to reference Ho-Suap HAHN, In-Ho LEE, Tae-Jin KIM, Ki-Heon LEE, Jae-Uk SHIM, Jae-Wook KIM, et al. Lymphovascular space invasion is highly associated with lymph node metastasis and recurrence in endometrial cancer. Aust N Z J Obstet Gynaecol. 2013;53:293–7.CrossRef Ho-Suap HAHN, In-Ho LEE, Tae-Jin KIM, Ki-Heon LEE, Jae-Uk SHIM, Jae-Wook KIM, et al. Lymphovascular space invasion is highly associated with lymph node metastasis and recurrence in endometrial cancer. Aust N Z J Obstet Gynaecol. 2013;53:293–7.CrossRef
16.
go back to reference Boren T, Lea J, Kehoe S, Miller DS, Richardson D. Lymph node metastasis in endometrioid adenocarcinomas of the uterine corpus with occult cervical involvement. Gynecol Oncol. 2012;127(1):43–6.CrossRefPubMed Boren T, Lea J, Kehoe S, Miller DS, Richardson D. Lymph node metastasis in endometrioid adenocarcinomas of the uterine corpus with occult cervical involvement. Gynecol Oncol. 2012;127(1):43–6.CrossRefPubMed
17.
go back to reference Akbayir O, Corbacioglu A, Goksedef BP, Numanoglu C, Akca A, Guraslan H, et al. The novel criteria for predicting pelvic lymph node metastasis in endometrioid adenocarcinoma of endometrium. Gynecol Oncol. 2012;125(2):400–3.CrossRefPubMed Akbayir O, Corbacioglu A, Goksedef BP, Numanoglu C, Akca A, Guraslan H, et al. The novel criteria for predicting pelvic lymph node metastasis in endometrioid adenocarcinoma of endometrium. Gynecol Oncol. 2012;125(2):400–3.CrossRefPubMed
18.
go back to reference Chang SJ, Kong TW, Kim WY, Yoo SC, Yoon JH, Chang KH, et al. Lymph-vascular space invasion as a significant risk factor for isolated para-aortic lymph node metastasis in endometrial cancer: a study of 203 consecutive patients. Ann Surg Oncol. 2011;18(1):58–64.CrossRefPubMed Chang SJ, Kong TW, Kim WY, Yoo SC, Yoon JH, Chang KH, et al. Lymph-vascular space invasion as a significant risk factor for isolated para-aortic lymph node metastasis in endometrial cancer: a study of 203 consecutive patients. Ann Surg Oncol. 2011;18(1):58–64.CrossRefPubMed
19.
go back to reference Hachisuga T, Kaku T, Fukuda K, Eguchi F, Emoto M, Kamura T, et al. The grading of lymphovascular space invasion in endometrial carcinoma. Cancer. 1999;86(10):2090–7.CrossRefPubMed Hachisuga T, Kaku T, Fukuda K, Eguchi F, Emoto M, Kamura T, et al. The grading of lymphovascular space invasion in endometrial carcinoma. Cancer. 1999;86(10):2090–7.CrossRefPubMed
20.
go back to reference Vaizoglu F, Yuce K, Salman MC, Basaran D, Calis P, Ozgul N, et al. Lymphovascular space involvement is the sole independent predictor of lymph node metastasis in clinical early stage endometrial cancer. Arch Gynecol Obstet. 2013;288(6):1391–7.CrossRefPubMed Vaizoglu F, Yuce K, Salman MC, Basaran D, Calis P, Ozgul N, et al. Lymphovascular space involvement is the sole independent predictor of lymph node metastasis in clinical early stage endometrial cancer. Arch Gynecol Obstet. 2013;288(6):1391–7.CrossRefPubMed
21.
go back to reference Watari H, Todo Y, Takeda M, Ebina Y, Yamamoto R, Sakuragi N. Lymph-vascular space invasion and number of positive para-aortic node groups predict survival in node-positive patients with endometrial cancer. Gynecol Oncol. 2005;96:651–7.CrossRefPubMed Watari H, Todo Y, Takeda M, Ebina Y, Yamamoto R, Sakuragi N. Lymph-vascular space invasion and number of positive para-aortic node groups predict survival in node-positive patients with endometrial cancer. Gynecol Oncol. 2005;96:651–7.CrossRefPubMed
22.
go back to reference Nofech-Mozes S, Ackerman I, Ghorab Z, Thomas NIG, Covens A, Khalifa MA. Lymphovascular invasion is a significant predictor for distant recurrence in patients with early-stage endometrial endometrioid adenocarcinoma. Am J Clin Pathol. 2008;129:912–7.CrossRefPubMed Nofech-Mozes S, Ackerman I, Ghorab Z, Thomas NIG, Covens A, Khalifa MA. Lymphovascular invasion is a significant predictor for distant recurrence in patients with early-stage endometrial endometrioid adenocarcinoma. Am J Clin Pathol. 2008;129:912–7.CrossRefPubMed
23.
go back to reference Gadducci A, Cavazzana A, Cosio S, di Cristofano C, Tana R, Fanucchi A, et al. Lymph-vascular space involvement and outer one-third myometrial invasion are strong predictors of distant haematogeneous failures in patients with stage I-II endometrioid-type endometrial cancer. Anticancer Res. 2009;29:1715–20.PubMed Gadducci A, Cavazzana A, Cosio S, di Cristofano C, Tana R, Fanucchi A, et al. Lymph-vascular space involvement and outer one-third myometrial invasion are strong predictors of distant haematogeneous failures in patients with stage I-II endometrioid-type endometrial cancer. Anticancer Res. 2009;29:1715–20.PubMed
24.
go back to reference O’Brien DJ, Flannelly G, Mooney EE, Foleya M. Lymphovascular space involvement in early stage well-differentiated endometrial cancer is associated with increased mortality. BJOG. 2009;116:991–4.CrossRefPubMed O’Brien DJ, Flannelly G, Mooney EE, Foleya M. Lymphovascular space involvement in early stage well-differentiated endometrial cancer is associated with increased mortality. BJOG. 2009;116:991–4.CrossRefPubMed
25.
go back to reference Puljiz M, Puljiz Ž, Danolić D, Alvir I, Tomica D, Mamić I, et al. Prognostic value of lymphovascular space invasion in endometrial cancer. Med Glas. 2013;10(2):288–92. Puljiz M, Puljiz Ž, Danolić D, Alvir I, Tomica D, Mamić I, et al. Prognostic value of lymphovascular space invasion in endometrial cancer. Med Glas. 2013;10(2):288–92.
26.
go back to reference Alexander-Sefre F, Singh N, Ayhan A, Thomas JM, Jacobs IJ. Clinical value of immunohistochemically detected lymphovascular invasion in endometrioid endometrial cancer. Gynecol Oncol. 2004;92:653–9.CrossRefPubMed Alexander-Sefre F, Singh N, Ayhan A, Thomas JM, Jacobs IJ. Clinical value of immunohistochemically detected lymphovascular invasion in endometrioid endometrial cancer. Gynecol Oncol. 2004;92:653–9.CrossRefPubMed
27.
go back to reference Lim S, Lee K-B, Park C-Y. The prognostic significance of lymphovascular space involvement in patients with uterine confined endometrioid endometrial cancer. Korean J Obstet Gynecol. 2012;55(2):76–82.CrossRef Lim S, Lee K-B, Park C-Y. The prognostic significance of lymphovascular space involvement in patients with uterine confined endometrioid endometrial cancer. Korean J Obstet Gynecol. 2012;55(2):76–82.CrossRef
28.
go back to reference Song T, Lee JW, Choi CH, Kim TJ, Bae DS, Sung CO, et al. Ploidy and S-phase fraction are correlated with lymphovascular space invasion that is predictive of outcomes in endometrial cancer. Int J Clin Oncol. 2012;17(6):590–7.CrossRefPubMed Song T, Lee JW, Choi CH, Kim TJ, Bae DS, Sung CO, et al. Ploidy and S-phase fraction are correlated with lymphovascular space invasion that is predictive of outcomes in endometrial cancer. Int J Clin Oncol. 2012;17(6):590–7.CrossRefPubMed
29.
go back to reference Mariani A, Dowdy SC, Keeney GL, Haddock MG, Lesnick TG, Podratz KC. Predictors of vaginal relapse in stage I endometrial cancer. Gynecol Oncol. 2005;97:820–7.CrossRefPubMed Mariani A, Dowdy SC, Keeney GL, Haddock MG, Lesnick TG, Podratz KC. Predictors of vaginal relapse in stage I endometrial cancer. Gynecol Oncol. 2005;97:820–7.CrossRefPubMed
30.
go back to reference Simpkins F, Papadia A, Kunos C, Michener C, Frasure H, AbuShahin F, et al. Patterns of recurrence in stage i endometrioid endometrial adenocarcinoma with lymphovascular space invasion. Int J Gynecol Cancer. 2013;23:98–104.CrossRefPubMed Simpkins F, Papadia A, Kunos C, Michener C, Frasure H, AbuShahin F, et al. Patterns of recurrence in stage i endometrioid endometrial adenocarcinoma with lymphovascular space invasion. Int J Gynecol Cancer. 2013;23:98–104.CrossRefPubMed
31.
go back to reference Gadducci A, Cosio S, Fabrini MG, Fanucchi A, Barsotti C, Cristofani R, et al. Patterns of failures in endometrial cancer: clinicopathological variables predictive of the risk of local, distant and retroperitoneal failure. Anticancer Res. 2011;31(10):3483–8.PubMed Gadducci A, Cosio S, Fabrini MG, Fanucchi A, Barsotti C, Cristofani R, et al. Patterns of failures in endometrial cancer: clinicopathological variables predictive of the risk of local, distant and retroperitoneal failure. Anticancer Res. 2011;31(10):3483–8.PubMed
32.
go back to reference Panggid K, Cheewakriangkrai C, Khunamornpong S, Siriaunkgul S. Factors related to recurrence in non-obese women with endometrial endometrioid adenocarcinoma. J Obstet Gynaecol Res. 2010;36(5):1044–8.CrossRefPubMed Panggid K, Cheewakriangkrai C, Khunamornpong S, Siriaunkgul S. Factors related to recurrence in non-obese women with endometrial endometrioid adenocarcinoma. J Obstet Gynaecol Res. 2010;36(5):1044–8.CrossRefPubMed
33.
go back to reference Vandenput I, Vanhove T, Calster BV, Gorp TV, Moerman P, Verbist G, et al. The use of lymph vessel markers to predict endometrial cancer outcome. Int J Gynecol Cancer. 2010;20(3):363–7.CrossRefPubMed Vandenput I, Vanhove T, Calster BV, Gorp TV, Moerman P, Verbist G, et al. The use of lymph vessel markers to predict endometrial cancer outcome. Int J Gynecol Cancer. 2010;20(3):363–7.CrossRefPubMed
34.
go back to reference Gemer O, Ben Arie A, Levy T, Gdalevich M, Lorian M, Barak F, et al. Lymphvascular space involvement compromises the survival of patients with stage I endometrial cancer: results of a multicenter study. Eur J Surg Oncol. 2007;33:644–7.CrossRefPubMed Gemer O, Ben Arie A, Levy T, Gdalevich M, Lorian M, Barak F, et al. Lymphvascular space involvement compromises the survival of patients with stage I endometrial cancer: results of a multicenter study. Eur J Surg Oncol. 2007;33:644–7.CrossRefPubMed
35.
go back to reference Loizzi V, Cormio G, Lorusso M, Latorre D, Falagario M, Demitri P, et al. The impact of lymphvascular space invasion on recurrence and survival in patients with early stage endometrial cancer. Eur J Cancer Care. 2014;23(3):380–4.CrossRef Loizzi V, Cormio G, Lorusso M, Latorre D, Falagario M, Demitri P, et al. The impact of lymphvascular space invasion on recurrence and survival in patients with early stage endometrial cancer. Eur J Cancer Care. 2014;23(3):380–4.CrossRef
36.
go back to reference Aristizabal P, Graesslin O, Barranger E, Clavel-Chapelon F, Haddad B, Luton D, et al. A suggested modification to FIGO stage I endometrial cancer. Gynecol Oncol. 2014;133(2):192–6.CrossRefPubMed Aristizabal P, Graesslin O, Barranger E, Clavel-Chapelon F, Haddad B, Luton D, et al. A suggested modification to FIGO stage I endometrial cancer. Gynecol Oncol. 2014;133(2):192–6.CrossRefPubMed
37.
go back to reference Weinberg LE, Kunos CA, Zanotti KM. Lymphovascular space invasion (LVSI) is an isolated poor prognostic factor for recurrence and survival among women with intermediate- to high-risk early-stage endometrioid endometrial cancer. Int J Gynecol Cancer. 2013;23(8):1438–45.CrossRefPubMed Weinberg LE, Kunos CA, Zanotti KM. Lymphovascular space invasion (LVSI) is an isolated poor prognostic factor for recurrence and survival among women with intermediate- to high-risk early-stage endometrioid endometrial cancer. Int J Gynecol Cancer. 2013;23(8):1438–45.CrossRefPubMed
38.
go back to reference Kong A, Johnson N, Kitchener HC, Lawrie TA. Adjuvant radiotherapy for stage I endometrial cancer: an updated Cochrane systematic review and meta-analysis. J Natl Cancer Inst. 2012;104(21):1625–34.CrossRefPubMed Kong A, Johnson N, Kitchener HC, Lawrie TA. Adjuvant radiotherapy for stage I endometrial cancer: an updated Cochrane systematic review and meta-analysis. J Natl Cancer Inst. 2012;104(21):1625–34.CrossRefPubMed
Metadata
Title
Lymphovascular Space Invasion as a Risk Factor in Early Endometrial Cancer
Authors
Azmat H. Sadozye
Rosie L. Harrand
Nick S. Reed
Publication date
01-04-2016
Publisher
Springer US
Published in
Current Oncology Reports / Issue 4/2016
Print ISSN: 1523-3790
Electronic ISSN: 1534-6269
DOI
https://doi.org/10.1007/s11912-016-0505-1

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