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T1 Age 2 13 60-year-old T2 Sex 14 18 male T3 Disease_disorder 97 120 retroperitoneal sarcoma E1 Disease_disorder:T3 T4 Detailed_description 77 96 T2bN0M0G3 Stage III R1 MODIFY Arg1:T4 Arg2:E1 T5 Therapeutic_procedure 62 71 resection E2 Therapeutic_procedure:T5 T6 Detailed_description 54 61 radical R2 MODIFY Arg1:T6 Arg2:E2 R3 MODIFY Arg1:E1 Arg2:E2 T7 History 54 178 radical resection of a T2bN0M0G3 Stage III retroperitoneal sarcoma, including right nephrectomy and cholecystectomy, in 2002 T8 Therapeutic_procedure 138 149 nephrectomy E3 Therapeutic_procedure:T8 T9 Detailed_description 132 137 right R4 MODIFY Arg1:T9 Arg2:E3 T10 Therapeutic_procedure 154 169 cholecystectomy E4 Therapeutic_procedure:T10 R5 SUB_PROCEDURE Arg1:E3 Arg2:E2 R6 SUB_PROCEDURE Arg1:E4 Arg2:E2 T11 Date 174 178 2002 E5 Date:T11 T12 Diagnostic_procedure 180 201 Pathologic evaluation E6 Diagnostic_procedure:T12 T13 Disease_disorder 234 245 liposarcoma E7 Disease_disorder:T13 T14 Severity 223 233 high-grade R7 MODIFY Arg1:T14 Arg2:E7 T15 Distance 217 222 25 cm R8 MODIFY Arg1:T15 Arg2:E7 T16 Detailed_description 251 282 different histologic components T17 Detailed_description 294 300 myxoid T18 Detailed_description 302 312 round cell T19 Detailed_description 314 333 well-differentiated T20 Detailed_description 335 345 sclerosing T21 Detailed_description 350 370 pleomorphic patterns R9 MODIFY Arg1:T17 Arg2:T16 R10 MODIFY Arg1:T18 Arg2:T16 R11 MODIFY Arg1:T19 Arg2:T16 R12 MODIFY Arg1:T20 Arg2:T16 R13 MODIFY Arg1:T21 Arg2:T16 R14 MODIFY Arg1:T16 Arg2:E7 T22 Diagnostic_procedure 372 388 Surgical margins E8 Diagnostic_procedure:T22 T23 Lab_value 394 402 negative R15 MODIFY Arg1:T23 Arg2:E8 T24 Sign_symptom 424 430 invade E9 Sign_symptom:T24 A1 POLARITY E9 NEG T25 Sign_symptom 410 415 tumor E10 Sign_symptom:T25 R16 MODIFY Arg1:E10 Arg2:E9 T26 Biological_structure 435 441 kidney R17 MODIFY Arg1:T26 Arg2:E9 T27 Sign_symptom 492 497 tumor E11 Sign_symptom:T27 A2 POLARITY E11 NEG T28 Biological_structure 457 467 renal vein T29 Biological_structure 472 478 ureter R18 MODIFY Arg1:T29 Arg2:E11 R19 MODIFY Arg1:T28 Arg2:E11 T30 Therapeutic_procedure 539 557 additional therapy E12 Therapeutic_procedure:T30 A3 POLARITY E12 NEG T31 Diagnostic_procedure 572 598 magnetic resonance imaging E13 Diagnostic_procedure:T31 T32 Detailed_description 559 571 Surveillance R20 MODIFY Arg1:T32 Arg2:E13 T33 Date 602 606 2007 E14 Date:T33 T34 Sign_symptom 628 644 tumor recurrence E15 Sign_symptom:T34 T35 Detailed_description 619 627 isolated R21 MODIFY Arg1:T35 Arg2:E15 T36 Biological_structure 652 667 retroperitoneum R22 MODIFY Arg1:T36 Arg2:E15 T37 Diagnostic_procedure 684 693 celiotomy E16 Diagnostic_procedure:T37 T38 Detailed_description 672 683 exploratory R23 MODIFY Arg1:T38 Arg2:E16 T39 Sign_symptom 703 720 tumor involvement E17 Sign_symptom:T39 T40 Biological_structure 728 736 duodenum T41 Biological_structure 738 758 head of the pancreas T42 Biological_structure 760 784 superior mesenteric vein T43 Biological_structure 786 795 vena cava T44 Biological_structure 800 815 left renal vein T45 Detailed_description 828 844 adhesive changes R24 MODIFY Arg1:T45 Arg2:E17 T46 Severity 821 827 severe R25 MODIFY Arg1:T46 Arg2:T45 T47 Disease_disorder 890 910 unresectable disease E18 Disease_disorder:T47 R26 MODIFY Arg1:T40 Arg2:E17 R27 MODIFY Arg1:T41 Arg2:E17 R28 MODIFY Arg1:T42 Arg2:E17 R29 MODIFY Arg1:T43 Arg2:E17 R30 MODIFY Arg1:T44 Arg2:E17 T48 Therapeutic_procedure 966 975 radiation E19 Therapeutic_procedure:T48 T49 Detailed_description 948 965 stereotactic body R31 MODIFY Arg1:T49 Arg2:E19 T50 Sign_symptom 999 1004 tumor E20 Sign_symptom:T50 T51 Biological_structure 983 998 retroperitoneal R32 MODIFY Arg1:T51 Arg2:E20 T52 Dosage 1008 1022 five fractions T53 Dosage 1029 1048 total dose of 30 Gy R33 MODIFY Arg1:T53 Arg2:E19 R34 MODIFY Arg1:T52 Arg2:E19 T54 Sign_symptom 1058 1070 complication E21 Sign_symptom:T54 A4 POLARITY E21 NEG T55 Diagnostic_procedure 1086 1093 imaging E22 Diagnostic_procedure:T55 T56 Sign_symptom 1151 1155 mass E23 Sign_symptom:T56 A5 POLARITY E23 MAYBE_NEG T57 Biological_structure 1135 1150 retroperitoneal R35 MODIFY Arg1:T57 Arg2:E23 T58 Date 1157 1171 One year later E24 Date:T58 T59 Clinical_event 1185 1194 presented E25 Clinical_event:T59 T60 Sign_symptom 1200 1211 weight loss E26 Sign_symptom:T60 T61 Sign_symptom 1236 1240 pain E27 Sign_symptom:T61 T62 Detailed_description 1213 1225 postprandial T63 Biological_structure 1226 1235 abdominal R36 MODIFY Arg1:T63 Arg2:E27 R37 MODIFY Arg1:T62 Arg2:E27 T64 Sign_symptom 1242 1248 nausea E28 Sign_symptom:T64 T65 Sign_symptom 1253 1261 vomiting E29 Sign_symptom:T65 T66 Diagnostic_procedure 1263 1286 Cross-sectional imaging E30 Diagnostic_procedure:T66 T67 Sign_symptom 1303 1307 mass E31 Sign_symptom:T67 T68 Distance 1298 1302 7 cm R38 MODIFY Arg1:T68 Arg2:E31 T69 Biological_structure 1332 1361 third portion of the duodenum R39 MODIFY Arg1:T69 Arg2:E31 T70 Sign_symptom 1405 1416 involvement E32 Sign_symptom:T70 A6 POLARITY E32 NEG T71 Biological_structure 1424 1439 pancreatic head T72 Biological_structure 1447 1463 other structures R40 MODIFY Arg1:T71 Arg2:E32 R41 MODIFY Arg1:T72 Arg2:E32 T73 Therapeutic_procedure 1557 1566 resection E33 Therapeutic_procedure:T73 T74 Diagnostic_procedure 1674 1685 exploration E34 Diagnostic_procedure:T74 T75 Sign_symptom 1700 1705 tumor E35 Sign_symptom:T75 T76 Biological_structure 1722 1735 intraduodenal R42 MODIFY Arg1:T76 Arg2:E35 T77 Coreference 1750 1754 mass E36 Coreference:T77 R43 IDENTICAL Arg1:E36 Arg2:E35 T78 Detailed_description 1737 1749 pedunculated R44 MODIFY Arg1:T78 Arg2:E35 T79 Biological_structure 1762 1785 posterior duodenal wall R45 MODIFY Arg1:T79 Arg2:E35 T80 Therapeutic_procedure 1871 1882 duodenotomy E37 Therapeutic_procedure:T80 T81 Therapeutic_procedure 1887 1904 stalk transection E38 Therapeutic_procedure:T81 T82 Sign_symptom 1921 1925 mass E39 Sign_symptom:T82 T83 Detailed_description 1912 1920 polypoid R46 MODIFY Arg1:T83 Arg2:E39 T84 Therapeutic_procedure 1956 1965 resection E40 Therapeutic_procedure:T84 T85 Biological_structure 1947 1955 duodenal R47 MODIFY Arg1:T85 Arg2:E40 T86 Detailed_description 1939 1946 partial R48 MODIFY Arg1:T86 Arg2:E40 T87 Therapeutic_procedure 1996 2007 anastomosis E41 Therapeutic_procedure:T87 T88 Biological_structure 1981 1995 duodenojejunal R49 MODIFY Arg1:T88 Arg2:E41 R50 SUB_PROCEDURE Arg1:E41 Arg2:E40 T89 Detailed_description 1971 1980 hand-sewn R51 MODIFY Arg1:T89 Arg2:E41 T90 Diagnostic_procedure 2020 2050 Surgical pathology examination E42 Diagnostic_procedure:T90 T91 Disease_disorder 2090 2101 liposarcoma E43 Disease_disorder:T91 T92 Severity 2079 2089 high-grade R52 MODIFY Arg1:T92 Arg2:E43 T93 Detailed_description 2069 2078 recurrent R53 MODIFY Arg1:T93 Arg2:E43 T94 Distance 2062 2068 9.5 cm R54 MODIFY Arg1:T94 Arg2:E43 T95 Detailed_description 2107 2135 polypoid intraluminal growth R55 MODIFY Arg1:T95 Arg2:E43 T96 Detailed_description 2147 2153 myxoid T97 Detailed_description 2155 2165 round cell T98 Detailed_description 2167 2186 well-differentiated T99 Detailed_description 2188 2198 sclerosing T100 Detailed_description 2203 2228 focally pleomorphic areas R56 MODIFY Arg1:T96 Arg2:T95 R57 MODIFY Arg1:T97 Arg2:T95 R58 MODIFY Arg1:T98 Arg2:T95 R59 MODIFY Arg1:T99 Arg2:T95 R60 MODIFY Arg1:T100 Arg2:T95 T101 Diagnostic_procedure 2230 2246 Surgical margins E44 Diagnostic_procedure:T101 T102 Lab_value 2252 2260 negative R61 MODIFY Arg1:T102 Arg2:E44 T103 Sign_symptom 2268 2273 tumor E45 Sign_symptom:T103 T104 Distance 2279 2292 within 0.1 cm R62 MODIFY Arg1:T104 Arg2:E45 T105 Biological_structure 2300 2312 stalk margin R63 MODIFY Arg1:T105 Arg2:T104 T106 Sign_symptom 2353 2374 neoplastic components E46 Sign_symptom:T106 A7 POLARITY E46 NEG T107 Biological_structure 2405 2413 duodenum R64 MODIFY Arg1:T107 Arg2:E46 T108 Diagnostic_procedure 2419 2439 postoperative course E47 Diagnostic_procedure:T108 T109 Therapeutic_procedure 2419 2439 postoperative course E48 Therapeutic_procedure:T109 T110 Lab_value 2444 2457 uncomplicated R65 MODIFY Arg1:T110 Arg2:E47 T111 Sign_symptom 2495 2505 recurrence E49 Sign_symptom:T111 A8 POLARITY E49 NEG T112 Date 2512 2526 30 months from E50 Date:T112 T113 History 539 557 additional therapy T114 History 217 245 25 cm high-grade liposarcoma R67 BEFORE Arg1:E1 Arg2:E3 * OVERLAP E3 E4 E5 E6 E7 * OVERLAP E2 E1 R66 BEFORE Arg1:E7 Arg2:E8 R68 AFTER Arg1:E8 Arg2:E10 * OVERLAP E10 E11 R69 BEFORE Arg1:E11 Arg2:E12 R70 BEFORE Arg1:E12 Arg2:E13 * OVERLAP E13 E14 E15 E16 E17 E18 R71 BEFORE Arg1:E18 Arg2:E19 * OVERLAP E19 E20 R72 BEFORE Arg1:E20 Arg2:E21 R73 BEFORE Arg1:E21 Arg2:E22 * OVERLAP E22 E23 R74 BEFORE Arg1:E23 Arg2:E24 * OVERLAP E24 E25 E26 E27 E28 E29 E30 E31 E32 R75 BEFORE Arg1:E32 Arg2:E33 * OVERLAP E33 E34 E35 E37 E38 E39 R76 BEFORE Arg1:E39 Arg2:E40 * OVERLAP E40 E41 R77 BEFORE Arg1:E41 Arg2:E42 * OVERLAP E42 E43 E44 E45 E46 R78 BEFORE Arg1:E46 Arg2:E47 * OVERLAP E47 E48 R79 BEFORE Arg1:E48 Arg2:E49 * OVERLAP E49 E50