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r physiology of D. marginatus and provides data for anti-tick vaccine and drug development for controlling the tick. Surgical indications for liver metastases from pancreatic ductal adenocarcinoma (PDAC) are lacking because outcomes are usually poor. However, liver resection and the recent progress in perioperative chemotherapy have been observed to improve survival. We performed liver resection for liver metastases from PDAC only under the following criteria (1) liver-only metastasis, (2) up to three tumors, and (3) no increase in the num
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