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the mass is so big that is pressure on bladder ,rectum ,sacrum ,sciatic nerve there is loss of fat plane .also mass does abut the common and external iliac vessels bilaterally with loss of intervening fat plane between structures .they do,however ,continue to demonstrate normal flow .When we spoke to surgeon oncologist she said that his tumor is low grade 2,she was going to do surgery post radiation but now is impossible because tumor is bigger .She mention that there is risk of bleeding because big iliac vessels

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