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When I first walked into the examination room, I found this 38-year-old malnourished patient with a weight of 350 pounds and extensive tumor that was about 100 centimeters [ 39 inches ] large. I saw fear in the patient's eyes. She was so hopeless, because she had seen several other doctors, and they were unable to help her, her legs were so swollen that she was unable to walk. I've seen leg swelling, but I've never seen leg swelling of this magnitude.

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