The New England journal of medicine
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Current methods of disease staging often fail to detect small numbers of tumor cells in lymph nodes. Metastatic relapse may arise from these few cells. ⋯ Immunohistochemical examination of lymph nodes may improve the pathological staging of esophageal cancer.
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The prevalence and characteristics of acetaminophen-associated liver injury in hospitalized patients are not well defined. ⋯ In an urban county hospital, patients hospitalized with acetaminophen toxicity related to accidental misuse had higher rates of morbidity and mortality than those who attempted suicide, even though the latter had taken more acetaminophen. A higher frequency of chronic alcohol abuse among the patients with accidental overdoses may be one explanation.