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Welches der folgenden Ausbreitungsmuster bevorzugt das Plattenepithelkarzinom der Vulva? A) lokal destruierendes Wachstum des Primärtumors, äußerst seltene Metastasierung B) Leistenlymphknoten oft ausgespart bei früher iliakaler und paraaortaler Lymphknotenmetastasierung C) frühe Lungenmetastasen, spät Lymphknotenbeteiligung D) frühe Metastasierung in die Leistenlymphknoten, selten hämatogene Metastasen im Frühstadium E) frühe Metastasierung sowohl lymphogen in die Leistenlymphknoten, als auch hämatogen in die Lunge

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