Different types of benign peripheral nerve tumors include: Schwannoma. 2016 Mar;19(3):181-8. Mayo Clinic; 2021. Episacral lipoma occurs as a result of tears in the thoracodorsal fascia and subsequent herniation of a portion of the underlying dorsal fat pad through the tear. I have never had a back injury. As the symptoms progress without treatment, weakness, bladder and bowel problems can occur. Goldblum JR, et al. This tumor most commonly develops in people who have neurofibromatosis 1 (NF1). Ganglion cyst. Potential causes include: Intramuscular lipomas are slow-growing tumors. Learn how we can help 2.3k views Reviewed >2 years ago Thank Dr. Scott Keith and another doctor agree I wanted them removed since I have concerns about cancer - my sister died two years ago from breast cancer. Complications of surgical removal of back mice include: Call your healthcare provider if you experience fever, chills, nausea, increasing pain, bleeding, or discharge. But they can lead to nerve damage and loss of muscle control. It is critical for doctors to recognize the importance of physical examination in determining the diagnosis of rare cases like this one. Tumors can be found in a variety of locations throughout the body and are quite common. By using our website, you consent to our use of cookies. Superficial lipomas can almost always be diagnosed clinically. What do you recommend if i have a large lipoma on my back near the spine, can this foul smell be coming from this, for about 2 yrs.? You might also feel coolness in these areas or sudden, sharp pain. I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. There are few symptoms associated with lipomas, which are primarily found in the subdermal tissues. You may also experience muscle cramps or muscle pain. If the intramuscular lipoma is large, your provider may recommend removing it to relieve nerve pain, cramps in the muscles, or to create an unsightly bump beneath the skin. The typical lipoma is a small, soft, rubbery lump located just beneath the skin. Lipomas are fatty tumors that grow just under the skin. A neurofibroma also often forms inside the nerve. Often, these lumps are nothing to worry about. This, however, is a report on such a case. There is no way to verify if they were growing since no tests were done - I called my Dr. and he still insisted to wait and see and to continue with Tylenol (which I take all day long). These nerve sheath tumors are called schwannomas because they are made up of Schwann cells, which are cells that surround the nerves. 2023 Dotdash Media, Inc. All rights reserved. Turmeric, like neem oil, is commonly used in Ayurvedic medicine. Lipomas are most common on the shoulders, neck, trunk and arms, but they can occur anywhere on the . Lipomas can recur in which case they can be cut out again. Doctors classify these tumors by their location within the spinal cord. When symptoms occur, you may notice swelling (edema) or a soft lump underneath your skin that moves. [2] Symptomatic symptoms are typically similar to sciatic pain caused by herniation, which can delay diagnosis. This type of tumor occurs in the spine and lower abdomen and are intertwined with important nerves. MRIs found that there was a diffuse bulge of the L4-5 disc in the left hip. I'm having a lipoma remove from my back near my spine in the office i'm nervous? However, in rare cases, a lipoma can press on a nerve, causing pain, tingling, or numbness. Appointments 216.444.2606 Helpful Surgery is the most common option, but there are other options available if that isnt the best option for you. However, it is common for them to not cause pain or other problems. A peripheral nerve compression of lipomas is occasionally reported. There are various structures within the back region, including the following. A lipoma is a benign (noncancerous) tumor made up of fat tissue. As a result, connective tissue and nerve compression occurs. Slow-growing fat cells cause this benign, soft lump that usually appears under the skin on the neck, shoulders, back or arms. If pain is severe, surgical removal may be possible. lipomas are masses that can affect nerves or have an extraneural origin and cause nerve compression, as well as focal masses with very thin membrane bands and potentially affecting the epineurium (intraneural lipomas). Physicians may order unnecessary tests to address the underlying sources of pain instead of focusing on the underlying causes. Diagnosis Some people do not realize they have lumps until pressure is exerted on them. 2.tissue biopsy is used to confirm the diagnosis. A lipoma isnt cancer and usually is harmless. Kokkalis ZT, et al. Can Helicobacter pylori be caused by stress? Pardonthe pun, but is no skin off the doctors back if it is something more serious. The lump may feel firm when you contract your muscles. There isnt any way to prevent them. You can also try over-the-counter pain relievers such as non-steroidal anti-inflammatory drugs. It is possible that lipomas could compress nearby nerves, leading to damage, but more research is needed to confirm this theory. What causes a lipoma? The ability of nerve conduction studies (NCS) and electromyography to detect L5 radiculopathy was demonstrated. Sometimes a lipoma under the skin can be unsightly if it grows to be several centimetres across. Is there higher chance of reoccurring lipomas or neg. Following surgery, a left hip ROM of 110 degrees was improved, as well as neuropathic pain in his left leg, within one week. Samer S. Hasan, MD, PhD . If you develop a schwannoma in an arm or leg, you might notice a mass. Accessed Aug. 20, 2022. Dear Worried College Student in Missouri. Accessed Aug. 20, 2022. They usually feel somewhat "squishy," or fluctuant, though . Some people do not realize they have lumps until pressure is exerted on them. i have one right next to my spine and it's about the size of a golf ball. Tumors that don't cause symptoms rarely require treatment. They do not spread like cancer. Peripheral nerve tumors affect nerves by growing within them or by pressing against them. During the study, scientists discovered a fatty mass encapsulated between the gluteus medius and maximus muscles, which they believe is connected to the sciatic nerve. Most frequently, the presentation is of an asymptomatic, pain-free, slowly growing mass involving subcutaneous tissue [ 1 ]. Conversely, the cervical spine above and lumbar spine below both have . Lipoma. I am a 22 year old women, petite 5'2, 105lbs and I have been having severe lower back pain for 15 weeks. Get useful, helpful and relevant health + wellness information. If a lipoma, particularly one with a sub muscular type, impinges on a nerve, pain may result. Lipomas can be unsightly, but they usually do not cause any pain, discomfort or tenderness. It can take time to find what works for you. While a lipoma/back mouse is the most obvious explanation, your healthcare provider may finalize diagnosis by ruling out other causes such as: Painful lipomas are also associated with fibromyalgia, a chronic condition that involves abnormal pain signals. A lipoma is painless unless its growth is irritating the nerves around it. Last reviewed by a Cleveland Clinic medical professional on 07/29/2022. Your health care provider might want to monitor a lipoma through regular checkups. Head and Neck Pathology. This content does not have an Arabic version. Despite the fact that peripheral nerves are rarely affected by bilateral lipomas, they can still cause or be linked to CRPS. Advertisement. There are many types of lipomas depending on the location, they do not produce any symptoms in some patients, but in other cases they do. Most lipomas are asymptomatic and portend a favorable prognosis, but some are large enough to cause obstruction and resultant symptoms of dizziness, dyspnea and syncope. The lipoma is a benign tumor of the fatty tissues. If not treated, the condition can cause discomfort and pain, interfere with muscle growth, and cause blood vessel problems. (https://www.hindawi.com/journals/bmri/2014/867689/). the muscle and lower limb movement reeducation in a chronic case whether the movements might had been limited due to pain for a long period. This way of making a diagnosis can be problematic. If you suffer from any of these symptoms, you should seek medical attention. For the tumors to grow to the size of melons and then it IS complicated? The lipoma cells are believed to arise from primordial mesenchymal fatty tissue cells; thus, they are not of adult fat cell origin. Lipomas bigger than 2 inches are sometimes called giant lipomas. They can cause nerve pain, make you feel self-conscious about your looks, or make it harder for clothes to fit. He had numbness and tingling on the left side of his hemiplegic left side as a result of his chronic pain syndrome. Other benign tumors that form outside nerves are soft lumps of slow-growing fat cells called lipomas and ganglion cysts. They can range from a total absence of symptoms, at least in a specific period of life, to the appearance of more or fewer complex symptoms that can occur at any moment of evolution. If it's small, doctors often recommend doing nothing. Spinal lipomas are a type that causes low back pain in young patients and it may appear even when they are at rest or when a physical activity is performed. 3. can they effect or make back pain? my back gets pulled often & right by where the lipomas are. Subfascial lipomas around either or both of the spinoglenoid and suprascapular . In the hands of a competent doctor things will go smoothly and your spine is not involved. An intramuscular lipoma is a rare noncancerous (benign) tumor that forms deep inside a muscle. Dercum's Disease Dercum's disease is a dermatological condition characterized by painful lipomas and subcutaneous plaques. If it relieves the pain, the lump is likely a back mouse. In: Schmidek & Sweet: Operative Neurosurgical Techniques. - Studybuff Episacral lipoma is a significant and treatable cause of acute and chronic low back pain. 2019; doi.org/10.1016/j.injury.2019.10.054. A schwannoma typically starts in a single bundle inside the main nerve, shifting the rest of the nerve. This is the only known way to get lasting pain relief. This is a genetic disorder that causes tumors to grow on nerves. 2. Lipomas are harmless and do not usually cause any symptoms. It isn't painful and reaches a point of balance where it stops growing, with the exceptions we mentioned. There is lipomas and nerve pain. Our team of experts, doctors, and orthopedic specialists are here to share their knowledge and experience with you in order to help you make informed decisions about your health and well-being. Cleveland Clinic is a non-profit academic medical center. Embolization is a rare phenomenon because lipomas are typically encapsulated. If you experience numbness, tingling, or pain in one or more limbs, consult with your healthcare provider. Because of the moderate pain relief that resulted from the combination of gabapentin and oxycodone, the pain was manageable and could be used to live normally. Lipomas are the most common soft-tissue tumor. Sage is used in traditional Chinese medicine to dissolve fatty tissue. Although these tests create clear pictures of dense structures like bone, plain x-rays can show a prominent shadow caused by a soft tissue tumor, such as a lipoma. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Some are passed down in families. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Since lipomas arent harmful, many times doctor will leave them alone. Accessed Aug. 20, 2022. Unfortunately these can also be tough to get out but a good dermatological surgeon or general surgeon can do it. Inherited conditions can bring them on. Causes The cause of lipomas isn't fully understood. Less commonly, these tumors can be found in deeper tissue of the thigh, shoulder, or . 4. Our articles are resourced from reputable online pages. Lipoma Treatment Involves Surgical Removal Dermatologists can remove lipomas if they keep growing or become bothersome. Usually, the only symptom of lipoma in dogs is noticing the actual lump beneath the skin. 1173185, Mercier.L ,Practical Orthopedics 6th Edition, Elsevier, Department of Physical Medicine and Rehabilitation, Ankara Training and Research Hospital, Ankara, Turkey,PubMed ,2013. Furthermore, lipomatosis, the cause of a large number of lipomas, has been known to cause pain in the lesions that cause it. 2020; doi.org/10.1007/s12105-020-01155-x. A schwannoma typically comes from a single bundle of nerve fibers, called a fascicle, within the main nerve. The first sign of a lipoma should be obvious to the doctor. He asked me to wait and see if they, and the pain, go away and scheduled a follow-up 2 months later. It will move easily with finger pressure. A hard mass in the back is usually the result of the growth of underlying structures. Particularly in the cervical area, intramuscular lipomas sometimes invade the surrounding muscles and tissue layers and develop into an irregular mass, despite being benign. Mayo Clinic is a not-for-profit organization. Treatment for a lipoma that is causing pain is typically surgery to remove the tumor. The symptoms of a spinal lipoma are very variable. But if you notice a lump or swelling anywhere on your body, have it checked by your doctor. It is critical that you seek medical attention if you notice any changes in your nerve function, such as increased pain or weakness. A lipoma is a benign medical condition. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. A maximal level of assistance was required. Coat the lipoma with the balm. James, William D.; Berger, Timothy G.; Elston, Dirk M. (2005). What is the smallest unit of a muscle fiber? Episacral lipoma occurs as a result of tears in the thoracodorsal fascia and subsequent herniation of a portion of the underlying dorsal fat pad through the tear. If one is causing pain or affecting your muscles, you might have to get it removed. Hydroxylated ostephytes were discovered in the left femoral head during hip radiography. Rarely, a lipoma may press on another structure and cause problems. To learn more, please visit our. Your provider may remove a large intramuscular lipoma that pinches nerves, causes nerve pain or muscle cramps or forms an unsightly bump under the skin. Usually, your dog will not exhibit any signs of pain or immobility unless the tumor is located in a joint. Spinal Cysts and Tumorlike Masses. Perineuriomas are rare and can grow from inside or outside the nerve. CAM treatments like acupuncture, dry needling, and spinal manipulation may help. I am thinking about have at least 4-6 more taken out. Contact the UPMC Department of Neurosurgery To make an appointment or ask a question: Call us at 412-647-3685. It was the first day of March. A large tumor may cause a pinched nerve and neuropathy (nerve pain). Is this true that the lipomas have absolutely nothing to do with my back pain?? Your provider may remove a large intramuscular lipoma that pinches nerves, causes nerve pain or muscle cramps or forms an unsightly bump under the skin. It is not a good idea to ignore rib pain. This is the network of connective tissue that covers the deep muscles of the low and middle back. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. I love to write and share science related Stuff Here on my Website. Neurofibroma. Spinal cord lipomas and lipomyelomeningoceles are both associated with abnormal fat accumulation in and around the spinal cord. https://www.wikihow.com/Cure-Lipomas-Naturally, https://www.physio-pedia.com/index.php?title=Episacral_Lipomas&oldid=216360, The most common type of pain in the fatty tissue of the low back is the tender fatty nodule in the SI area, some times called the. Tumors that dont cause symptoms rarely require treatment. The study participants were fully aware of the studys implications. If that happens, you will require surgery to remove the disk. If they do, you have treatment options to explore. Quinones-Hinojosa A, et al., eds. Lipomas are usually harmless and do not cause any pain. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274454/), (https://radiopaedia.org/articles/intramuscular-lipoma). Another common type is a neurofibroma. The signs and symptoms may include back pain, numbness, tingling sensation in the affected region, and weakness in the lower extremities Both conservative and surgical treatment measures may be considered to address Spinal Epidural Lipomatosis based upon the severity of the condition and the extent of spinal stenosis (narrowing of the spine due . As a result, it is critical that the disease is treated as soon as possible. When I pointed this out he reminded me that if I really wanted them removed they'll do it but his advice was to just wait and see. If the back mice are smaller, more extensive, and more fluid, liposuction may be effective. Your doctor may surgically remove a small part of the lipoma to study whether it is benign or cancerous. Ask Mayo Expert. Accessed Aug. 20, 2022. [16, 17], the prevalence of pain caused by spinal nerve tumors in patients with non-disc-related sciatica was 1.7%. Anytime you find a lump, you should have your healthcare provider look at it to make sure it's not something serious. American Academy of Orthopaedic Surgeons. Agri. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. if you have not already i would get an MRI done to make sure they are not tying down you spinal cord this is what haappened with my daughter. Mayo Clinic. Intramuscular Lipoma: A Review of the Literature. All rights reserved. The most common location of intramedicinal lipomas in the limbs is the thighs and shoulders. It helps me to write it all down on here and vent. An intramuscular lipoma is a rare, noncancerous (benign) tumor. Here are 12 simple and fun! Back mice were first described in medical literature in 1937 when a healthcare provider named Emil Reis used the term in association with a condition called episacroiliac lipoma. They are usually benign, meaning they are not cancerous, and do not cause any pain or other symptoms. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. We are an online blog dedicated to providing comprehensive and accurate information about orthopedics and injury prevention. Peripheral nerve tumors of the extremities. This content does not have an English version. And if you have one, its reassuring to know that these fatty tumors arent cancerous. The best-laid plans of "back mice" and men: A case report and literature review of episacroiliac lipoma. Lipoma is a cluster of fat cells seen in the subcutaneous tissue. Although the causes are not always the same, they should not be overlooked in the treatment of sciatica. Discover the common causes of headaches and how to treat headache pain. ways to boost your brainpower. This is the first human clinical presentation of a benign lipoma that causes CRPS symptoms. A 2016 case study reported that the anesthetic injections followed by dry needling (similar to acupuncture) improved pain relief. If any lipoma increases in size or becomes painful, you must tell your doctor, as it can be a sign that the lipoma is changing. Try creating an ointment with turmeric. Rather, it should be looked at by a qualified dermatologist or medical professional who can perform imaging studies and a biopsy if needed. Peripheral nerve tumors. The term "lipoma" is descriptive only in that through direct palpation over the region, the examiner is able to detect a subcutaneous mass similar to the benign tumors; however, it is not a tumor, but is subfascial fat . Lipomas are composed of fat cells that have the same morphology as normal fat cells, and there is a connective tissue framework. This clinical entity is common, and recognition is simple. Back structure. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. An intramuscular lipoma is a rare noncancerous (benign) tumor that forms deep inside a muscle. An abnormal fatty growth should never be diagnosed by a chiropractor. This article may contains scientific references. Episacral lipoma occurs as a result of tears in the thoracodorsal fascia and subsequent herniation of a portion of the underlying dorsal fat pad through the tear. Other causes ofCRPS may include sensorimotor neuropathy, erythromelalgia, vascular insufficiency, lymphedema, and deep vein thrombosis. She was diagnosed with axillary lipoma, which was thought to be causing a cascade of symptoms by impinging on peripheral nerves through a mass effect. The left axillary lipoma was removed, as well as the contents of the left axillary sac, during this procedure. Episacral lipoma is a significant and treatable cause of acute and chronic low back pain. What will happen after a lipoma removal: You will be able to go home after your surgery. Surgeons carefully remove schwannomas while taking care to preserve nerve fascicles that aren't affected by the tumors. Limit eating red meats. They are inherited (passed down through families). I am scheduled for outpatient excision of the 2 tumors but I am worried my insurance will not cover since it is filed as cosmetic and "unnecessary". You might not need treatment if the intramuscular lipoma doesnt cause problems. Around 2 to 3 percent of people who develop a lipoma have a family history of the . Neem oil is an astringent that helps protect your skin. After being concerned with 2 lumps on my lower back area (above the tailbone) I went and saw my general physician and he diagnosed them as lipomas. It is high in antioxidants that help regulate blood sugar and blood fats. I have a possible deep lipoma on lower back near spine. After two weeks, the patients symptoms in his left arm had improved but not completely, according to the doctors. One was very large (volume of 1cup) and pressing on sciatica. In rare cases, lipomas have compressed peripheral nerves. All of the authors have stated that no financial assistance from any organization was provided to them for submitting their work. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. (https://www.sciencedirect.com/science/article/pii/S2352241015000523), Visitation, mask requirements and COVID-19 information. Its made of yellow fatty tissue that forms inside a muscle. The patient experienced troublesome pain in the neck and occipital area, and surgical treatment was therefore suggested. It usually occurs in adults, and women are more commonly affected than men. Some studies suggest that lipomas can cause nerve damage, while other studies are not able to confirm this link. Updated August 2018. During the procedure, a probe was used to stimulate the nerve roots on a regular basis. hurts a little. Form unsightly lumps Cause excruciating pain The pain associated with back mice results from pressure being placed on the lump, which compresses the nerves. It's also called adiposis dolorosa or Anders' syndrome. Most hemangiomas occur on the surface of the skin or just beneath it. This is a brief process that lasts approximately 30 and 60 minutes, this allows to definitively ensure that this mass or nodule is completely eliminated. Some features of a lipoma include: A dome-shaped or egg-shaped lump about 2-10 cm in diameter (some may grow even larger) It feels soft and smooth and is easily moved under the skin with the fingers. On the other hand, other patients will not have symptoms until very later in the evolution of their lives. Some people who have NF1 develop other conditions. . When a schwannoma grows, more fascicles are at risk when trying to remove the tumor safely. Recurrences after removal are uncommon. Depending on the chamber involved and the size of the mass, they can cause obstruction of flow and congestive heart failure [4, 5]. A common approach uses acupuncture and spinal manipulation. . Lipomas are usually painless unless they affect joints, organs, nerves, or blood vessels. They tend to increase in size with body weight gain, but interestingly, weight loss usually does not decrease their sizes. Fish has good amounts of healthy omega-3 fats and good quality protein. You may have pain, swelling, or bruising where the lipoma was removed. Symptoms of Lipoma in Dogs. Sciatic pain is a disabling pathology that can have various etiologies, but is rarely described as caused by an intermuscular gluteal lipoma. Call us at 1-877-320-8762 (outside the U.S.). Surgical removal. Unless it's causing pain or making it difficult to move, there's no reason to remove a lipoma, as these growths are benign. These slow-growing, benign fatty tumors form soft, lobulated masses enclosed by a thin, fibrous capsule. These benign, soft lumps that appear under the skin on the neck, shoulders, back, and arms are caused by fat cells that are slowly growing. Yaw Boachie-Adjei, MD, is a board-certified, double-fellowship Orthopedic Surgeon. Soft tissue tumors like intramuscular lipomas are very rare. Spinal Tumors. Can a lipoma swell up and down often without any pain?its on top of the bone at top of spine/base of neck and coz of it position it gets aggravated. Other terms for the episacral lipoma are the. Under constant pressure, a single layer of over-all lipoma would soften into a softer and smaller structure. Unfortunately, the answer is usually no, the procedure will not be covered. In the following 2 weeks my pain increased to the point of being unbearable and no amount of Ibuprofin,Tylenol,etc would help. side eff. 26 A spinal lipoma is defined as an . The diagnosis is at last by magnetic resonance imaging, an MRI of the lumbosacral region; it will allow diagnosing and defining the type of lipoma and also treatment options. Neoplasms of the spine can be categorized as primary tumors or metastatic tumors. Lipoma. If a lipoma presses on the sciatic nerve, it can cause sciatica, which is a sharp, shooting pain that runs down the back of the leg. The subject of this article is a case of extreme leg pain that was relieved after a lipoma in the thigh was surgically resected. A large intermuscular shoulder lipoma causing pain and weakness in an 87-year-old patient: a case report. Symptoms of Lipomas in Dogs. The risk of removing a lipoma is very small and the benefit of having a golfball removed far outweighs it. Accessed Aug. 20, 2022. Hav Dr. Heidi Fowler and another doctor agree. Dr. Jason AblettsChiropractor can diagnose sciatica and determine what is causing it based on the conditions it is caused by. When the symptoms appear earlier in the pediatric age they can range from a weakness in the lower limbs, with a more or less marked paresis of the extremities, usually of the feet; orthopedic deformities, that is, deformities in the shape of the feet, which do not cease to be a sample of that muscular weakness that can occur due to the spinal anchorage, or even alterations in the control of the sphincters. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event. Some schwannomas grow and form unusual shapes within the spine or pelvis, such as dumbbell tumors. Thank you, {{form.email}}, for signing up. It is a common and debilitating condition that can be caused by a wide range of tumors. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. Ami TR. There are many types of hemangiomas, and they can occur throughout the body, including in skin, muscle, bone, and internal organs. In cases where imaging is obtained, lipomas have a characteristic appearance on ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI). Unless the lipoma is infected or the o is the main consideration. Spinal cord lipomas are by far the most frequent and also those that tend to produce symptoms more frequently. Background. If painful or with skin retraction/. They are usually painless and are most often found on the upper back, shoulders, arms, buttocks, and upper thighs. For a paste, add 1-2 tablespoons of cooled green tea instead of neem or flaxseed oil to the turmeric. This common type of benign nerve tumor tends to form in the center of a nerve. Your skin will turn a bit orange or yellow because of the turmeric. These conditions include bone deformities, such as a curved spine, and an eye nerve tumor called an optic glioma. Because she was on opioid pain killers, the surgeon hoped that massage or bodywork would help alleviate her pain. 2013;25(2):83-86. doi:10.5505/agri.2013.63626. 2023 Brandon Orthopedics | All Right Reserved, Can Cervical Degenerative Disc Disease Cause Nyctalopia, A Spinal Stenosis Flare Up: Causes Symptoms And Treatment.

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