| 1. | Papillary tumors tend to be more aggressive in patients over age 45.
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| 2. | Papillary tumors of the pineal region are normally well circumscribed.
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| 3. | Papillary tumors characteristically show a discrete, compressive border with adjacent pineal gland and brain parenchyma.
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| 4. | BRAF mutations are frequent in papillary carcinoma and in undifferentiated cancers that have developed from papillary tumors.
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| 5. | Harach et al . suggest using the term " occult papillary tumor " to avoid giving patients distress over having cancer.
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| 6. | Since Papillary Tumors of the Pineal Region were first described in 2003, there have been seventy cases published in the English literature.
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| 7. | These tumors, papillary tumors in this case, have no known predisposing genetic characteristics, as stated by Dr . Janss when I interviewed her.
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