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When associated disease is present, it is typically local (adenocarcinoma in the skin adnexal or Bartholin gland) but also may be distant most commonly, of the breast, but also perianal extramammary Pagets disease is associated with underlying colorectal adenocarcinoma in up to 80% of cases (23)

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Hidden mold needs expert detection: If you can see mold, theres a good chance more exists out of sight and only pros can find identify the full extent of the problem

As you can imagine, I was incredibly nervous meeting Allen for the first time as part of the recruitment process and even more so throughout my initial training