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Why is the origin of some tumors so difficult to identify?

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Why is the origin of some tumors so difficult to identify?

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A tumor’s site of origin may be elusive because the original tumor may be small, avoiding detection by imaging and other techniques. Additionally, cells of the tumor in question may have changed appearance and thus may no longer resemble tumors from the originating site (i.e. they have become poorly differentiated or undifferentiated).

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