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the malignant cases multiple metastases were verified at the time of surgery.Homovanillic acid determination was by a modified fluorometric assay (Sato, 1965).As shown in the Table, the only finding of abnormality was a slightly increased homo- vanillic acid in one of the malignant cases.It may certainly be concluded that the absence of elevated homovanillic acid does not rule out the possibility of a malig- nant tumour.Contrariwise, the presence of an increased urinary homovanilhic acid does not necessarily indicate malig- nancy, though available data suggest this finding may be more common in malignant than in benign cases.
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Falkson et al. (1965) studied this question.
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