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cost generic cytotec without insurance In September 2011, the patient underwent a lumpectomy with a sentinel lymph node dissection at the CorporaciГі SanitГ ria Parc TaulГ­, which confirmed the histologic diagnosis of high grade III invasive ductal carcinoma with two axillary sentinel lymph nodes affected, classifying the tumor as pT1bpN1a, stage IIA