“…Thus, tumors types, sites of origin, and age of detection vary greatly and Cases reported by Mankad et al, 1974;Pendergrass, 1976;Ehrich et al, 1979;Howitz et al, 1979;Wirtz et al, 1993;Salman et al, 1993;Carter et al, 1995;Lezama-del et al, 1998;Bujanda et al, 2001;Fay et al, 2003, Chang et al, 2004 render screening difficult or impractical [Hersh et al, 1992]. Nevertheless, a protocol for monitoring SS patients is found in Table IX.…”