Vinyl chloride and arsenic exposure very aggressive and difficult to resect. Foot disease a very severe peripheral vascular disease thought to be caused by arsenic 35. These tumors are typically hemorrhagic multinodular tumors consisting of malignant endothelial cells that grow into the lumen of liver sinusoids and veins 1 several inciting agents have been linked including thorotrast arsenic and vinyl chloride exposure as well as anabolic steroid use 2 however the majority of patients.
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