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Author in PubMed Google ScholarNorbert FreyYou can also search for this author in PubMed Google ScholarHugo Anton KatusYou can also search for this author in PubMed Google ScholarEvangelos GiannitsisYou can also search for this author in PubMed Google ScholarBarbara Ruth MillesYou can also search for this author in PubMed Google ScholarContributionsCS: design of the work, acquisition of data, analysis, interpretation of data, drafted and substantively revised the manuscript. MY: analysis and interpretation of data. HH: acquisition and analysis of the data. MMH and NF: substantively revised the manuscript. HAK and EG: design of the work. BRM: acquisition of data, interpretation of data, drafted and substantively revised the manuscript.Corresponding authorCorrespondence to Barbara Ruth Milles.Ethics declarations Ethics approval and consent to participate This study was approved by the Ethics Committee of the University of Heidelberg (S-377/2013). Since this study involves no patients and uses data from clinical routine care, a consent to participate declaration was not applicable. Consent for publication Not applicable. Competing interests Competing interests MMH received research funding from BRAHMS, Thermo Fisher Scientific and Roche Diagnostics. EG received honoraria for lectures from Roche Diagnostics, AstraZeneca, Bayer, Daiichi-Sankyo, Lilly Eli Deutschland. He serves as a consultant for Roche Diagnostics, BRAHMS Thermo Fisher Scientific, Boehringer Ingelheim and has received research funding from BRAHMS Thermo Fisher Scientific, Roche Diagnostics, Bayer Vital and Daiichi Sankyo. NF has received speaker honoraria from Daiichi Sankyo, Astra Zeneca, Boehringer Ingelheim and Bayer Vital. He serves as a consultant for ZOLL CMS. BRM, received research funding from Daiichi

Prognosticators for inguinal lymph node metastasis in penile squamous cancer. J Urol. 2001;165:1138–42.Article CAS PubMed Google Scholar Download referencesAcknowledgementsTo the involved institution(s), the patients, and those who provided and cared for the study patients.FundingNational Council for Scientific and Technological Development– CNPq, Research Productivity, grant numbers: 304747/2018-1 and 310135/2022-2 (Reis LO).Author informationAuthors and AffiliationsBarretos Cancer Hospital, Barretos, SP, BrazilRoberto Dias Machado & Eliney Ferreira FariaMedicine School of Ribeirão Preto, University of São Paulo, São Paulo, SP, BrazilAntonio Antunes Rodrigues Júnior, Filipe Stirpari, Rafael Neuppmann Feres & Rodolfo Borges dos ReisDepartment of Genitourinary Oncology, H. Lee Moffitt Cancer Center, Tampa, FL, USAPhilippe E. SpiessDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, AustriaShahrokh F. ShariatHourani Center for Applied Scientific Research, Al-Ahliyya Amman University, Amman, JordanShahrokh F. ShariatDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USAShahrokh F. ShariatDepartment of Urology, Weill Cornell Medical College, New York, NY, USAShahrokh F. ShariatUroScience, State University of Campinas, Unicamp, and ImmunOncology, Pontifical Catholic University of Campinas, São Paulo, SP, BrazilLeonardo Oliveira Reis & Rodolfo Borges dos ReisAuthorsRoberto Dias MachadoYou can also search for this author inPubMed Google ScholarEliney Ferreira FariaYou can also search for this author inPubMed Google ScholarAntonio Antunes Rodrigues JúniorYou can also search for this author inPubMed Google ScholarFilipe StirpariYou can also search for this author inPubMed Google ScholarRafael Neuppmann FeresYou can also search for this author inPubMed Google ScholarPhilippe E. SpiessYou can also search for this author inPubMed Google ScholarShahrokh F. ShariatYou can also search for this author inPubMed

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This case, stands as a metaphor for the ‘inner kingdom,’ symbolizing the journey towards achieving spiritual mastery and self-realization. Symbolism: Spiritual Domain, Quest for Wisdom, Self-Discovery, Spiritual Growth, Inner Kingdom, Spiritual Mastery, Self-Realization.Empire Tattoo MeaningIn the realm of tattoo artistry, an empire tattoo typically symbolizes power, dominance, and resilience. It is often chosen by individuals who value strength, leadership, and ambition. The tattoo could also symbolize the wearer’s personal empire, representing their achievements, life journey, or personal domain. It encapsulates the idea of crafting one’s destiny and standing tall against all odds.Symbolism: Power, Dominance, Resilience, Strength, Leadership, Ambition, Personal Achievements, Life Journey, Crafting One’s Destiny.Reviewed by Alexander Lys, M.L., a specialist in the field of symbolism research and dream psychology. A certified participant in numerous psychological seminars and courses, the author of hundreds of articles on psychology, including studies on symbolism in dreams and myths from a scientific perspective. Symbolopedia Encyclopedia of Symbols About the Author Symbolopedia is a comprehensive guide to the meanings of symbols. Our content is crafted by professionals in psychology and symbolism, striving to maintain a balance between scientifically proven data and insights derived from myths, legends, and folklore. While our approach leans towards scientific interpretations of symbols, we acknowledge the significant role of the subconscious in their understanding, allowing for a blend of rationality and creativity. View Articles

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