“…Metastases and/or local recurrences were identified in approximately one-third of cases [1,2,5,7,8,10,15,22]. Nine cases reported metastases (16.4%), five identified at the time of initial diagnosis [1,5,7,8,10,15], one at 4 months [15], one at 3 years [8], one at 5 years [5], and one at 7 years [8]. The majority of metastases traveled to local lymph nodes and three cases showed distant metastases to the lung, with two of the three lung metastases identified at the time of diagnosis [7,10,15].…”