For 35 years, businesses have turned to attorney Carl Lippenberger as their problem solver. An experienced and tenacious business litigator, he fights for his clients in court, but he is also a strong advocate of resolving disputes through negotiation and other forms of alternate dispute resolution.

Due to the length and breadth of his experience, Mr. Lippenberger also serves as outside general counsel for trusts and small businesses--providing the advice they need to help keep things running smoothly.

Whether it's matters involving contracts, torts, real estate, corporations, partnerships, trusts and estates, employment, intellectual property, or construction, Mr. Lippenberger has the know-how to get the job done right--using efficient, cost-saving methods that clients appreciate.

Unlike large law firms, where smaller clients are often shuffled to young, inexperienced associates, Mr. Lippenberger's clients receive his utmost attention, knowledge, research skills, and creative thinking. Mr. Lippenberger has the ability to identify key issues quickly and develop effective strategies to avoid problems and to solve problems before they grow into bigger problems. The results are often smooth business operations, successful early settlements, or when settlement is not advisable, aggressive representation in court.

Carl Lippenberger’s practice includes plaintiff and defense civil litigation, alternate dispute resolution, and outside general counsel services Read More...

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  • Cussion primary cutaneous leiomyosarcoma is an uncommon malignancy with a predilection for the lower extremities [1]. Pure scrotal leiomyosarcomas are particularly rare. To the best of our knowledge, it has never previously been described in ireland. Only 30 cases have been reported in the world literature. It typically occurs in middle-aged/elderly men. what happens to a woman when she takes viagra It presents as a painless, slow-growing, cutaneous lesion and often resembles a cyst [2]. viagra how long till it works It is easily mistaken for a benign condition.  the lymphatic drainage is to the inguinal and iliac nodes. viagra for sale canada An aggressive initial resection with wide margins is required. Debate exists as to the optimal extent of an oncologically safe margin, chiefly because of the rarity of the tumour and the lack of randomised studies. Mckee et al. Showed that the local recurrence-free interval at 5 years for soft tissue sarcomas was higher with a margin of >10 mm (84%) than margins of 1–9 mm (58%) [3]. buy cheap viagra Inguinal lymph node dissection is not routinely advocated, unless there is a high degree of suspicion for lymph node metastases. Some argue that compared to leiomyosarcomas arising from other locations, aggressive evolution is not habitual in the scrotum [4]. viagra results healthy men Nonetheless, long-term follow-up of patients with cutaneous leiomyosarcoma is mandatory to detect local recurrence and distant metastases that can occur years after the initial excision [2]. Recurrence most commonly tends to be local but distant metastases in the bones and lungs have been reported [4, 5].   conflict of interest statement the authors declare that there are no conflicts of interest references [1] limaiem f, chelly i, bellil s, mekni a, nidhameddine k, haouet s, bellil k, zitouna m. viagra pills price Primary cutaneous leiomyosarcoma: a histological and immunohistochemical study of 4 cases. Pathologica. cheap viagra for sale in the uk 2007 dec;99(6):415-9. cheap viagra online  [2] john t, portenier d, auster b, mehregan d, drelichman a, telmos a. Leiomyosarcoma of scrotum - case report and review of literature. Urology. cheap generic viagra 2006 feb;67(2):424. cheap viagra E13-424. E15. Review. [3] mckeemd, dong feng liu, brooks j, et al. The prognostic significance of margin width for extremity and trunk sarcoma. Journal of surgical oncology. 2004;85:68– pubmed ;76. [4] diz rodríguez mr, vírseda chamorro m, ramírez garcía jr, merino royo e, moreno reyes a, paños lozano p. buy viagra online Scrotal leiomyosarcoma with bone metastasis]. Actas urol esp. 2006 jun;30(6):638-40. Review. cheap viagra for sale in the uk [5] johnson h jr. cheap viagra for sale in the uk Leiomyosarcoma of scrotum. Urology 29:436-438, 1987. Date added to bjui. purchase viagra online without prescription Org: 18/10/2011 (publication information)this content is exclusive to bjui. Org website. Doi: 10. 1002/bjuiw-2011-056-web comments add your comment please note that all submitted comments will be reviewed by the bjui web team before they are considered for publishing on the site. Comments may take up to 48 hours to go live. If you have made a comment which has not appeared. Viagra was created to treat high blood pressure and heart disease What works better viagra or viagra Email:
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