Almost right away, the doctor discovers the tumor is worse than the MRI suggested.

Dr. Gregory Levitin finds dangerously enlarged blood vessels — each the size of a man’s finger when it should have resembled spaghetti — as he starts to remove an 8-pound tumor off the face of 22-year-old Lucas McCulley, who is under anesthesia.

In that moment he realizes he will get this one shot at removing the noncancerous but smothering tumor without possibly leaving McCulley in worse shape, such as with facial paralysis.

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