An user Spanish
says…

Cerca de
  un
🅰️
Determiner
  tercio
Noun
  de
Adposition
  los
Determiner
  pacientes
Noun
  presentan
Verb
  metástasis
Noun
  al momento
  del
  diagnóstico
Noun
.

About one-third of patients present with metastases at diagnosis.
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cerca de

New
de

New
los

New
pacientes

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metástasis

metastasis

New
al momento

right now; in a jiffy

New
del

of the, from the (+ a masculine noun in singular).

New
diagnóstico

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