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Sampdoria made the most of their only two real chances and leapfrog Juventus in the table thanks to a third consecutive victory.
The Blucerchiati have made a surprise comeback since dropping Antonio Cassano, winning two on the trot. Luca Castellazzi, Accardi and the suspended Padalino were also left at home. Siena were rock bottom and eight points from safety going into this game. Aleandro Rosi sat out a ban with the injured Parravicini, Rossettini and Brandao.
Samp got off to a blistering start. First of all Nicola Pozzi's header was palmed away and from the resulting corner Daniele Gastaldello was left unmarked at the back post for a cushioned free header.
Moments later Siena went close to an equaliser, as Marco Storari accidentally pushed a Massimo Maccarone corner kick on to his own crossbar.
Greek debutant Tsiolis brought a save out of Storari, as did Reginaldo's angled drive, but both teams lost a player to injury in the first half.
Maccarone's slide-rule pass found Reginaldo, but Rossi did well to close down the Brazilian as he pulled the trigger.
Emanuele Calaio' missed a sitter for Siena on 50 minutes! He was totally unmarked in the six-yard box when a cross came in from the right, but slipped and blasted wide with his left foot.
An acrobatic Abdel Ghezzal volley at the back post turned Maccarone's cross off target, as Siena stepped up the pressure. Samp also lost Giampaolo Pazzini to a niggling ankle injury that had been troubling him since the first half.
A corner reached Ghezzal for a powerful half-volley that stung Storari's palms from six yards.
However, for all the pressure, Siena went 2-0 down on home turf. Pratali's howler allowed Nicola Pozzi to dispossess him in the final third and it was child's play to beat the on-rushing goalkeeper.
Siena did not give in and Maccarone got them back into the game. He shrugged off a defender down the left side of the box, trapped the ball and rolled an angled drive in off the inside of the far post.
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