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If clinical suspicion persists despite low or negative antibody levels, fine-needle aspiration biopsy (FNA) and cytologic examination are recommended

[DOI] [PMC free article] [PubMed] [Google Scholar] 17.Shimada A, Castrillon E, Baad-Hansen L, Ghafouri B, Gerdle B, Ernberg M, et al

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In vivo metabolic analysis of the anticancer effects of plasma-activated saline in three tumor animal models
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