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This initial assessment guides further diagnostic steps, such as imaging, to confirm the nature of the breast enlargement

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Thereafter, ME mucosal thickness was measured from three selected areas to obtain an overall average thickness, including one area where an imaginary line was drawn from the cochlea to the opposite bulla wall, and two areas where a line perpendicular to the imaginary line was drawn to meet the bulla walls by using a Leica Aperio CS2 with Aperio ImageScope and an image analysis system (Leica Microsystems Imaging Solutions Ltd., Cambridge, UK) (Suppl