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In premenopausal women, elevated TNFSF11 levels were significantly associated with non-LP samples compared to LP samples (AUC 0.80, 95% CI 0.70, 0.91); however, the incorporation of histomorphology did not substantially enhance predictive accuracy (AUC 0.87, 95% CI 0.78, 0.96). In the premenopausal patient group, the integration of histomorphological analysis refined the prediction of lymphocytic pleoc
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