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Gomes et al 3 showed that, compared to nonmetastatic breast cancer cells, metastatic breast cancer cells downregulate an enzyme of the propionate metabolism pathway, methylmalonyl-CoA epimerase, which leads to an intracellular accumulation of MMA and fuels metastasis

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The study included 600 MRIs which had been taken between January 1, 2012, and July 31, 2022, of which the MRIs of 91 patients who had had bone or soft tissue tumor, a fracture around the shoulder joint or a history of shoulder surgery, or were aged less than 18 years were excluded

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