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Indeed, it is important to distinguish tumor necrosis from necrosis related to fine needle aspiration

Some don't

For example, the main clinical manifestation of OSF is a burning sensation and intolerance to spices, and as the disease progresses, patients experience reduction in mouth opening, which not only causes pain, poor oral hygiene and impaired chewing and swallowing, but also affects patients speaking and appearance, causing psychological issues and limitations in social activities (Wang et al., 2022)