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J Hematol OncolJ Hematol Oncol 2021;14(1):7

In this study, we recruited 17 OC patients, 16 benign ovarian tumor (BOT) patients, and 14 control patients to collect biological samples including ovary plasma, urine, and hair from the same patient

While they did not speculate on its origin since they did not examine its local synthesis, most likely they thought it was pineal-derived melatonin taken up from the blood