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There is 2-3% distinction according to manual measurement.
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US 2X-Large=China 4X-Large:Length:55.12"(140cm),Bust:50.00"(127cm),Sleeve Length:23.62"(60cm)
US 3X-Large=China 5X-Large:Length:55.12"(140cm),Bust:51.97"(132cm),Sleeve Length:23.62"(60cm)
US 4X-Large=China 6X-Large:Length:55.12"(140cm),Bust:53.94"(137cm),Sleeve Length:23.62"(60cm)