How to pronounce“tens”in English

tens of thousands of of patients over my 20-year tenure and the same pattern kept showing up over and over and over.

tens of millions of people unemployed.

Tens of thousands of islands flung like jewels upon the southern seas.

tens of thousands of people throughout the nation.

tens, if not hundreds of millions of dollars, to their governments for tourism.

Tens of thousands of people have died.

tens of millions. This is a disease that strikes our young as well as our adults.