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5 Conclusion Given the limited epidemiological knowledge about malignant melanotic nerve sheath tumors (MMNSTs), our study contributes to the literature by documenting a cervical intra- and extraspinal MMNST without previously described driver mutations or copy number changes

The combination of repulsion and steric constraints is thought to remove the X-Y linker from near the active site and relieve auto-inhibition

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Surgical excision of the macules and removal of the torus to address potential chronic trauma were performed

Its upper half is of usual skin color and has a depression at its center, directly under the nasal septum, called the philtrum, which is Latin for "lower nose", while its lower half is a markedly different, red-colored skin tone more similar to the color of the inside of the mouth, and the term vermillion refers to the colored portion of either the upper or lower lip