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It usually occurs in the cervical and thoracic spinal nerves, but can also occur in the head, face, orbit, oral cavity and other parts

These hyperpigmented macules or patches may cause great concern due to fear of a genital melanoma

study, CNS malignant melanoma is more likely to be primary if one or more of the following factors are present: a single intracranial lesion, a lesion with intramedullary or leptomeningeal involvement, a pituitary or pineal lesion, a lesion with hydrocephalus, and/or a lesion without malignant melanoma outside the CNS [19]

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