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40(5): 5603 Koumaravelou K, Adithan C, Shashindran CH, et al

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Similar content being viewed by others Background Malignant melanotic nerve sheath tumor (MMNST), also called melanotic schwannoma, is a rare tumor of neural crest derivation composed of variably melanin-producing Schwann cells [1, 2]

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CT2 (Purple): involved in carnitine transport, specifically in the epididymis, contributing to sperm maturation

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MMNST occur in some patients with Carney Complex, a rare syndrome associated with PRKAR1A mutation, cardiac and skin myxomas, endocrine and gonadal neoplasms, variable endocrine manifestations such as Cushing syndrome or acromegaly, increased lentigines, and a type of blue nevus known as pigmented epithelioid melanocytoma [5, 6]

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As a result, L-carnitine levels are often lower in vegetarians and vegans because they restrict or avoid products of animal origin

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