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Psammomatous MMNSTs have more often been reported in association with Carney complex (34), and PRKAR1A alterations are common in melanotic schwannoma ( The average age at diagnosis of MMNST is 41 years, with a reported range of 1181 years, which corresponds well to our patient (46 years) (30)

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Glutathione is believed to inhibit the activity of tyrosinase, thereby reducing melanin synthesis and resulting in lighter and brighter skin