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After consultation with the Pathology Department of Fudan University Shanghai Cancer Center, it was still considered as MS

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In case of diffusely invasive lesion of the pia mater by tumor cells of melanocytic origin (without signs of extracranial metastases), the lesion is classified as primary diffuse meningeal melanomatosis [5]

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One variant identified in the early 1990s is the lentiginous dysplastic nevus, usually seen in older adults over 60