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About 10% of oral melanomas are amelanotic , meaning they produce little or no pigment, which can make them easy to miss

2,5 Similar to other tumours of neuroectodermal origin, such as neuroblastoma and pheochromocytoma, 5 MNTI is frequently associated with elevated urinary excretion of vanillylmandelic acid (VMA), a metabolite of epinephrine and norepinephrine

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Natural sources include red meat, fish, poultry, and dairy
