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Rarely, meningeal melanocytes may undergo malignant transformation into meningeal melanocytosis and melanomatosis and diffusely disseminate throughout the meninges [18]

Reccurent disease can be treated with repeated metastectomy.[81-83] Ollila et al points out that prolonged disease-free interval prior to recurrence and complete surgical metastasectomy of the recurrence were the two most important prognostic factors for survival after recurrence

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