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Diagnosis was confirmed through histopathological and immunohistochemical exams, showing positivity for HMB-45, cytokeratin AE1/AE3 and synaptophysin, characteristic of MNTI

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CD38 CD38 is a multifunctional enzyme involved in NAD + metabolism and intracellular signaling (Xie et al

In cachectic cancer patients, low serum carnitine levels have been reported, and this change has been suggested to play an important contributory role in the development of cachexia