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Based on these criteria, this case could be considered as a primary oral malignant melanoma

ATF4, activating transcription factor 4

They have established that vitamin C enters through the facilitative glucose transporters (GLUTs) in the form of dehydroascorbic acid, which is then reduced intracellularly and retained as ascorbic acid
Eumelanin-enriched dark HCM regions mapped to phasors with shorter lifetimes and longer spectral emission (580625 nm) and pheomelanin-enriched lighter pigmented HCM regions mapped to phasors with longer lifetimes and shorter spectral emission (550585 nm)
