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In addition, vimentin, Leu7, and epithelial membrane antigen (EMA) can be used to distinguish spinal melanoma from other different spinal tumors undergoing melanization, such as meningeal melanocytoma, meningioma, schwannoma, medulloblastoma, and gliomas (27)

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Most gastrointestinal symptoms peak during dose escalation and may diminish over time as tolerance develops