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El mayor porcentaje de casos de hiperpigmentacin, corresponde a lesiones de origen melnico que incluyen formas benignas y malignas, razn por la cual, se debe distinguir del melanoma, definido como un tipo de cncer de piel producido por la proliferacin de melanocitos atpicos ( 5 , 9 , 13 )

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Este procedimiento se lo realiza bajo anestesia local y eliminando secciones delgadas, para evitar exponer el hueso subyacente