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The most common melanomas in non-White population arise from epithelium-asssociated melanocytes on acral skin (palms, soles, nail apparatus) or mucous membranes and are characterized by an early onset of major chromoscomal rearrangements, such as chromotripsis, with gene copy number changes, including multiple high-level amplifications ( Next generation sequencing (NGS) studies have identified many recurrently mutated genes in melanoma, incuding well known genes ( PTEN , MAP2K1-2 , RB1 ) and recently identified genes ( ARID2 , PPP6C , RAC1 , DDX3X , IDH1 ) ( BRAF -mutated, RAS -mutated, NF1 -mutated, and triple wild-type (lack of mutations in all three genes)
