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MMNST occur in some patients with Carney Complex, a rare syndrome associated with PRKAR1A mutation, cardiac and skin myxomas, endocrine and gonadal neoplasms, variable endocrine manifestations such as Cushing syndrome or acromegaly, increased lentigines, and a type of blue nevus known as pigmented epithelioid melanocytoma [5, 6]

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He subsequently originated the role in the musical's original West End production

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