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Dermatol Clin 34:421429 Stigall LE, Brodland DG, Zitelli JA (2016) The use of Mohs micrographic surgery (MMS) for melanoma in situ (MIS) of the trunk and proximal extremities

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As the mitochondria become damaged, they leak their contents into the cellular cytoplasm, which the immune system recognizes as a danger signal, further amplifying the inflammatory response in a vicious, self-perpetuating cycle