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or the tumor is any size and cancer has spread from the thyroid to soft tissue under the skin, the esophagus, the trachea, the larynx, the recurrent laryngeal nerve (a nerve that goes to the larynx), or tissue in front of the spine, or has surrounded the carotid artery or the blood vessels in the area between the lungs

Melasma is a common skin condition in which the body overproduces melanin, creating dark brown patches of pigment typically on the face, forehead, upper cheeks, and around the mouth