Melanotic macule. Benign. Dark spot on labia (or lip). Analogous to lentigo simplex. Hyperpigmented basal keratinocytes & dermal melanophages. Slight in single basal melanocytes; NO nests. More info like this in Mucosal melanocytic macules Differentiating between early melanomas and melanocytic nevi: A state of the art review ScienceDirect Oral Melanotic Macule: Symptoms and Treatment Skinsight Clinical Challenge: Dark Lesion on Lower Lip MPR Dental Update Malignant oral melanoma: how to spot it and how it is managed Dental Update
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labial melanotic macule vs melanoma Pigmented Lesions and Melanoma