melanotic macule size 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 Differential Diagnosis of Pigmented Lesions

Differential Diagnosis of Pigmented Lesions in the Oral Mucosa: A Clinical Based Overview and Narrative Review Oral melanotic macule and primary oral malignant melanoma: Epidemiology, location involved, and clinical implications ScienceDirect PDF) Lingual melanotic macule the first case report in an adult patient Congenital Melanocytic Macule of the Tongue in a Newborn Cureus

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