most common place for melanotic macule 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 Melanotic Macules, Naevi, and Melanoma Springer Nature Link Mucosal melanocytic macules Oral pigmented lesions: Clinicopathologic features and review of the literature PMC Oral Melanotic Macule: a small dark spot in the mouth ArtSmiles Freckle on Lip: Meaning, Causes and Is It Dangerous? (Labial Melanotic Macule)
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