Common Moles Dysplastic Nevi and Risk of Melanoma VCU Massey Comprehensive Cancer Center An oral melanotic macule is a harmless dark spot found on the lip, most often the lower lip, or inside the mouth, either on the gums, inside the cheek, or on the roof of the mouth. An oral melanotic Melanotic Sarcoma Pigmented lesions of the oral mucosa and perioral tissues: a flow chart for the diagnosis and some recommendations for the management ScienceDirect Lip Lesion Removal London Benign & Pre Cancerous Lip Surgery Centre for Surgery