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 QSwitched 785 nm laser in the treatment of labial melanotic macules Gallo 2024 Skin Research and Technology Wiley Online Library Figure 1 from Dermoscopy of venous lake on the lips: A comparative study with labial melanotic macule Semantic Scholar Pigmented Lesions and Melanoma Plastic Surgery KeyPlastic Surgery Key
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labial melanotic macule vs melanoma Dental Update - Malignant oral melanoma: how to spot it and how it is managed