Differential Diagnosis of Pigmented Lesions in the Oral Mucosa: A Clinical Based Overview and Narrative Review Oral melanotic macule" In the process of removing a Labial Melanotic Macule. A Labial Melanotic Macule is a well defined, oval, brown to black, flat patch on the central third of the lower lip, as seen dermoscopy: A pigmented labial lesion
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melanotic macule on lip Labial Lentigo (labial melanotic macule)