Oral Malignant Melanoma Oral Cancer Foundation Information and Resources about Oral Head and Neck Cancer Citalopram Induced Oral Melanotic Macules in a Female Patient and a Review of the Literature Cureus Pathology Outlines 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