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 Labial melanotic macule Melanotic macules of the tongue in a newborn Journal of the American Academy of Dermatology Oral Melanotic Macule: Symptoms and Treatment Skinsight
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labial melanotic macule vs melanoma ORAL MELANOTIC MACULE (OMM) (Also called focal melanosis / labial melanotic macule) → A benign, localized, flat pigmented lesion of the oral mucosa → Caused by a focal increase in melanin production