most common place for melanotic macule 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 A Black Spot on the

A Black Spot on the Upper Gum for Many Years: Melanotic Macule Springer Nature Link Brown spots, especially on the lips, can be alarming to some. In some instances it can indicate rare oral mucosal melanoma, however in this case it was a non cancerous labial melanotic macule. Citalopram Induced Oral Melanotic Macules in a Female Patient and a Review of the Literature Cureus Congenital Melanocytic Macule of the Tongue in a Newborn Cureus Oral Melanotic Macule: Symptoms and Treatment Skinsight

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