Clinical Challenge: Dark Lesion on Lower Lip MPR 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 Definition of melanocytic macules associated with Peutz Jeghers syndrome NCI Dictionary of Genetics Terms NCI Nevi and Malignant Melanoma Plastic Surgery KeyPlastic Surgery Key
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labial melanotic macule vs melanoma Pigmented Lesions and Melanoma