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 Oral Mucosal Melanosis IntechOpen What Caused These Multiple Hyperpigmented Macules of the Mouth? Dermatoscopic image of genital melanotic macule image
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melanotic macules Oral Melanotic Macule: Symptoms and Treatment