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 Lentigo pathology Pigmented Lesions of the Oral Mucosa Springer Nature Link Transformation of a benign oral pigmentation to primary oral melanoma Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics Dermoscopy Atlas Diagnosis Detail
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melanotic macule histology Oral melanocytic nevi: a clinicopathologic study of 100 cases