melanotic spot macule. Benign. Dark 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 Pathology Outlines - Melanotic macule
Pathology Outlines Melanotic macule Pigmented macular lip lesion Clinical Advisor Oral Melanotic Macule: Symptoms and Treatment Skinsight A Black Spot on the Upper Gum for Many Years: Melanotic Macule Springer Nature Link Labial Macules: Dark Spots on the Lip Dermatology Advisor
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