Spot the Dot! Growths on the lips are not too common. Clinically, this was consistent with a labial melanotic macule (aka freckle on the lip). These are benign growths which can be 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 Oral mucosal hyperpigmentation JAAD Case Reports Pigmented Lesions of the Oral Mucosa Pocket Dentistry
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lip melanotic macule Melanotic macules of the tongue in a newborn