Pigmented Lesions of the Vulva Dermatologic Clinics 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 Early diagnosis of genital mucosal melanoma: how good are our dermoscopic criteria? Abstract Europe PMC Genital Lentiginosis: A Benign Pigmentary Abnormality Often Raising Concern for Melanoma MDedge Labial melanotic macule
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