Mucosal melanocytic macules Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 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 What Caused These Multiple Hyperpigmented Macules of the Mouth? Labial or Oral Melanotic Macule Benign, asymptomatic, and often underdiagnosed. Swipe to learn how to recognize, diagnose, and manage this simple yet important lesion! #thebasicdentist #rguhs #kuhs #tnmgrmu #OralPathology #MelanoticMacule #DentalFacts Oral Melanotic Macule: Symptoms and Treatment Skinsight