This patient has multiple labial melanotic macules. These are essentially freckles of the lips. These most commonly involve the lower lip. This patient had involvement of both the upper and lower lips. Diagnosis of oral pigmentations and malignant transformations ScienceDirect Oral Mucosal Melanosis IntechOpen Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 Dental Update Malignant oral melanoma: how to spot it and how it is managed Dental Update
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oral melanotic macule black spot on lower lip pictures Melanotic Macules, Naevi, and Melanoma