vulvar labial melanotic macule 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 Clinician's Update on the Benign,
Clinician's Update on the Benign, Premalignant, and Malignant Skin Tumours of the Vulva: The Dermatologist's View Sand 2017 International Scholarly Research Notices Wiley Online Library Melanocytic Lesions of the Vulva Obgyn Key Vulvar Melanotic Macules DoveMed Vulvovaginal melanocytic lesions: a review Diagnostic Histopathology AD :: Annals of Dermatology Early diagnosis of genital mucosal melanoma: how good are our dermoscopic criteria? PMC
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