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 A collection of resources for RACGP exams Next Gen GP Text Book live webinars AKT and KFP questions Pigmented Lesions of the Oral Mucosa Pocket Dentistry dermoscopy: A pigmented labial lesion Definition of melanocytic macules associated with Peutz Jeghers syndrome NCI Dictionary of Genetics Terms NCI Melanosis and Lentiginosis (benign) Vulvovaginal Disorders