vulval 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 Vulvar Melanotic Macules - DoveMed
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doi: 10.1016/S0031-9384(97)00493-9 3 MishraISinghDKumarV

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