genital melanotic macules pathology 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 Clinical and Dermoscopic Features of
Clinical and Dermoscopic Features of Vulvar Melanosis Over the Last 20 Years PMC Vulvar Melanocytic Lesions Springer Nature Link Melanocytic Lesions of the Vulva Obgyn Key Mystery behind labial and oral melanotic macules: Clinical, dermoscopic and pathological aspects of Laugier Hunziker syndrome PMC Genital Lentiginosis: A Benign Pigmentary Abnormality Often Raising Concern for Melanoma MDedge
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