melanotic macule vulva 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 Melanocytic Lesions of the Vulva
Melanocytic Lesions of the Vulva Clinical Tree Melanocytic Nevus Vulvovaginal Disorders Evaluation of large clinically atypical vulvar pigmentation with RCM: atypical melanosis or early melanoma? Theillac 2019 Journal of the European Academy of Dermatology and Venereology Wiley Online Library Dermoscopic and confocal microscopy patterns of vulvar mucosal melanotic macules Journal of the American Academy of Dermatology
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