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 This is a very rare case of metastatic oral mucosal melanoma to the colon with an unusual presentation mimicking melanosis coli. The colonoscopy findings show no mass effect but multiple hyperpigmented lesions Diffuse pigmentation of the oral mucosa Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics Pathology Outlines Pigmented lesions vulva