Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 Spot the Dot! Growths on the lips are not too common. Clinically, this was consistent with a labial melanotic macule (aka freckle on the lip). These are benign growths which can be Figure 1 from Oral melanotic macule a case report. Semantic Scholar Clinical Challenge: Dark Lesion on Lower Lip MPR Pigmented macular lip lesion Clinical Advisor Melanotic Macules, Naevi, and Melanoma Springer Nature Link