What's the difference between these #angiokeratomas? Angiokeratomas are benign vascular lesions that can vary in appearance and location. Let's break down the 4 main types you need to know Lumps: Benign and Malignant (Chapter 7) The Vulva Atypical Pigmented Penile Macules Mucosal melanocytic macules Not every dark spot 'down there' is dangerous but some can be Many women notice small brown or black spots on the vulva called melanotic macules. These are usually harmless, flat, AD :: Annals of Dermatology