This patient has multiple labial melanotic macules. These are essentially freckles of the lips. These most commonly involve the lower lip. This patient had involvement of both the upper and lower lips. Black and Brown: Non neoplastic Pigmentation of the Oral Mucosa Head and Neck Pathology Springer Nature Link Mucosal melanomas are one of the most aggressive tumors that can be encountered in the dental practice. Mucosal melanomas are much more aggressive than their cutaneous counterparts. These tumors are characterized by Pigmented Lesions Pocket Dentistry Labial melanotic macule Pigmented Oral Lesions: When to Suspect Melanoma OdontoVida