Brown spots, especially on the lips, can be alarming to some. In some instances it can indicate rare oral mucosal melanoma, however in this case it was a non cancerous labial melanotic macule. Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 Brown lesion on the tongue of a child Ohta 2024 Oral Diseases Wiley Online Library Pigmented (Purple or Brown) Lesions in the Mouth Pigmented (Purple or Brown) Lesions in the Mouth Kazemi Oral Surgery Facialart.com Oral pigmentation in children: a diagnostic challenge Archives of Disease in Childhood