Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 title Oral Pathology: 44 year old white female presented with a 1 month histor of black lesion on gingiva adjacent her front teeth. No significant health history, denied smoking use. No Spotty lips. These are labial melanotic macules, kinda like freckles on the lips. They are mostly due to age and sun exposure, but sometimes they run in families and are associated with Solitary and multifocal oral melanoacanthoma Yarom 2007 International Journal of Dermatology Wiley Online Library Differential Diagnosis of Pigmented Lesions in the Oral Mucosa: A Clinical Based Overview and Narrative Review