Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 A Case Report of Oral Malignant Melanoma: A Silent Killer Cureus This lovely patient was thrilled with her beautiful result after laser treatment of oral melanotic macules. I share this case to educate: laser treatment requires accurate diagnosis, an understanding of the differential An 84 year old man with a history of metastatic melanoma of the scalp who was undergoing immunotherapy presented with new, multiple blue gray macules on the scalp. A brown macule on the arm and face Clinical Advisor