Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 melanotic macule by joud aljuhani on Prezi Citalopram Induced Oral Melanotic Macules in a Female Patient and a Review of the Literature Cureus 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. Labial melanotic macule. B). Increased numbers of me lanocytes along Download Scientific Diagram