perianal melanotic macule macule. Benign. Dark spot on labia (or lip). Analogous to lentigo simplex. Hyperpigmented basal keratinocytes & dermal melanophages. Slight ⬆️ in single basal melanocytes; NO nests. More info like this in Genital Melanotic Macules - DoveMed
Genital Melanotic Macules DoveMed Anorectal Melanoma: A Rare Cause of Large Bowel Obstruction Cureus Anorectal Melanoma as an Unexpected Diagnosis for a Pigmented Mass Resembling a Thrombosed Hemorrhoid Clinical Gastroenterology and Hepatology Melanotic macule MEDizzy The treatment of perianal skin horseshoe melanoma by advancement flap (Y V shaped) and the assessment of outcome over a long term follow up European Journal of Plastic Surgery Springer Nature Link
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