Matt This patient has multiple labial melanotic macules. These are essentially freckles of the lips. These most commonly involve the lower lip. This patient had involvement of both the upper and Metastatic oral malignant melanoma transformed from pre existing pigmented lesions in mandibular gingiva: Report of an unusual case ScienceDirect Pigmented macular lip lesion Clinical Advisor Pigmented Lesions of the Oral Mucosa Pocket Dentistry Figure 1 from Oral melanotic macule a case report. Semantic Scholar