PDF) Lingual melanotic macule the first case report in an adult patient 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. A Focal Intrinsic Physiologic Pigmentation of : Journal of Pharmacy and Bioallied Sciences Congenital Melanotic Macule of the Tongue: A Five Year Follow up Dermatology Practical & Conceptual