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labial melanotic macule pathology outlines image Pathology Outlines - Oral mucosal
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This is a common concern, and the short answer is: a flat, pigmented dark spot on the lip is almost never caused by a sexually transmitted infection

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In Home science from Institute of Home Economics, Delhi University, Delhi Apollo Hospitals Indraprastha, Delhi Ms

doi: 10.1176/appi.ajp.162.5.977CrossRefGoogle Scholar Lau, T., Bigio, B., Zelli, D., McEwen, B

39 It has been suggested that those desmoplastic melanomas having foci of conventional vertical growth phase melanoma manifest a significantly worse prognosis, with regional lymph node metastases in 10% of cases as opposed to only 1% of patients with pure desmoplastic melanoma
