Lumps: Benign and Malignant (Chapter 7) The Vulva What Caused These Multiple Hyperpigmented Macules of the Mouth? Congenital Melanotic Macule of the Tongue: A Five Year Follow up Dermatology Practical & Conceptual Labial melanotic macule COM Jan. 2008 Diagnosis UW School of Dentistry Not every dark spot 'down there' is dangerous but some can be Many women notice small brown or black spots on the vulva called melanotic macules. These are usually harmless, flat,