Labial Lentigo (labial melanotic macule) Cancer Therapy Advisor 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, PDF] Penile Melanosis Associated with Lichen Sclerosus et Atrophicus: First Description in the Medical Literature Semantic Scholar Atypical Pigmented Penile Macules Pathology Outlines Melanotic macule Unveiling the Masquerader: A Rare Case of Pigmented Erythroplasia of Queyrat With Successful Multimodal Treatment Cureus