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suggest that the biopsy sample of lingual melanotic lesions include normal tissue so that it is easier to compare the normal pigmentation with that of the lesion.2 Although lingual melanotic macule is a benign condition, an important differential diagnosis is made with melanoma

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Multiple lesions may be a sign of a widespread skin condition, such as: A melanotic macule has a characteristic pattern when examined with the magnifying glass or by dermoscopy