Are These Hyperpigmented Lesions Cause for Concern? Consultant360 Pigmented Lesions of the Vulva Dermatologic Clinics Lumps: Benign and Malignant (Chapter 7) The Vulva 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, Mucosal melanocytic macules
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