Oral melanotic macule Stock Image C067 2476 Science Photo Library Pigmented macule on the tongue of a 12 year old girl Journal of the American Academy of Dermatology Brown spots on the tongue Anales de Pediatra Brown spots, especially on the lips, can be alarming to some. In some instances it can indicate rare oral mucosal melanoma, however in this case it was a non cancerous labial melanotic macule. Indian patient (mid 70s) with chief concern tongue is turning black. Swipe for more photos. These post inflammatory changes are more common in folks with more melanin in their skin. The underlying Pigmented Lesions Springer Nature Link