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Dr. Abby
Dr. Abby, Board Certified MD
Category: Health
Satisfied Customers: 10330
Experience:  Family Physician, practicing medicine for over 10 years, United States
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I have a small, round, black spot on my lower lip. No lumps

Resolved Question:

I have a small, round, black spot on my lower lip. No lumps or bumps or scales, just a spot. It seems to be underneath the skin, not at the surface. It doesn't hurt, and is not sore. It seems to have just appeared, I have never noticed it before, could this be cancerous?
Submitted: 6 years ago.
Category: Health
Expert:  Dr. Abby replied 6 years ago.

What is the size of the spot?
Is it round?
Does it have a clear border? Or are the edges hazy?
Is it all one color?

dr abby
Customer: replied 6 years ago.

Dr. Abby,

The size is small, a little bigger then a pen tip. It is round, the edges are not hazy, and it is all one color. The only thing that I can compare it to looks wise, is a black head zit, but it is not a zit. As I said, it seems to be underneath the skin, there is no noticable differance in the surface skin of my lip.

Expert:  Dr. Abby replied 6 years ago.
Without being able to see it, from your description it sounds very benign and most likely what is called a labial melanotic macule.

These are like freckles.
They are more common in women over the age of 40..however they can occur in men and at any age.

As you may know with melanoma, the most important signs to look for are the ABCD's

Asymmetry (one half is different than the other half)
Border (irregular border, hazy border)
Color (different colors within--black/brown)
Diameter (larger than a pencil eraser)

I would have your doctor look at it because it is new..but you are not describing anything worrisome at this time.

Here is a link to read about labial melanotic macules:

Feel free to ask any follow up questions you may have,

Dr Abby

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Customer: replied 6 years ago.

Thank you Dr. Abby.

Your answer makes me feel better about it. I have an appointment with my PCP next week, I will have her check it out. I just wanted to make sure that I didn't need to be seen immediately.

Expert:  Dr. Abby replied 6 years ago.
No, it can wait until next week...

I am glad to have helped.

Have a nice weekend,

dr abby