This lovely patient was thrilled with her beautiful result after laser treatment of oral melanotic macules. I share this case to educate: laser treatment requires accurate diagnosis, an understanding of the differential Labial Lentigo (labial melanotic macule) Cancer Therapy Advisor An 84 year old man with a history of metastatic melanoma of the scalp who was undergoing immunotherapy presented with new, multiple blue gray macules on the scalp. Pigmented Lesions of the Oral Mucosa Pocket Dentistry Pigmented macular lip lesion Clinical Advisor Melanocytic Lesions A Guide to Clinical Differential Diagnosis of Oral Mucosal Lesions Continuing Education Course dentalcare.com