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The reason a dentist will sometimes recommend removing one is to confirm the diagnosis on histopathology (microscopic examination of a tissue sample), particularly when the lesion is in a location where oral malignant melanoma is more likely (such as the hard palate or upper gum), or when the appearance has changed

The oral manifestations, particularly the pigmented lesions on the lips and inside the mouth, serve as crucial diagnostic features and visual markers that can alert healthcare providers to the potential presence of PJS [80]

Annals of Surgical Oncology , 15 (11), 3028-3035

Some common pigmented oral lesions include: Melanotic Macule : As described earlier, melanotic macule is a benign pigmented lesion typically found on the lips or oral mucosa