05 May 03 Eng Oral pigmented lesions: a pragmatic approach to diagnosis and management Faculty Dental Journal Oral Malignant Melanoma Oral Cancer Foundation Information and Resources about Oral Head and Neck Cancer Is focal melanotic lesion potentially malignant? A case report ScienceDirect A 55 year old male with a long history of tobacco smoking presents with diffuse dark pigmentation on the hard palate as seen in the image. What is the most likely diagnosis? A. Oral