Fibroma molle (skin tags) D23.-

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Acrochordone; Cutaneous tag; fibroepithelial polyp; Fibrokeratoma Unna; Fibroma filiformes; Fibroma soft; Fibropapilloma; Filiformes fibroma; Penducting fibroma; Skin appendix; Skin fibroma; Skin polyp; skin tag; soft fibroma; Soft Fibroma

Definition
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Special form of a soft fibroma of the skin. No real tumours, but circumscribed skin protuberances, which occur in age-involuted skin in relation to their localisation.

Occurrence/Epidemiology
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Occurs in almost everyone after the age of 40.

Manifestation
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Occurs in middle and old age, often in obese patients. There is a high association (26%) between muliple axillary fibroma (skin tags) and insulin-resistant diabetes mellitus (Bustan RS et al. 2017).

Localization
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Neck and intertriginous spaces, especially axillae and groins.

Clinical features
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Solitary or, more frequently, multiple, approximately 0.1 - 0.5 cm (or larger), skin-coloured, red or reddish-brown, soft skin polyps, which usually sit on the skin in a narrow base. They consist of connective tissue with variable epidermal, melanocytic, vascular or lipogenic involvement. If the surface is more strongly keratinized (e.g. in the case of permanent mechanical irritation), these fibromas are called "Fibrokeratoma Unna".

Histology
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Polypoid growth with a loosened connective tissue stromas, dilated blood and lymph vessels, an overlapping, often slightly acanthotic, otherwise normal epidermis. In mechanically errant fibroma, the surface epithelium may show increased pigmentation.

Therapy
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Excision with scalpel or scissors if necessary. Caution: After removal of the fibroma, especially in the case of larger fibroma, prolonged bleeding may occur.

Literature
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  1. Bustan RS et al (2017) Specific skin signs as a cutaneous marker of diabetes mellitus and theprediabetic
    state - a systematic review. Dan Med J 64: A5316.
  2. Garcia Hidalgo L (2002) Dermatological complications of obesity. Am J Clin Dermatol 3: 497-506
  3. Ragunatha S et al(2011) Cutaneous disorders in 500 diabetic patients attending diabetic clinic. Indian J Dermatol 56:160-164
  4. Sand C (2003) Topical tacrolimus ointment may induce skin tags in treated patients. Acta Derm Venereol 83: 317
  5. Twomey P (2002) Skin tags and the atherogenic lipid profile. J Clin Pathol 55: 639

Outgoing links (1)

Excision;

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Last updated on: 29.10.2020