Jacobs Journal of Anatomy and Physiology

Acrochordon Arising From Vulvar and Thigh, 15 to 150 mm: Report of 5 Cases

*Fernando Anschau
Department Of Medicine, North Manchester General Hospital, Porto Alegre, Brazil

*Corresponding Author:
Fernando Anschau
Department Of Medicine, North Manchester General Hospital, Porto Alegre, Brazil
Email:anschau@terra.com.br

Published on: 2019-03-01

Abstract

Acrochordons commonly develop from skin on the neck and axillary region, but may be found on any region of body, such as vulvar area or thigh. These lesions are a type of mesenchymal lesion commonly called fibroepithelial polyps, soft fibroids, skin tags or fibroma pendulans. We present here a report of 5 cases of acrochordons in the vulvar region and thigh that reflect the heterogeneity of clinical presentations reported in the literature. Appropriate management of patients who are seen for vulvar acrochordons can significantly improve the quality of life of these women.

Keywords

Acrochordon, Skin Tag, Vulvar Lesion, Anatomic Aspect

Introduction

Acrochordons are a type of mesenchymal lesion commonly called fibroepithelial polyps, soft fibroids, skin tags or fibroma pendulans. These lesions represent the most common fibroepithelial skin tumors; they consist of acquired benign polyps that grow in the natural folds of the skin, such as the neck, axillae, thigh and inguinal, perineal and inframammary regions, in the eyelids and in the intergluteal folds. Skin tags are characterized as pedunculated and tender papules that protrude from the skin surface. Lesions may be single or multiple, varying in size between 2 and 10 mm, with a tendency to grow progressively without spontaneous involution. The typical small lesions show high incidence in the adult population, up to 46% over 40 years and 59% after 70 years. However, larger acrochordons and even giant lesions identified in the vulvar region are rare.