Giant acrochordon of vulva: A rare occurrence

Abstract

Acrochordon , commonly called skin tag or fibroepithelial polyp is a benign mesenchymal lesion which is usually hyperpigmented and appears as surface nodule or papilloma on healthy skin. Most acrochordons vary in size from 2-5 mm in diameter, although larger acrochordons up to 5 cm in diameter are sometimes evident. The most frequent localizations are the neck and the axilla, but any skin fold including groin may be affected. Genital presentation in females has a greater predilection for the vulvovaginal region as compared to cervix. Diagnosis is mainly based on histopathology which is necessary not only to rule out malignancy but also to differentiate from other lesions like angiomyxoma which mimics fibroepithelial polyps. The case report is rarest of its kind with regard to its size as the polyp measured 20x16x12 cm and weighed approximately 3 kilograms. Thus, it becomes one of the largest acrochordons reported ever.

NJDVL Vol. 13, No. 1, 2015 Page: 70-72