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Fibroma molle (skin tags)D23.-

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 03.09.2023

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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

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DefinitionThis section has been translated automatically.

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/EpidemiologyThis section has been translated automatically.

Occurs in almost everyone after the age of 40.

ManifestationThis section has been translated automatically.

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).

LocalizationThis section has been translated automatically.

Neck and intertriginous spaces, especially axillae and groins.

Clinical featuresThis section has been translated automatically.

Solitary or more commonly multiple, approximately 0.1-0.5 cm (or larger), skin-colored, red or red-brown, soft skin polyps, usually narrow-based on the skin. They consist of connective tissue with variable epidermal, melanocytic, vascular or lipogenic involvement. If the surface is more keratinized (e.g. due to permanent mechanical irritation), these fibromas are called "fibrokeratoma Unna".

HistologyThis section has been translated automatically.

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.

TherapyThis section has been translated automatically.

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

LiteratureThis section has been translated automatically.

  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

Authors

Last updated on: 03.09.2023

Author: Prof. Dr. med. Peter Altmeyer

Editor: Denise Heise