Keywords :
Acrochordon, Case report, Fibroepithelial polyp, Postmenopausal woman
Citation Information :
Mulik SS, Acharya DB. Large Vulval Acrochordon in Postmenopausal Woman—An Uncommon Presentation: Case Report. J South Asian Feder Obs Gynae 2023; 15 (6):749-751.
Aim: To highlight the uncommon manifestation of acrochordon in a postmenopausal woman.
Background: Acrochordons are benign mesenchymal neoplasms. They are frequently noted in women of reproductive age group. Their occurrence in postmenopausal women is rare.
Case description: A 56-year-old multiparous postmenopausal woman presented with a large vulval acrochordon of size 8 cm × 7.5 cm × 7.5 cm. Total surgical excision was performed under regional anesthesia and its diagnosis was confirmed on histopathology.
Conclusion: Vulvar acrochordons are uncommon. Their occurrence in a postmenopausal age group is rare. Complete surgical excision is the cure.
Clinical significance: Their clinical features mimic malignancy hence histopathology is important for definitive diagnosis. Ultrasonography aids in the initial diagnosis of the lesion.
Banik R, Lubach D. Skin tags: Localization and frequencies according to sex and age. Dermatologica 2009;174(4):180–183. DOI: 10.1159/000249169.
Agrawal A, Garg C, Mukherjee S, et al. Giant acrochordon of vulva: A rare occurrence. Nepal J Dermatology, Venereol Leprol 2016; 13(1):70–72. DOI: https://doi.org/10.3126/njdvl.v13i1.14310.
Can B, Ozluk AY. Giant fibroepithelial polyps: Why do they grow excessively? Sisli Etfal Hastan Tip Bul 2020;54(2):257–260. DOI: 10.14744/SEMB.2018.33603.
Sharma S, Albertazzi P, Richmond I. Vaginal polyps and hormones - Is there a link?: A case series. Maturitas 2006;53(3):351–355. DOI: 10.1016/j.maturitas.2005.06.007.
Navada MH, Bhat PRB, Rao SV, et al. Large fibroepithelial polyp of vulva. Case Rep Dermatol Med 2011;2011:273181. DOI: 10.1155/2011/273181.
Bhargava P, Mathur SK, Mathur DK, et al. Acrochordon, diabetes and associations. Indian J Dermatol Venereol Leprol 1996;62(4):226–228. PMID: 20948060.
Thappa DM. Skin tags as markers of diabetes mellitus: An epidemiological study in India. J Dermatol 1995;22(10):729–731. DOI: 10.1111/j.1346-8138.1995.tb03910.x.
Testa AC, Fruscella E, Ludovisi M, et al. The role of sonographic examination in the follow-up of gynecological neoplasms. Gynecol Oncol 2005;99(3):696–703. DOI: 10.1016/j.ygyno.2005.07.116.
Yang DM, Kim HC, Lim JW, et al. Sonographic findings of groin masses. J Ultrasound Med 2007;26(5):605–614. DOI: https://doi.org/10.7863/jum.2007.26.5.605.
Han X, Shen T, Rojas-Espaillat LA, et al. Giant cell fibroblastoma of the vulva at the site of a previous fibroepithelial stromal polyp. J Low Genit Tract Dis 2007;11(2):112–117. DOI: 10.1097/01.lgt. 0000245041.52718.90.
Lortscher DN, Sengelmann RD, Allen SB. Acrochordon-like basal cell carcinomas in patients with basal cell nevus syndrome. Dermatol Online J 2007;13(2):21. PMID: 17498440.