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@#Fibroepithelial stromal polyp, more commonly known as acrochordon, skin tag, or soft fibroma is a type of mesenchymal tumor occurring among women of reproductive age. Fibroepithelial polyp, although the most common cutaneous tumor, is rare in the vulvovaginal region and there is currently no established protocol in approaching these kinds of lesions. Presented here is a series of cases of gradually enlarging labial masses among reproductive age women. These giant vulvar masses presented as solitary, flesh-colored, polypoid masses, initially non-tender but later becoming associated with local pain. Diagnosis is mainly through history, clinical examination aided by ultrasonography, and histopathologic examination, which would show a central fibrovascular core covered with squamous epithelium. Surgical excision serves as both diagnostic and therapeutic modality for these lesions. Vulvar fibroepithelial polyp do not seem to be as rare as literature says, they are relatively easy to diagnose and presents with benign clinical course.
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Neoplasias Vulvares , Doenças da VulvaRESUMO
Fibromas are benign tumors that are composed of fibrous or connective tissue. They can grow in all organs, arising from mesenchymal tissue (a type of loose connective tissue). The term “fibroblastic” or “fibromatous” is used to describe tumors like the fibroma. This 69‑year‑old male presented to us with giant, multiple, very slowly progressive, painless, noninflammatory, soft, trans‑illuminant, pedunculated lid swellings with a two decade history. There were no other swellings on the body. He was clinically normal on systemic examination except for the immature cataracts in both eyes. The diagnosis was confirmed on histopathology. Simple excision removed all the soft fibromas virtually leaving no scar. A review of literature world‑wide using Medline Plus/PubMed revealed this to be the only reported case of multiple giant soft fibromas of the lid.
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Soft fibromas are benign fibrous tissue tumors of the dermis. In general, they appear as small, soft, pedunculated or sessile tumors and they are mostly located on the axillae, lateral neck and inguinal region. Although large sized soft fibromas may occur in the groin or upper thighs, and especially in patients with diabetes, they rarely exceed 2 cm in size. We report herein a case of multiple giant soft fibromas, including an unusually huge, giant lesion in the labium majus of a healthy, middle-aged woman, and such fibromas on the labium majus are very rare.
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Feminino , Humanos , Axila , Derme , Fibroma , Virilha , Pescoço , Coxa da PernaRESUMO
Molluscum contagiosum (MC) is a skin infection caused by a poxvirus, which is easily transmitted by direct skin to skin contact. MC is rarely associated with other skin diseases, including epidermal cysts, melanocytic nevus, halo nevus, soft fibroma or condyloma. The occurrence of MC on a soft fibroma is so rare that only three cases have been described so far. Here, we report an interesting a case of a solitary MC associated with soft fibroma occurring on the right popliteal fossa of a 6-year-old girl.
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Criança , Feminino , Humanos , Cisto Epidérmico , Fibroma , Molusco Contagioso , Nevo com Halo , Nevo Pigmentado , Pele , DermatopatiasRESUMO
Sclerotic fibroma is one of the histologic variants of soft fibroma. Clinically, it presents as a solitary skin-colored nodule, usually less than 1 cm in diameter in adults and has a wide anatomical distribution. Histologically, it is a well-circumscribed dermal nodule composed of hypocellular hyalinized collagen bundles separated by clefts and arranged in a storiform pattern. Treatment with simple excision is curative. We report a case of sclerotic fibroma in a 34-year-old man who presented an asymptomatic, bean-sized, intracutaneous nodule on his back for 3 years.
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Adulto , Humanos , Colágeno , Fibroma , HialinaRESUMO
We report a 34-year-old woman and a 16-year-old girl who had a soft fibroma with blister on the thigh and on the back, respectively. Histopathologically, in the biopsy of both tumors, a subepidermal blister overlying the tumor and the degeneration of the epidermis were observed without any evidence of dermal degeneration. The major cause of the blister formation seems to be ischemia due to twisting or compression of the neck of the soft fibroma.
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Adolescente , Adulto , Feminino , Humanos , Biópsia , Vesícula , Epiderme , Fibroma , Isquemia , Pescoço , Coxa da PernaRESUMO
We report a case of soft fibroma occured in a 27-year-old female. The lesion was multiple, pea-to walnut-sized, baglike, pedunculated growth on the vulva. The histopathologic findings of excisional biopsy specimen evaled a slightly t.hinned epidermis and loosely arranged collagen fibers in the dermis.