Clinical Pathological Aspects of Pendulating Soft Fibroma


Authors: Z. Szép 1,2,3,4;  B. Rychlý 1
Authors‘ workplace: CYTOPATHOS, spol. s r. o., laboratórium bioptickej a cytologickej diagnostiky, Bratislava, vedúci spoločnosti doc. MUDr. Dušan Daniš, CSc. 1;  Kožné oddelenie, konzultačná a bioptická ambulancia, Nemocnica sv. Michala, Bratislava, vedúci oddelenia prim. MUDr. Ľubomír Zaujec 2;  Katedra dermatovenerológie Lekárskej fakulty Slovenskej zdravotníckej univerzity, Bratislava, vedúca katedry doc. MUDr. Klaudia Kolibášová, PhD., mim. prof. 3;  Katedra patologické anatomie Lékařské fakulty Univerzity Karlovy v Plzni, vedoucí katedry prof. MUDr. Michal Michal 4
Published in: Čes-slov Derm, 86, 2011, No. 1, p. 33-38
Category: Dermatolohistopatology

Overview

Pendulating fibromas are soft pedunculated processes usually treated by electrocautery shave-excision. Often no histopathological examination is done thus different clinical-pathologic entities might be hidden under the clinical picture of pendulating fibroma. We histologically examined 100 polypoid pendulating lesions clinically diagnosed as soft pendulating fibroma. 45 cases (45%) represented intradermal melanocytic nevi, 32 cases (32%) were fibroepithelial polyps, 13 cases (13%) capillary hemangiomas, 5 cases (5%) seborrhiecfibromas, 3 cases (3%) lipomas/fibrolipomas and 2 cases (2%) represented seborrheic keratoses. 38 (84.4%) of intradermal melanocytic nevi were not totally removed, part of the nevus base remained in the skin after superficial electrocautery shave-excision. Authors discuss the safety/risk of incomplete excision of pendulating intradermal nevi by electrocautery and necessity to perform deeper shave excision to remove the basal part of the lesions.

Key words:
pendulating polypoid lesions – intradermal melanocytic nevi – fibroepithelial polyps –

electrocautery – shave-excision


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Dermatology & STDs Paediatric dermatology & STDs
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