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Skin
tags are generally treated for noncosmetic reasons. Small,
pedunculated acrochordons may be removed with curved or serrated
blade scissors, while larger skin tags may simply require excision.
For small acrochordons, application of aluminum chloride prior to
removal will decrease the amount of minor bleeding.
In
addition, there are also special concerns. Interestingly, skin tags
have been used for reconstruction of the ear and of the nose,
particularly for distal nasal reconstruction. However, failure to
clearly delineate how the skin tag is producing a problem for the
patient when removing a symptomatic acrochordon is a pitfall.
Skin
Tags are commonly found around creases or folds in the skin but can
occur just about anywhere on the body. They often appear as flat or
thin cylindrical shaped flesh-like growths protruding from the skin.
They can develop in clusters or individually. Skin tags vary in size
and appearance. Some are as small as a grain of rice [link widoczny dla zalogowanych], while others
are as large as a walnut.
A
papillarylike dermis is composed of loosely arranged collagen fibers
and dilated capillaries and lymphatic vessels. Appendages are
generally absent. Acrochordons were thought to be marked by decreased
numbers of elastic fibers [link widoczny dla zalogowanych], though one study of elastic tissue in FEPs
showed no deficiency of this tissue.
Anesthesia
prior to electrodesiccation is another option. Other methods of
removal include cryotherapy and ligation with a suture or a copper
wire; however, freezing of the surrounding skin during liquid
nitrogen cryotherapy may result in dyschromic lesions. Taking hold of
skin tags with forceps and applying cryotherapy to the forceps may
provide superior re
Acrochordons
are often considered clinically insignificant cutaneous redundancies
that should be removed without histopathologic analysis. However, one
may rarely find another neoplasm within an acrochordon. A squamous
cell carcinoma that had features resembling a keratoacanthoma was
recently described.
Thus,
this documentation may be obligatory for insurance coverage because
most plans do not cover cosmetic procedures. Failure to inform the
patient that the insurance company may not cover the procedure if the
physician believes that he or she is performing the removal for
cosmetic reasons is a pitfall.
In
medical terms acrochordon are known as pedunculated papilloma. The
cause of these skin irregularities is yet to be determined. Even
though skin tags are actually small skin tumors, they are benign and
harmless. Since they contain nerve cells, contact with clothing or
jewelry [link widoczny dla zalogowanych], shaving, or just touching them can cause irritation.
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Acrochordons
(skin tags) are benign tumors. Skin tags are extremely common,
affecting up to 50% of the population. On rare occasions, histologic
examination of a clinically diagnosed FEP reveals a basal or squamous
cell carcinoma. Advise patients that these are benign tumors.
Acrochordons are characterized by acanthotic, flattened, or frondlike
epithelium.