Fibroepithelial polyp
| Fibroepithelial polyp | |
|---|---|
| Diagnosis in short | |
 Fibroepithelial polyp. H&E stain. | |
|
| |
| LM | On a stalk / epithelium on three sides, benign epidermis, fibrous core, +/-inflammation |
| LM DDx | Regressing melanocytic lesions (esp. intradermal melanocytic nevus), pedunculated seborrheic keratosis, nevus lipomatosus superficialis, neurofibroma |
| Gross | raised skin-coloured lesion |
| Site | skin |
|
| |
| Syndromes | Birt–Hogg–Dubé syndrome |
|
| |
| Prevalence | very common |
| Prognosis | benign |
Fibroepithelial polyp, also known as acrochordon and skin tag, is a very common benign skin lesion.
General
- Benign.
- Older people.
- May be associated with pregnancy, diabetes, intestinal polyposis.[1]
- Can be a component of Birt–Hogg–Dubé syndrome.
Gross
- Raised skin-coloured lesion.
Image:
Microscopic
Features:
- On a stalk / epithelium on three sides.
- Benign epidermis.
- Fibrous core.
- +/-Inflammation.
DDx:
- Pedunculated seborrheic keratosis - typically have epidermal hyperplasia, hyperkeratosis, horn cysts.[2]
- Regressing melanocytic lesions.
- Nevus lipomatosus superficialis - abundant adipocytes in the superficial dermis.
- Neurofibroma.
Images
Skin tag. (WC)
www:
- Fibroepithelial polyp (dermatlas.med.jhmi.edu).[3]
- Fibroepithelial polyp (surgicalpathologyatlas.com).
- Inflamed fibroepithelial polyp (cdlib.org).[4]
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EYELID ("TAG"), RIGHT, REMOVAL:
- BENIGN FIBROEPITHELIAL POLYP.
SKIN ("SKIN TAG"), THIGH, REMOVAL:
- FIBROEPITHELIAL POLYP.
Micro
The sections show a fragment of skin with epithelium on three sides. The epithelium matures normally and is not hypertrophic. Orthokeratosis is present. The core of the lesion has fibrous tissue. There is no significant inflammation. No melanocytic nests are identified.
Inflamed
The sections show a fragment of skin with epithelium on three sides. The epithelium matures and is acanthotic. Minimal parakeratosis is present. The core of the lesion consists of fibrous tissue with a mild lymphocyte-predominant dermal infiltrate. Rare siderophages are present.
There is mild basal nuclear enlargement. No significant nuclear atypia is apparent. The dermal-epidermal interface is well-demarcated. Rare basal mitotic activity is identified.
See also
References
- ↑ Mitchell, Richard; Kumar, Vinay; Fausto, Nelson; Abbas, Abul K.; Aster, Jon (2011). Pocket Companion to Robbins & Cotran Pathologic Basis of Disease (8th ed.). Elsevier Saunders. pp. 596. ISBN 978-1416054542.
- ↑ Busam, Klaus J. (2009). Dermatopathology: A Volume in the Foundations in Diagnostic Pathology Series (1st ed.). Saunders. pp. 342. ISBN 978-0443066542.
- ↑ URL: http://dermatlas.med.jhmi.edu/derm/result.cfm?Diagnosis=1196583692. Accessed on: 1 September 2011.
- ↑ URL: http://dermatology-s10.cdlib.org/143/case_presentations/skintags/allegue.html. Accessed on: 9 January 2013.