Soft Fibromas: Common Questions and Concerns Answered - Dermatology

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Dear Dr.
Wu,
Thank you very much for your response and explanation regarding the consultation on soft fibromas in article #188947.
I have a general understanding of soft fibromas now.
I have a few questions I would like to ask you:
Q1.
Regarding the hair growth near my skin tag (soft fibroma), you mentioned that it is "relatively uncommon." Upon closer observation, I realized that there is no hair growing "directly" on the skin tag (soft fibroma); instead, the hair is growing very close to it.
This was my misunderstanding.
Could you please clarify if it is normal for hair to grow very close to my skin tag (soft fibroma) even if it is not directly on it?
Q2.
My skin tag (soft fibroma) is located in the middle of my right armpit, which causes frequent friction.
You mentioned that "friction is more likely to cause inflammation, but the probability of developing lesions is not high." Does this mean that the skin tag (soft fibroma) in the friction-prone area of the armpit is unlikely to develop lesions due to frequent friction, and that any inflammation would be the worst-case scenario? Have you not encountered such cases before?
Q3.
For a skin tag (soft fibroma) about 0.2 cm in size located in the right armpit, what is the best method for removal?
Thank you, Dr.
Wu.

Axiang, 40~49 year old female. Ask Date: 2022/11/21

Dr. Wu Yuxin reply Dermatology


1.
Normal.
2.
I personally have not encountered it.
3.
Both laser treatment and surgical excision are possible.

Reply Date: 2022/11/21

More Info


Understanding soft fibromas, also known as skin tags or acrochordons, can be a source of concern for many individuals. These benign growths are typically harmless, but they can raise questions, especially when they occur in sensitive areas like the armpit. Let’s address your questions one by one.

Q1: Hair Growth Near Soft Fibromas
You mentioned that there is hair growth near your soft fibroma, but not directly on it. This is indeed a normal occurrence. Hair follicles can be present in the skin surrounding the fibroma, and it is common for hair to grow in areas where skin tags are located. The presence of hair in close proximity to a soft fibroma does not indicate any abnormality or health concern. It’s simply a reflection of the natural anatomy of your skin.

Q2: Friction and Inflammation
Regarding your concern about the soft fibroma being located in an area that experiences frequent friction, it’s important to clarify that while friction can lead to irritation and inflammation, it does not typically result in malignant changes or serious complications. The risk of developing significant issues from a soft fibroma due to friction is low. However, if the area becomes irritated or inflamed, it may be advisable to keep the area clean and avoid further irritation. If you notice any changes in the appearance of the fibroma, such as increased size, color change, or bleeding, it would be wise to consult a healthcare professional.

Q3: Removal Options for Soft Fibromas
For the removal of a soft fibroma, there are several methods that can be employed, depending on the size and location of the fibroma, as well as patient preference. Common techniques include:
1. Cryotherapy: This involves freezing the fibroma with liquid nitrogen, causing it to fall off after a few days.

2. Electrosurgery: This method uses electrical currents to cut off the fibroma.

3. Surgical Excision: A healthcare provider can remove the fibroma using a scalpel. This method is typically used for larger fibromas or those that are causing discomfort.

4. Ligation: This involves tying off the fibroma with a suture or thread, cutting off its blood supply, which causes it to eventually fall off.

The choice of method will depend on factors such as the size of the fibroma, its location, and your overall health. It’s best to consult with a dermatologist or a healthcare provider who can assess your specific situation and recommend the most appropriate treatment option.

In conclusion, soft fibromas are generally benign and do not pose significant health risks. However, if you have concerns about their appearance or if they cause discomfort, discussing removal options with a healthcare professional is a prudent step. Regular monitoring of any skin changes is also advisable, as it helps in early detection of any potential issues.

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