Perianal Folds: What You Need to Know About Skin Tags - Surgery

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Perianal folds


Hello, doctor.
I recently discovered a small skin tag about 0.1 cm protruding from the anal fold.
It has a slightly whitish flesh color and is neither painful nor itchy.
It doesn't resemble a wart to me.
I haven't engaged in any abnormal sexual activities lately.
I would like to know what this might be.
Attached are the photos: http://ppt.cc/BSjTU http://ppt.cc/nH6Mm.

Chen, 30~39 year old female. Ask Date: 2015/10/07

Dr. Ke Fangxu reply Surgery


Based on the first image, it appears to be epidermal keratosis (the second image requires authorization and is not visible).
If it does not continue to grow or develop additional lesions, it should not be a concern; otherwise, it is advisable to consult a physician to determine if it is anal warts, commonly referred to as "cauliflower."

Reply Date: 2015/10/07

More Info


When it comes to perianal folds and the presence of skin tags, it’s essential to understand what these growths are and how they can be differentiated from other conditions. Skin tags, also known as acrochordons, are benign growths of skin that can occur in various areas of the body, including the perianal region. They are typically small, soft, and flesh-colored or slightly darker, and they can vary in size from a few millimeters to several centimeters.
In your case, you mentioned discovering a small skin tag (0.1 cm) near the anal area that is not painful or itchy. This is consistent with the characteristics of a skin tag. Skin tags are generally harmless and do not require treatment unless they become irritated or you find them cosmetically unappealing. They are often associated with friction, which can occur in areas where skin rubs against skin or clothing.
It’s important to differentiate skin tags from other potential conditions, such as warts or other growths. Warts, for example, are caused by the human papillomavirus (HPV) and can appear similar to skin tags but often have a rougher texture and may be associated with discomfort. If the growth changes in appearance, becomes painful, or if you notice any other unusual symptoms, it’s advisable to consult a healthcare professional for an accurate diagnosis.

Regarding your concern about the appearance of the skin tag and its relation to sexual activity, it’s worth noting that skin tags are not sexually transmitted and can occur in anyone, regardless of their sexual history. They are more common in individuals who are overweight, have diabetes, or have a family history of skin tags.

If you are considering treatment options, there are several methods available for removing skin tags, including cryotherapy (freezing), cauterization (burning), and surgical excision. However, these procedures should only be performed by a qualified healthcare provider to minimize the risk of complications, such as infection or scarring.

In summary, the small growth you’ve discovered near your anal area is likely a benign skin tag, especially given its characteristics and lack of symptoms. While they are generally harmless, if you have any concerns or if the growth changes, it’s best to consult with a dermatologist or healthcare provider for further evaluation and guidance. They can provide you with the most appropriate advice based on a physical examination and your medical history.

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