Fibromas and papillomas
Fibromas and papillomas are polypoid growths on the neck, eye lids, arm pits and groins. They are skin colored or brown, connected by a stem and in the form of a pouch the size of 1mm to 2cm and they don’t cause any problems. Since there are fine blood vessels in the central area, by twisting the growth the circulation is compromised, they grow rapidly and cause pain.
They are completely benign in their nature, have no viral component and are often genetically conditioned. Nearly 50% of the population has them.
Medical treatment is not necessary, except for esthetic reasons. They are removed with radio waves or similar methods, very shallowly so as not to cause spots or scars. People often confuse them with moles, warts or keratoses.
Dermatofibromas are fibrous growths localized on the feet and hands of grownups, rarely on the other parts of the body. They are solid, minimally raised or atrophic, brown or whitish, painless. People often think that they have an ingrown hair at that spot. When you touch them it feels like they are connected to the tissue under the skin and when they are caught with two fingers a mild depression appears.
Removal is not necessary and it can be surgical or with radio waves depending on the size. Esthetic effect of these procedures is sometimes not pleasing considering the depth in which the dermatofibromas are at.
A pathohistological verification of these changes is always necessary. Sometimes they can have atypical cells in them. Clinically they are very hard to differentiate even though the changes with atypical structure often have a diameter larger the 1cm, they appear in later years and grow rapidly.
Spec. Dr. Svetlana Djurisic, dermatologist
Dermatological clinic DERMATIM, Belgrade, Serbia