ARTICLE
A 33-year-old woman was referred to us for a painless lesion on her vulva
(Fig. 1). The pedunculated
lump had increased in size over a five year period. She was somewhat embarrassed
about its location but sought medical advice because
it interfered with cycling. Otherwise she was well. Clinical examination
revealed a large, pedunculated growth, resembling a "scrotal swelling",
on her right labium majus. It was removed by excision under local anaesthesia.
Skin tag (acrochordon)
on the labium majus
Histological examination of the tumour demonstrated
a rather large, but unremarkable, skin tag. There was no evidence of malignancy.
Skin tags are quite common. These pedunculated
lesions develop around the neck and axillae, and other sites including
the genital region. Increasing age and obesity are predisposing factors.
They are benign [1]. Our patient presented with a giant skin tag on the
labium majus. Although benign, the location and the sheer size of skin
tags may cause cosmetic embarrassment and disruption of mobility (cycling
in this patient). Skin tags can be removed by cautery or excision.
REFERENCES
1. Graham-Brown R, Burns T. Benign and malignant skin tumours. In: Lecture
notes on Dermatology, 7th edition. Blackwell Science Ltd. Oxford UK,
1996: 121-3.
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