Generic selectors
Exact matches only
Search in title
Search in content
Search in posts
Search in pages
Filter by Categories
15th National Conference of the IAOMFP, Chennai, 2006
Abstract
Abstracts from current literature
Acne in India: Guidelines for management - IAA Consensus Document
Addendum
Announcement
Art & Psychiatry
Article
Articles
Association Activities
Association Notes
Award Article
Book Review
Brief Report
Case Analysis
Case Letter
Case Letters
Case Notes
Case Report
Case Reports
Clinical and Laboratory Investigations
Clinical Article
Clinical Studies
Clinical Study
Commentary
Conference Oration
Conference Summary
Continuing Medical Education
Correspondence
Corrigendum
Cosmetic Dermatology
Cosmetology
Current Best Evidence
Current View
Derma Quest
Dermato Surgery
Dermatopathology
Dermatosurgery Specials
Dispensing Pearl
Do you know?
Drug Dialogues
e-IJDVL
Editor Speaks
Editorial
Editorial Remarks
Editorial Report
Editorial Report - 2007
Editorial report for 2004-2005
Errata
Erratum
Focus
Fourth All India Conference Programme
From Our Book Shelf
From the Desk of Chief Editor
General
Get Set for Net
Get set for the net
Guest Article
Guest Editorial
History
How I Manage?
IADVL Announcement
IADVL Announcements
IJDVL Awards
IJDVL AWARDS 2015
IJDVL Awards 2018
IJDVL Awards 2019
IJDVL Awards 2020
IJDVL International Awards 2018
Images in Clinical Practice
In Memorium
Inaugural Address
Index
Knowledge From World Contemporaries
Leprosy Section
Letter in Response to Previous Publication
Letter to Editor
Letter to the Editor
Letter to the Editor - Case Letter
Letter to the Editor - Letter in Response to Published Article
LETTER TO THE EDITOR - LETTERS IN RESPONSE TO PUBLISHED ARTICLES
Letter to the Editor - Observation Letter
Letter to the Editor - Study Letter
Letter to the Editor - Therapy Letter
Letter to the Editor: Articles in Response to Previously Published Articles
Letters in Response to Previous Publication
Letters to the Editor
Letters to the Editor - Letter in Response to Previously Published Articles
Letters to the Editor: Case Letters
Letters to the Editor: Letters in Response to Previously Published Articles
Medicolegal Window
Messages
Miscellaneous Letter
Musings
Net Case
Net case report
Net Image
Net Letter
Net Quiz
Net Study
New Preparations
News
News & Views
Obituary
Observation Letter
Observation Letters
Oration
Original Article
ORIGINAL CONTRIBUTION
Original Contributions
Pattern of Skin Diseases
Pearls
Pediatric Dermatology
Pediatric Rounds
Perspective
Presedential Address
Presidential Address
Presidents Remarks
Quiz
Recommendations
Regret
Report
Report of chief editor
Report of Hon : Treasurer IADVL
Report of Hon. General Secretary IADVL
Research Methdology
Research Methodology
Resident page
Resident's Page
Resident’s Page
Residents' Corner
Residents' Corner
Residents' Page
Retraction
Review
Review Article
Review Articles
Revision Corner
Self Assessment Programme
SEMINAR
Seminar: Chronic Arsenicosis in India
Seminar: HIV Infection
Short Communication
Short Communications
Short Report
Special Article
Specialty Interface
Studies
Study Letter
Supplement-Photoprotection
Supplement-Psoriasis
Symposium - Contact Dermatitis
Symposium - Lasers
Symposium - Pediatric Dermatoses
Symposium - Psoriasis
Symposium - Vesicobullous Disorders
SYMPOSIUM - VITILIGO
Symposium Aesthetic Surgery
Symposium Dermatopathology
Symposium-Hair Disorders
Symposium-Nails Part I
Symposium-Nails-Part II
Tables
Technology
Therapeutic Guidelines
Therapeutic Guidelines - IADVL
Therapeutics
Therapy
Therapy Letter
View Point
Viewpoint
What’s new in Dermatology
Case Report
2003:69:7;31-32

Multiple Fibrolipomas of the skin

R Naik, PB Baliga, MR Pai, S Nayak, S Narayanan
 Department of Pathology, Kasturba Medical College, Mangalore-575001, India

Correspondence Address:
R Naik
Department of Pathology, Kasturba Medical College, Mangalore-575001
India
How to cite this article:
Naik R, Baliga P B, Pai M R, Nayak S, Narayanan S. Multiple Fibrolipomas of the skin. Indian J Dermatol Venereol Leprol 2003;69:31-32
Copyright: (C)2003 Indian Journal of Dermatology, Venereology, and Leprology

Abstract

A 25 year old male presented with unusual, multiple, broad-based lipofibromas on the right leg. These were soft, sessile, each measured form 1 to 2 cms and composed of loosely arranged collagen with a central core of mature adipose tissue. Even though skin tags of less than 5 mm size are usual, multiple bag-like protuberances of more than 1cms size are extremely rare. the large size and multiple numbers of lipofibromas prompted us to publish this case.
Keywords: Skin tags Fibrolipoma Lipofibroma

Introduction

Skin tags are a common findings in a dermatologic practice. As they seem to be of little consequence and are easily removed, they have received little attention in the dermatologic literature.[1] They are usually single or multiple less than 5mm in length. When they are above 1 cm in diameter they are usually solitary, But multiple much large lesions are very rare.[2] We herein report such a rare case.

Case Report

A 25 year old male presented with multiple sessile tumours on his right leg of 6 moths duration. These lesions were asymptomatic and gradually increased in size and number and continued to grow. On examination there were numerous brown, soft, broad based nodules in the distal portion of right leg [Figure]. These lesions were mostly found on posterior and lateral surface of the legs and were situated on muscular parts. They were nontender and partly compressible; the buttonhole sign (neurofibromata) was absent. Their size ranged from 1 to 2 cms in diameter. There were no evidence or history of trauma or inflammation. A typical lesion was excised for histologic examination.

Microscopic examination of the excised skin lesion showed loosely arranged collagen and a central core of mature fat covered by a epidermis. A strand of loosely woven connective tissue extended to the base of the lesion and was continuous with collagen between the papillary and reticular dermis of the normal skin. A histological diagnosis of fibrolipoma was made. The entire lesion was removed and skin grafting was done.

Discussion

Skin tags are common cutaneous lesions and are of three clinical types: 1) multiple small furrowed papules, especially on the neck and in the axilla, approximately 1 to 2 mm in width and height; 2) single or multiple filiform lesions in varying locations, approximately 2 mm in width and 5 mm in height; and (3) solitary large bag-like protuberances, usually on the lower trunk, about 1 cm in diameter. These larger lesions are occasionally multiple[1] and are commonly seen on the lower trunk.[2] But in the present case these multiple lesion was found in the lower leg. Because of diverse microscopic findings in these clinically similar lesions, there has been a problem with nomenclature. These are also called as soft fibromas, papillomas, acrochordon, fibroepithelial polyps and others. The papules or nodules may have predominance of epidermis and little connective tissue, thus fibroma would be an inappropriate term for many of them. Not all lesions are nipple like or papillomatous. Not all lesions are in the form of an extended string as implied by the term acrochordon. The term tag is noncommital, merely meaning "appendage". and thus might serve better for the entire spectrum of these lesions.[1] Histologically these lesions show fibrous and / fat cells. So they can be called as fibroepithelial polyp or lipofibroma (fibrolipoma) depending on the presence or absence and amount of fat.

Microscopically, the larger, bag-like lesions (fibroepithelial polyps, fibrolipoma) usually have a stroma composed of loosely arranged collagen and a central core of mature adipose tissue. They show surface flattened epidermis.[2] In some instances the dermis is quite thin, so that the fat cells compose a significant portions of the tumour which may then be regarded as lipofibroma.

References
1.
Huntley AC. Eruptive lipofibromata. Arch Dermatol 1983; 119:612-614.
[Google Scholar]
2.
Field IM, A giant pendulous fibrolipom, J Dermatol. Surg Oncol 1982; 8:54.
[Google Scholar]
3.
Chobanian SJ. Skin tags and colonic polyps- a gastroenterologist's perspective. J Am Acad Dermatol 1987; 16:407-409.
[Google Scholar]
4.
Margolis J, Margolis LS. Skin tags ; A frequent sign of diabetes mellitus. N Engl Med 1976; 294:1184.
[Google Scholar]
5.
Kahna M, Grossman E, Feinstein A. Skin tags : A cutaneous marker for diabetes mellitus, Acta Dem Venereol 1987; 67:175-177.
[Google Scholar]
6.
Agarwal JK, Nigam PK. Acrochordon; a cutaneous sign of carbohydrate intolerance Australas J Dermatol 1987; 28:132-133.
[Google Scholar]
7.
Lawrence JH, tobias CA, Linfoot JA. Successful treatment of acromegaly; Metabolic and clinical studies in 145 patients. J Clin Endocrinol Metab 1970; 31:180.
[Google Scholar]
8.
Graffeo M, Cesari P, Buffoli F. Skin tags : Markers for colonic polyps? J Am Acad Dermatol 1989; 21:1029.
[Google Scholar]
Show Sections