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Fibromas

Fibrom am Auge

Courtesy of Dr. A. Mihaileanu, MD

Why do fibroids develop?

Fibromas are benign nodules ("neoplasms") consisting of connective or other supporting tissue. A fibroma is an expression of excessive activity of cells that form connective tissue, called fibroblasts. These cells are found in all connective tissues of the human body. A fibroma is benign, so it is not cancer.

Where do fibromas occur? Fibromas usually occur sporadically and only in certain areas of the body; if, on the other hand, they extend over the entire body, physicians speak of fibromatosis.

 

In most cases, a fibroma develops on the surface of the skin without any apparent cause. Treatment is often not necessary, since fibromas usually do not cause any symptoms. Nevertheless, it is advisable to consult a doctor, especially if new lumps have appeared - he can often recognize harmless fibromas at a glance.

Forms and types

Fibroma: Pedunculated wart

Soft fibromas (fibroma molle) are usually stalked protrusions (fibroma pendulum) of the skin that are otherwise little to no different in appearance from the surrounding tissue. These appendages are found preferentially on the eyelids, neck or armpits of almost every middle-aged person. They can be a few millimeters to several centimeters in size and sometimes brownish in color. Soft fibromas are also colloquially referred to as pedunculated warts because they often protrude from the skin like a stalk.

Hard fibroma

Hard fibromas (fibroma durum), on the other hand, protrude only slightly above the level of the skin (papule), since the connective tissue here proliferates in a deeper layer of the skin. They can be skin-colored, pink or brown in color and occur primarily on the legs.

Symptoms

A fibroma usually protrudes from the skin, which is why it is also called a pedunculated wart. Usually, the skin growths are skin-colored or darker. However, if they are turned, it can happen that blood vessels are injured and they therefore tinge blue-red or even black. Especially very large fibromas or those with a particularly large number of fibromas can significantly affect the appearance. Some fibromas are accompanied by symptoms such as sensitivity to pain and pressure when touched.

Treatment

In order to make an exact diagnosis, the doctor can examine the lump more closely with a special magnifying instrument (dermatoscope). If it is still not clear whether it is a fibroma or not, a dermatologist may take a tissue sample (biopsy). In this case, the lump is usually removed completely under local anesthesia and the tissue is then examined under the microscope.

Since fibroids are often located in visible areas of the body, they can be an aesthetic problem. If necessary, a pedunculated nipple can be surgically removed for treatment. Removal of a fibroma requires little effort and has few complications. Nevertheless, you should avoid removing pedunculated nipples yourself at all costs, as there is a higher risk of infection when doing so.

In addition, there is a non-invasive procedure of the skin to remove warts.

Papilloma

Papilloma is a benign tumor originating from the uppermost layers of skin or mucous membrane of an organism. Papillomas are found, for example, on the skin of the body surface, in the urinary tract, in the excretory ducts of the female breast and other glands, or on the mucous membranes of the mouth, nose, sinuses, or gastrointestinal tract (villous adenoma). Papillomas have a cauliflower-like appearance and can grow up to 1 cm in size. Histologic examination reveals a vascular, finger-shaped branching stroma with regular superficial squamous epithelium. The cause is thought to be viral infections or mechanical irritation.