The acrochordon is a polypoid soft, fleshy tumor common in the flexures and on the neck of those over middle age. Usually small, lesions can extend more than 1 cm from the surface and are asymptomatic unless traumatized.
Although acrochordons are usually not associated with any systemic abnormality, they can proliferate in pregnancy and in patients with benign or malignant acanthosis nigricans.
There may be associated seborrheic keratoses.
- Some lesions drop off spontaneously, often after minor trauma. Such lesions can be tender.
- Small acrochordons respond well to electrofulguration.
- Larger lesions can be surgically removed.