Case Number : Case 4059 - 11 August 2022 Posted By: Saleem Taibjee

Fibroepithelial polyp/acrochordon. I tend to call these FEP w/ features of dermal lipofibroma, although it's not a recognized term.

  skin tag

Acrochordon. 

Can I call it nevus lipomatosis superficialis? DD focal dermal hypoplasia..

I can see that a number of you favour acrochordon/skin tag. And indeed we see many examples with striking content of adipocytes.

However, I did wonder if this might be a genuine example of naevus lipomatosis superficialis given the very longstanding nature since childhood and solitary nature of the lesion with characteristic anatomical location.

Perhaps the distinction is academic and I am not certain if there are clear histological distinguishing features. That said, the fat content is very striking in this case, with adipocytes located very superficially, the epidermis and dermis rather attenuated.

Feel free to disagree!

BW

Saleem