e-Images in Dermatology
Infarcted Giant Skin Tag
Fibroma blando gigante infartado
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B, Spiradenoma: upper portion of the lesion consisting of cells with small hyperchromatic nuclei and others with large, pale nuclei (hematoxylin-eosin, original magnification ×400). C, Cylindroma: lower portion of the lesion consisting of tumoral nests arranged in a checkerboard pattern and surrounded by hyaline bands (hematoxylin-eosin, original magnification ×400).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Senarega, L. Flores, A.C. Innocenti, V. Parra" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Senarega" ] 1 => array:2 [ "nombre" => "L." "apellidos" => "Flores" ] 2 => array:2 [ "nombre" => "A.C." "apellidos" => "Innocenti" ] 3 => array:2 [ "nombre" => "V." 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López-Jiménez, R. Ruiz-Rodríguez, I. Sánchez-Carpintero" "autores" => array:3 [ 0 => array:4 [ "nombre" => "E.C." "apellidos" => "López-Jiménez" "email" => array:1 [ 0 => "esmeraldac.lj@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "R." "apellidos" => "Ruiz-Rodríguez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "I." "apellidos" => "Sánchez-Carpintero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Insular de Gran Canaria, Las Palmas de Gran Canaria, Las Palmas, España" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Hospital Dermatológico Internacional, Madrid, España" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fibroma blando gigante infartado" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 859 "Ancho" => 2500 "Tamanyo" => 308260 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 58-year-old man with no personal history of interest consulted for a lesion on his back. The lesion was small, and its appearance had remained unchanged for the previous 4 years. During the month before the consultation, the lesion had begun to grow dramatically and became inflamed. A pedunculated, black-violaceous tumor measuring 5.5<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>5<span class="elsevierStyleHsp" style=""></span>cm was visible on the lumbar region. The lesion had a smooth marbled surface, clearly defined borders, and soft consistency and was not infiltrated (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, A and B). The lesion was removed and sent for histopathology analysis, which revealed a polypoid lesion covered by epithelium with papillomatosis and a richly vascularized dermis with increased collagen fibers and areas of necrosis compatible with an infarcted skin tag (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Skin tags, acrochordons, and fibroepithelial polyps are benign fibrous tissue tumors. They are common in both men and women, and their incidence increases with age. They are usually asymptomatic, single or multiple, small, flesh-colored, and pedunculated and affect the eyelids and larger skin folds. However, large (giant) lesions are exceptional. Skin tags can become complicated with ischemic necrosis resulting from torsion of the peduncle, which leads to acute inflammation and darkening. The differential diagnosis is broad and includes, as in the present case, polypoid melanoma. We report the second case to date of a giant skin tag on the back (Ilango et al., 2009)<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">1</span></a> and the first to be complicated by necrosis.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: López-Jiménez EC, Ruiz-Rodríguez R, Sánchez-Carpintero I. Fibroma blando gigante infartado. Actas Dermosifiliogr. 2019;110:e17.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 859 "Ancho" => 2500 "Tamanyo" => 308260 ] ] ] ] "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0010" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acrochordon--a rare giant variant" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "N. Ilango" 1 => "J. Jacob" 2 => "A.K. Gupta" 3 => "L. Choudhrie" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Dermatol Surg" "fecha" => "2009" "volumen" => "35" "paginaInicial" => "1804" "paginaFinal" => "1805" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000011000000007/v1_201909021030/S1578219019300484/v1_201909021030/en/main.assets" "Apartado" => array:4 [ "identificador" => "76904" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "e-Images in Dermatology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000011000000007/v1_201909021030/S1578219019300484/v1_201909021030/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219019300484?idApp=UINPBA000044" ]
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