A rare vulval manifestation of acrochordons in a young woman

Large vulvar skin tag removed in a primary care office setting

“…A PubMed search involving the key words vulva, skin tag, and acrochorda revealed 6 case reports describing 7 vulvar acrochorda in patients ranging in age from 19 to 55 years old. [2][3][4][5][6][7][8] The cases presented in a variety of 4 Many of these case reports described removal or excisional biopsy while the patient was under general anesthesia in an operating room environment. Given the risks of general anesthesia and the scarce resource of operating room time, especially in a public health care system following the COVID-19 pandemic, this case demonstrates the importance of timely biopsy under local anesthesia in an office environment.…”

“…1 Although there are some case reports of an acrochordon on the labium majus in the literature (ie, 1 reported a rapid growth during pregnancy while another described a rapid growth following puberty) few cases involved sizes greater than 5 mm. [2][3][4][5][6][7] Conducting vulvar procedures in the family practice setting is difficult for family doctors both because of lack of familiarity with the procedures and risk of bleeding in the highly vascular vulvar region. 8,9 Here we present a case of a patient with a giant vulvar acrochordon who presented to an academic family practice unit for diagnosis and who had the skin tag successfully removed using local anesthesia and surgical procedures common to family practice.…”