What is an acrochordon?

A, Multiple, small, typical exophytic, light brown acrochordons of the axilla associated with acanthotisis nigricans. B, Typical acrochordon demonstrating skin-colored, soft, pedunculated papule. Exophytic seborrheic keratoses and nevi may resemble acrochordons. (Panel A courtesy of the William L. Weston, M.D. collection.)
Fig. 43.1 A, Multiple, small, typical exophytic, light brown acrochordons of the axilla associated with acanthotisis nigricans. B, Typical acrochordon demonstrating skin-colored, soft, pedunculated papule. Exophytic seborrheic keratoses and nevi may resemble acrochordons. (Panel A courtesy of the William L. Weston, M.D. collection.)
An acrochordon (skin tag, fibroma durum) is a soft, flesh-colored to dark brown, often pedunculated, cutaneous papule usually located on the neck, axilla, or groin (Fig. 43-1A). It is probably the most common mesenchymal neoplasm. Acrochordons are often multiple, usually 1 to 4 mm in size, but occasionally 3 cm or larger in diameter. The larger baglike lesions often also contain some fat and are called soft fibromas or fibroepithelial polyps (Fig. 43-1B).