Pathology

1. Papilloma
   • overgrowth of all layers of the skin with a central vascular core
   • AKA skin tags or fibroepithelial polyps
2. Increasingly common with age
3. Can occur anywhere in the skin esp neck, trunk, face, anus

Approach

• Examine as for any lump

1. Inspect
   • Occurs anywhere on skin
   • Pedunculated swelling (may be sessile)
   • Flesh-coloured
2. Palpation
   • Soft on palpation

Completion

1. Ask how the lump affects life
2. Similar lumps elsewhere
3. Associated conditions
   • Pregnancy
   • Diabetes
   • Intestinal polyposis

Treament

1. Surgical excision