Generally harmless, painless and absolutely non-contagious, in cases where it is bothersome it can be removed with minor outpatient surgery.
Why pendulous fibroids form
Also known as acrochordon or vulgarly porro, the hanging fibroid is formed by a proliferation of certain cells of the dermis, called fibroblasts.
Its size can range from a few millimeters to several centimeters due to a slow and gradual growth due to the force of gravity pulling them down, causing them to hang from their original site, hence the term pendant.
The most commonly affected areas of the body
The areas most affected by the appearance of fibroids are those where the skin presents folds, such as:
- groin and armpits;
The cause of this abnormal growth is a chronic inflammatory stimulus.
The origin of this inflammatory stimulus can come from outside, such as rubbing a necklace or a bra, or rubbing the skin folds (folds) in the groin or armpit.
However, in the case of benign neoformations, little scientific research has been devoted to the etiopathogenesis of this pathology and therefore the causes are not certain.
Factors that can promote the appearance of hanging fibroids, in addition to friction, are:
- hormonal factors;
- overweight and obesity;
- dyslipidemia, that is to say changes in the amount of lipids, or fats, in the blood, in particular triglycerides and cholesterol;
A genetic predisposition probably also plays a role: it is not uncommon to see several members of the same family affected by this problem.
Can a hanging fibroid develop into a malignant tumor?
Pendulous fibroids, or often pendent fibroids, since several of them frequently form in the same place, are benign, non-contagious neoformations, and the possibility of malignant evolution is almost non-existent.
However, they can cause a significant aesthetic impact and a feeling of discomfort.
In addition, they can bleed, for example, when they are hit by a bra or injured by a razor while shaving, with a risk of skin infection at the site of the trauma.
Removal of hanging fibroids: when is it indicated and how is it done?
The removal of one or more pendent fibroids may be indicated if the problem has an impact on the quality of life, both from an aesthetic and “functional” point of view.
It is an outpatient procedure, possibly under local anesthesia if the base of the fibroid is large.
Ablation, always preceded by disinfection of the fibroid site, can be performed, depending on the site and the size of the fibroid, with different techniques
- sterile scalpel blade;
- an energy scalpel, also called a diathermocoagulator, which allows the fibroid to be “burned” in a few seconds, immediately solving the problem. Usually, no stitches are needed, except in the case of large fibroids, for which there is practically no scar left;
- cryotherapy, in which the fibroid is frozen at the root, through the application of liquid nitrogen, causing necrosis (death) of the fibroid itself, which will fall off spontaneously within a few weeks”.
Removal may involve 1 or more fibroids during the same session and should be scheduled at a time when sun exposure to the area may be limited for the first few days.
Remove hanging fibroids at home: no DIY
Do-it-yourself is not recommended for removing fibroids.
The home remedy of tying the fibroid with a sewing thread is very common, but although apparently effective (by blocking blood flow, the fibroid should dry out and fall off on its own after a few days) it exposes the patient to a greater risk of recurrence and can give an aesthetically unpleasant result.
How to Prevent Hanging Fibroids
The weapons available to prevent hanging fibroids are:
- adequate hydration
- weight loss in overweight people;
- limit the possibility of rubbing against everyday objects (bracelets, necklaces, etc.).
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