A 38-year-old male presented with a 15 cm pedunculated swelling on his right buttock that had gradually increased in size over 4 years. Ultrasound findings showed a well-defined, lobulated, iso-echoic lesion with minimal vascularity, consistent with a cutaneous fibro-epithelial polyp measuring 15 x 8 cm containing prominent adipose tissue. Fibro-epithelial polyps are typically benign skin tumors of mesenchymal and ectodermal origin that usually occur in skin folds and do not exceed 1-2 mm, but can sometimes reach large dimensions.

1. DR. M K SHAH MEDICAL
COLLEGE AND RESEARCH
CENTRE
CASE OF THE DAY

2. CASE
HISTORY
• A 38 YR OLD MALE PATIENT CAME WITH A
COMPLAINT OF PEDUNCULATED SWELLING
OVER RIGHT GLUTEAL REGION SINCE 4
YEARS.
• THE SWELLING HAS SHOWN GRADUAL
INCREASE IN SIZE.
• THERE WAS AN ABRASION AT THE SITE OF
SWELLING 5 DAYS BACK.

6. THE CUMULATIVE LENGTH OF SWELLING FROM THE PEDUNCLE IS 15 CM IN
SIZE

8. USG
FINDINGS
• SONOGRAPHY OF LOCAL PART (RIGHT
GUTEAL REGION)
• A SOLID WELL DEFINED , LOBULATED ,
OUTLINED , ISO ECHOGENIC LESION AT
RIGHT GLUTEAL REGION, PEDUNCULATED
MASS IS NOTED.
• IN COLOR DOPPLER VERY MINIMUM
VASCULARITY IS NOTED.

9. USG
FINDINGS
• SONOGRAPHY OF LOCAL PART (RIGHT
GUTEAL REGION)
• ABOVE USG FINDINGS ARE
SUGGESTIVE OF CUTANEOUS FIBRO-
EPITHELIAL POLYP WITH PROMINENT
ADIPOSE TISSUE IS SEEN AT RIGHT
GLUTEAL REGION, MEASURING 15 X 8
CM IN SIZE.

10. FIBRO-
EPITHELIAL
POLYPS
•Fibroepithelial polyps
(acrochordon or skin tag) are
benign tumors of
mesenchymal and ectodermal
origin ,that usually occur in
skin folds, such as the axilla,
genital area or neck. They can
be solitary or multiple. Their
dimensions usually do not
exceed 1-2 millimeters.
Sometimes, they can reach
huge dimensions.

11. THANK YOU