Large Vulval Acrochordon in Postmenopausal Woman--An Uncommon Presentation: Case Report.

Aim: To highlight the uncommon manifestation of acrochordon in a postmenopausal woman. Background: Acrochordons are benign mesenchymal neoplasms. They are frequently noted in women of reproductive age group. Their occurrence in postmenopausal women is rare. Case description: A 56-year-old multiparous postmenopausal woman presented with a large vulval acrochordon of size 8 cm x 7.5 cm x 7.5 cm. Total surgical excision was performed under regional anesthesia and its diagnosis was confirmed on histopathology. Conclusion: Vulvar acrochordons are uncommon. Their occurrence in a postmenopausal age group is rare. Complete surgical excision is the cure. Clinical significance: Their clinical features mimic malignancy hence histopathology is important for definitive diagnosis. Ultrasonography aids in the initial diagnosis of the lesion. [ABSTRACT FROM AUTHOR]