Giant Vulval Acrochordon: A Common Tumor in a Rare Location

Background: Acrochordon, or fibroepithelial polyp, is a benign mesenchymal lesion commonly found on keratinized surfaces, particularly in the axilla and neck.Typically, these lesions measure 3-5 mm.However, vulval occurrence of a giant acrochordon is rare.Case Report: A 26-year-old para 1, living 1 woman presented with a progressively enlarging swelling on the left labia, first noticed three years ago.Initially measuring 2-3 cm, the mass grew to 2315 cm within a year, leading to discomfort.Examination revealed a multilobulated, pedunculated polypoid mass with ulcerated areas.The lesion was mobile and tender, with no associated vaginal or systemic abnormalities.Surgical excision was performed under spinal anaesthesia, and histopathological examination confirmed the diagnosis of acrochordon.Conclusion: Giant vulval acrochordons can be misdiagnosed as malignant due to their rapid growth and morphological appearance.Histopathology remains the gold standard for diagnosis, and complete surgical excision is curative.