Tell me about the "small diced meat" on the neck.

People often ask me for advice or go to the hospital because they have one or more "small diced meat" on their necks. These "small diced meat", or dermatophytes, are called "soft fibromas" or "fibroepithelial polyps" in medicine, and some people call them "soft warts". Usually there are no conscious symptoms, sometimes it will affect dressing or wearing jewelry, but mainly the appearance is indecent, which will affect the appearance.

Many people think it's a virus wart. In fact, it is a pedicled benign tumor of the skin, with an incidence of about 25%. It is common in middle-aged and elderly people, especially postmenopausal women, and can also be seen in pregnancy. How long is it in the neck, upper eyelid, armpit, groin or trunk? Axillary is more common, followed by neck.

Generally, it is characterized by multiple wrinkled papules with soft texture and a diameter of1~ 2 mm; ; At the same time, one or more soft protrusions can be seen, which are filamentous hyperplasia; Individual cases are bag-like or polypoid processes. The incidence rate increases with age, or it is considered as a manifestation of skin aging. But it is related to pregnancy, obesity, abnormal liver function, excessive drinking, long-term oral contraceptives, diabetes, colon polyps and so on. It is also seen in Birt-Hogg-Dube syndrome (fibrofollicular tumor, piloma and peritrichofibroma) and Cowden syndrome (sclerosing fibroma). Clinically, it needs to be differentiated from seborrheic keratosis (senile plaque), verruca vulgaris, filamentous wart, verruca plana and pigmented nevus.

Many people have tried to tie the roots with hair or sewing thread, and then expect them to fall off by themselves. Some people succeeded, but more people failed. In the process of waiting for it to fall off, local redness and pain occur due to infection or ischemia. In fact, this disease can be easily removed by cutting off or laser and electrocautery, and generally no local anesthesia is needed. After routine disinfection, we use sharp sterile scissors to cut, compress or laser to stop bleeding, and then disinfect, and ask patients to keep the wound dry and clean. This method is fast, less painful and has a good cosmetic effect, which is well received.