Dermatoscopic signs of tongue fibroma: a case report

Background: This article analyzes current knowledge about fibromas arising in the mucous membranes. The paper examines the clinical features, describes the factors most often triggering their development, and provides detailed information regarding differential diagnosis.

Description of the clinical case: The authors present their own clinical observation of a fibroma in the tip of the tongue in a 71-year-old female patient, which developed after trauma. The article describes the clinical presentation in detail and provides histological data. Of particular interest is the description of the dermatoscopic appearance of the lesion, as it is characterized by a variety of features. To date, only two descriptions of dermatoscopy of traumatic fibromas have been found in the world literature.

Conclusion: Based on the currently available data, it can be concluded that the main dermatoscopic features of traumatic fibromas include evenly distributed punctate vessels, a pale pink homogeneous background, and hairpin-shaped vessels at the periphery of the lesion. The location and presence of homogeneous whitish areas is likely a variable feature and depends on the location of the greatest pressure applied by the dermatoscope.