Which of the following properties would prompt surgical removal of an interdigital fibroma?

• A. Non-ulcerated
• B. Ulcerated
• C. Pigmented
• D. Small and non-painful

Answer: (B)

Ulceration indicates skin breakdown with associated pain, risk of infection, and ongoing irritation, making surgical removal the best option to relieve symptoms and prevent further complications. Non-ulcerated lesions are often asymptomatic and can be monitored; small, non-painful lesions may not require removal, and pigmentation alone does not mandate excision unless there’s concern for malignant change. The presence of an ulcer signals a need to remove the lesion and obtain a histopathology specimen to confirm benign nature and ensure appropriate treatment.