Which property indicates that an interdigital fibroma should be removed?

• A. Non-ulcerated
• B. Asymptomatic
• C. Ulcerated
• D. Pigmented

Answer: (C)

Interdigital fibromas are benign overgrowths between the digits that may be either quiet or troublesome. When the lesion remains non-ulcerated and asymptomatic, management can be conservative or observational. However, if it becomes ulcerated, that signals tissue breakdown with ongoing pain and a higher risk of secondary infection and poor healing. In that situation, surgical removal is the appropriate step to relieve pain, remove the diseased tissue, and prevent further complications. Pigmentation by itself doesn’t indicate a need for removal, and non-ulcerated or asymptomatic fibromas don’t require immediate excision.