Which statement best describes the management criterion for interdigital fibromas?

• A. It should be removed only if non-ulcerated
• B. It should be removed regardless of ulceration
• C. It should be removed only if ulcerated
• D. It should not be removed at all

Answer: (C)

Interdigital fibromas are benign growths in the space between the digits that typically don't cause problems unless they ulcerate. The key decision point is pain and infection risk from ulceration. When the lesion becomes ulcerated, it is usually painful and can lead to secondary infection, so surgical removal is indicated to relieve pain and prevent further complications. If the lesion is non-ulcerated and asymptomatic, observation is appropriate because surgery would add risk without clear benefit. Therefore, removing only if ulcerated best matches how these lesions are managed in practice.