Which statement best describes the criterion for surgical removal of an interdigital fibroma?

• A. Non-ulcerated
• B. Asymptomatic
• C. Benign appearance
• D. Ulcerated

Answer: (D)

Ulceration signals a complication that makes surgical removal appropriate. Interdigital fibromas are benign fibrous nodules between toes and can be asymptomatic for a long time, so they’re often managed conservatively. When the lesion becomes ulcerated, skin breakdown occurs with pain, higher infection risk, and potential impairment of function or footwear tolerance, and removing the fibroma helps the ulcer heal and prevents further problems. If the lesion is non-ulcerated, asymptomatic, or merely has a benign appearance, surgery isn’t automatically indicated and can often be avoided until symptoms or complications arise.