Dermatoscopic signs of tongue fibroma: a case report

Murakhovskaya E.K., Sysoeva T.A., Plakhova K.I., Nefedova M.A.

1) Russian Medical Academy of Continuous Professional Education, Moscow, Russia; 2) State Research Center of Dermatovenereology and Cosmetology, Clinical Diagnostic Center, Moscow, Russia

ОBackground: 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.

For citations: Murakhovskaya E.K., Sysoeva T.A., Plakhova K.I., Nefedova M.A. Dermatoscopic signs of tongue fibroma: a case report. Pharmateca. 2025;32(10):148-152. (In Russ.). DOI: https://dx.doi.org/10.18565/pharmateca.2025.10.148-152

Authors’ contribution: All authors made a substantial contribution to the preparation of this article, read, and approved the final version prior to publication. All authors take responsibility for all aspects of the work, reviewing and resolving questions related to the accuracy and integrity of all parts of the work. E.K. Murakhovskaya – article design and concept, data collection, processing, and analysis, writing the first draft of the article, editing, and approval of the final version. K.I. Plakhova – literature review, data interpretation, and article preparation. M.A. Nefedova – data interpretation and article editing. T.A. Sysoeva – article concept and design, text editing, and approval of the final version.
Conflicts of interest: The authors confirm that they have no conflicts of interest to declare.
Funding: The study was conducted without any sponsorship.
Patient Consent for Publication: The patient voluntarily signed an informed consent form for the publication of her personal medical information in anonymized form in the «Pharmateca» journal.

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About the Authors

E.K. Murakhovskaya, Cand. Sci. (Med.), Assistant Professor, Department of Dermatovenereology and Cosmetology, Russian Medical Academy of Continuous Professional Education, Moscow, Russia; e-mail: murakhovskayaek@mail.ru; ORCID: https://orcid.org/0000-0002-3126-3618, eLibrary SPIN: 2862-2889 (corresponding author)
T.A. Sysoeva, Cand. Sci. (Med.), Associate Professor, Department of Dermatovenereology and Cosmetology, Russian Medical Academy of Continuous Professional Education, Moscow, Russia; ORCID: https://orcid.org/0000-0002-3426-4106, eLibrary SPIN: 1919-6461
K.I. Plakhova, Dr. Sci. (Med.), Professor, Department of Dermatovenereology and Cosmetology, Russian Medical Academy of Continuous Professional Education; State Scientific Center of Dermatovenereology and Cosmetology, Clinical Diagnostic Center, Moscow, Russia; ORCID: https://orcid.org/0000-0003-4169-4128, eLibrary SPIN: 7634-5521
M.A. Nefedova, Junior Researcher, Department of Dermatology, State Research Center of Dermatovenereology and Cosmetology, Clinical Diagnostic Center, Moscow, Russia; ORCID: https://orcid.org/0000-0003-1141-9352, eLibrary SPIN: 1307-1189