PAPILLOMAS IN CHILDREN
Small lesions that can be clipped off at their base using the appropriate Laser device with little or no anaesthesia.
Aluminium chloride may be applied for haemostasis if needed. For larger lesions, topical anaesthesia and removal with the use of a Laser is the preferred method.
An entity that is frequently reported as perianal acrochordons or skinfolds has now been named infantile perianal pyramidal protrusions. This occurs in young children, usually girls, in the midline anterior to the anus. It reduces with time and no treatment is necessary. Child abuse, genital warts, haemorrhoids, granulomatous lesions of inflammatory bowel disease, or rectal prolapse must be considered in the differential diagnosis of these lesions.
Tag-like basal cell carcinomas in childhood should suggest a diagnosis of nevoid basal cell carcinoma syndrome (NBCCS). Biopsy should be performed on acrochordons in children because the lesions are uncommon in this age group, and they may be the presenting sign of NBCCS.