Solitary Neurofibroma

A 47-year-old man sought medical attention because of a new-onset “growth” on the right arm. He was in good health and had no significant past medical history.

Key point: This uniform-appearing, flesh-colored, soft papule is almost certainly benign. A shave biopsy with light electrodesiccation to the base would likely serve both diagnostic and therapeutic purposes.

Treatment: The lesion was removed as noted above, and proved to be a solitary neurofibroma.  

Note: A single neurofibroma is not an indication of any of the various genodermatoses that are characterized by a multiplicity of such neoplasms. No workup was entertained, and the removal site healed nicely.