Additionally, skin bumps that have bled or rapidly changed may also need pathologic examination. Most typical small skin tags may be removed without sending tissue for microscopic examination or biopsy. While warts are caused by a virus called human papillomavirus and are known to be very contagious, skin tags are not thought to be caused by HPV. Groin and genital skin lesions resembling skin tags may actually be genital warts or condyloma.
Most doctors recommend removal of skin tags only when they are irritated or a source of discomfort, or if they constitute a cosmetic problem. Skin tags can be easily removed in the doctor's office by tying or cutting them after injecting a small amount of a local anesthetic. Freezing, a technique sometimes used to remove warts or other benign lesions of the skin, is also sometimes performed for the removal of skin tags.
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