Background: Vulvar achrochordon is a relatively uncommon benign polypoid tumor of the vulva commonly
known as skin tag or occasionally fibroepithelial polyps. The size of the lesion is generally 1–2 cm, but it rarely can reach extremely large size.
Case Report: In our case A 20 years old girl had been suffering from slowly growing a vulvar achrochordon
tumor for six years. The tumor was arising from the labium majus, and measured 11 cm in its largest diameter. Histologically, papillomatosis and hyperkeratosis of polypoid lesion was reported.
Six month following surgical excision, the patient did not manifest any signs of recurrence.
Conclusions: This vulvar lesion represents a very unusual example of large size achrochordon in an adolescent girl. We present this case as a rarely seen benign tumor of vulva.

Keywords: achrochordon, Vulva