Diagnosis

Fibromata are to be distinguished from sarcomata and neuromata, and this may be readily done when we remember that the former are of more rapid growth, and exhibit changes in the color and texture of the skin, which in fibroma are unaffected. Neuromata are usually painful. The diagnosis must be made in the early stage from sebaceous cysts; in the case of cysts, the origin from a flat gland, the central aperture or entrance to it, and the fatty contents which can be squeezed out, determine the nature of the disease. The hard contractile sessile outgrowths of keloid could not well be mistaken for the lax, flabby, pedunculated tumors of fibroma, which have the aspect of normal integument.