Dermatofibroma - ደርማቶፊብሮማ
☆ እ.ኤ.አ. በ 2022 ከጀርመን የስቲፍቱንግ ዋረንቴስት ውጤቶች ፣ በሞዴልደርም የተገልጋዮች እርካታ ከሚከፈልባቸው የቴሌሜዲኬን ምክሮች በትንሹ ያነሰ ነበር።
የተለመደ የ ደርማቶፊብሮማ (Dermatofibroma) ጉዳይ - በእግሩ ላይ ጠንካራ የሆነ ኖዱል። ደርማቶፊብሮማ (Dermatofibroma) በአንፃራዊነት የተለመደ የታመመ እጢ ነው።
References
Dermatofibroma በብዛት በእጆች ወይም በእግሮች ላይ የሚገኝ የተለመደ የቆዳ በሽታ ነው። ከቆዳው በታች እንደ ጠንካራ እብጠቶች ይታያል, ብዙውን ጊዜ መጠኑ ከ 1 ሴንቲሜትር ያነሰ ነው. ብዙ ጊዜ ህመም ባይኖረውም፣ ካለፉት ጥቃቅን ጉዳቶች እንደ ነፍሳት ንክሻ ወይም የእሾህ መወጋት ጋር የተያያዘ ሊሆን ይችላል። Dermatofibromas ማንንም ሰው ሊያጠቃ ይችላል ነገር ግን ከ20 እስከ 40 ዓመት ባለው የዕድሜ ክልል ውስጥ ባሉ ሴቶች ላይ በጣም የተለመደ ነው። dermatofibromas dermatofibrosarcoma protuberans ከሚባል በጣም ኃይለኛ የቆዳ እጢ መለየት አስፈላጊ ነው።
Dermatofibroma is a commonly occurring cutaneous entity usually centered within the skin's dermis. Dermatofibromas are referred to as benign fibrous histiocytomas of the skin, superficial/cutaneous benign fibrous histiocytomas, or common fibrous histiocytoma. These mesenchymal cell lesions of the dermis clinically are firm subcutaneous nodules that occur on the extremities in the vast majority of cases and may or may not be associated with overlying skin changes. They are most commonly asymptomatic and usually relatively small, less than or equal to 1 centimeter in diameter. Often, patients who present with a dermatofibroma relate a history of possibly inciting local trauma at the site, such as from an insect bite or superficial puncture wound from thorns or wood splinters. Dermatofibromas occur in people of all ages, although more commonly during the ages of the 20s to 40s, and develop more frequently in females than males, with as high as a 2:1 female to male predominance according to some reports. They are a benign tumor, although there have been cases of local recurrence, and even more rarely, distant metastases have been reported. When considering the differential diagnosis of these lesions, it is vitally important to distinguish dermatofibromas from dermatofibrosarcoma protuberans, a similar-appearing but more aggressive cutaneous neoplasm.
Dermatofibroma is a commonly occurring cutaneous entity usually centered within the skin's dermis. Dermatofibromas are referred to as benign fibrous histiocytomas of the skin, superficial/cutaneous benign fibrous histiocytomas, or common fibrous histiocytoma. These mesenchymal cell lesions of the dermis clinically are firm subcutaneous nodules that occur on the extremities in the vast majority of cases and may or may not be associated with overlying skin changes. They are most commonly asymptomatic and usually relatively small, less than or equal to 1 centimeter in diameter. Often, patients who present with a dermatofibroma relate a history of possibly inciting local trauma at the site, such as from an insect bite or superficial puncture wound from thorns or wood splinters. Dermatofibromas occur in people of all ages, although more commonly during the ages of the 20s to 40s, and develop more frequently in females than males, with as high as a 2:1 female to male predominance according to some reports. They are a benign tumor, although there have been cases of local recurrence, and even more rarely, distant metastases have been reported. When considering the differential diagnosis of these lesions, it is vitally important to distinguish dermatofibromas from dermatofibrosarcoma protuberans, a similar-appearing but more aggressive cutaneous neoplasm.
ለ lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, epidermoid cysts ተመራጭ ሕክምና በቀዶ ሕክምና መወገድ ነው። Cherry angiomas, sebaceous hyperplasia በተለምዶ በሌዘር ቴራፒ ወይም በኤሌክትሮዲሴኬሽን ይታከማሉ። ክሪዮቴራፒ እና መላጨት ለ acrochordons, seborrheic keratoses ታዋቂ ምርጫዎች ናቸው። አንድ የቤተሰብ ሐኪም ቁስሉን ስለመመርመር ወይም ስለማከም እርግጠኛ ያልሆነ ስሜት ከተሰማው ወይም ባዮፕሲ ሜላኖማ ካረጋገጠ ወደ ልዩ ባለሙያተኛ ማዞር ይመከራል።
The preferred treatment for lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, epidermoid cysts is surgical removal. Cherry angiomas, sebaceous hyperplasia are commonly treated with laser therapy or electrodesiccation. Cryotherapy and shave excision are popular choices for acrochordons, seborrheic keratoses. If a family physician feels uncertain about diagnosing or treating a lesion, or if a biopsy confirms melanoma, referral to a specialist is recommended.
The preferred treatment for lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, epidermoid cysts is surgical removal. Cherry angiomas, sebaceous hyperplasia are commonly treated with laser therapy or electrodesiccation. Cryotherapy and shave excision are popular choices for acrochordons, seborrheic keratoses. If a family physician feels uncertain about diagnosing or treating a lesion, or if a biopsy confirms melanoma, referral to a specialist is recommended.
Dermatofibromas እንደ ነፍሳት ንክሻ ወይም የእሾህ መወጋት ላሉ ቀደምት ጉዳቶች ምላሽ ሆኖ ሊፈጠር ይችላል። Dermatofibromas ከቆዳ በታች ከሚታዩ እብጠቶች ጋር ሊምታታ ቢችልም ደርማቶፊብሮማዎች ልክ እንደ ደህና የቆዳ ቁስሎች ተመድበዋል ይህም ማለት ሙሉ በሙሉ ምንም ጉዳት የላቸውም። ጥልቅ የሆነ dermatofibromas እንደ “dermatofibrosarcoma protuberans” ካሉ ብርቅዬ አደገኛ ፋይብሮሂስቶሳይቲክ ዕጢዎች በሂስቶሎጂም ቢሆን ለመለየት አስቸጋሪ ሊሆን ይችላል።
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አብዛኛዎቹ ደህና ናቸው፣ ነገር ግን ትላልቅ ቁስሎች (> 5 ሚሜ) ባዮፕሲ ሊፈልጉ ይችላሉ።
#Dermoscopy
#Skin biopsy