Dermatofibroma - Дерматофиброма
☆ У выніках Stiftung Warentest у Германіі ў 2022 годзе задаволенасць спажыўцоў ModelDerm была толькі крыху ніжэйшай, чым платнымі тэлемедыцынскімі кансультацыямі.
Тыповы выпадак Дерматофиброма (Dermatofibroma) ― Цвёрды вузельчык на канечнасці. Дерматофиброма (Dermatofibroma) - адносна распаўсюджаная дабраякасная пухліна.
References
Dermatofibroma - распаўсюджанае захворванне скуры, якое сустракаецца ў асноўным на руках і нагах. Выяўляецца ў выглядзе цвёрдых камякоў пад скурай, часта памерам менш за 1 сантыметр. Хаця звычайна бязбольны, ён можа быць звязаны з мінулымі дробнымі траўмамі, такімі як укусы насякомых або шыпы. Дерматофибромы могуць захварэць любога чалавека, але часцей сустракаюцца ў жанчын ва ўзросце ад 20 да 40 гадоў. Як правіла, яны дабраякасныя, але часам могуць аднаўляцца пасля выдалення. Важна адрозніваць дерматофибромы ад больш агрэсіўнай пухліны скуры пад назвай dermatofibrosarcoma protuberans.
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.
Пераважным метадам лячэння для lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, epidermoid cysts з'яўляецца хірургічнае выдаленне. Cherry angiomas, sebaceous hyperplasia звычайна лечаць лазернай тэрапіяй або электрадэсікацыяй. Крыятэрапія і галенне - папулярны выбар для acrochordons, seborrheic keratoses. Калі сямейны лекар не ўпэўнены ў дыягностыцы або лячэнні паразы, або калі біяпсія пацвярджае меланому, рэкамендуецца накіраванне да спецыяліста.
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.
Дерматофибромы могуць утварыцца як рэакцыя на папярэднія траўмы, такія як укусы насякомых або шыпы. Дерматофибромы класіфікуюцца як дабраякасныя паразы скуры, што азначае, што яны цалкам бясшкодныя, хоць дерматофибромы можна зблытаць з рознымі падскурнымі пухлінамі. Глыбока пранікальныя дерматофибромы можа быць цяжка адрозніць, нават гістологіческі, ад рэдкіх злаякасных фібрагістацытарных пухлін, такіх як «выпуклая дерматофибросаркома».
○ Дыягностыка і лячэнне
Большасць з'яўляюцца дабраякаснымі, але вялікія паразы (>5 мм) могуць запатрабаваць біяпсіі.
#Dermoscopy
#Skin biopsy