Dermatofibroma - Dermatofibrom
☆ U rezultatima Stiftung Warentest-a za 2022. iz Njemačke, zadovoljstvo potrošača ModelDerm-om bilo je samo nešto niže nego s plaćenim telemedicinskim konsultacijama.
Tipičan slučaj Dermatofibrom (Dermatofibroma) ― Tvrdi čvor na ekstremitetu. Dermatofibrom (Dermatofibroma) je relativno čest benigni tumor.
References
Dermatofibroma je uobičajeno stanje kože koje se nalazi uglavnom na rukama ili nogama. Pojavljuje se kao čvrste kvržice ispod kože, često manje od 1 centimetra. Iako je obično bezbolan, može biti povezan s ranijim lakšim ozljedama poput ujeda insekata ili uboda trna. Dermatofibromi mogu zahvatiti bilo koga, ali su češći kod žena u dobi od 20 do 40 godina. Obično su benigni, ali se ponekad mogu vratiti nakon uklanjanja. Važno je razlikovati dermatofibrome od agresivnijeg tumora kože zvanog 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.
Preferirani tretman za lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, and epidermoid cysts je hirurško uklanjanje. Cherry angiomas and sebaceous hyperplasia se obično liječe laserskom terapijom ili elektrodesikacijom. Krioterapija i ekscizija brijanja su popularni izbori za acrochordons and seborrheic keratoses. Ako se porodični ljekar osjeća nesigurnim u pogledu dijagnosticiranja ili liječenja lezije, ili ako biopsija potvrdi melanom, preporučuje se upućivanje specijalistu.
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.
Dermatofibromi mogu nastati kao reakcija na prethodne ozljede kao što su ugrizi insekata ili uboda trna. Dermatofibromi se klasificiraju kao benigne lezije kože, što znači da su potpuno bezopasne, iako se dermatofibromi mogu zamijeniti s različitim potkožnim tumorima. Duboko penetrirajuće dermatofibrome može biti teško razlikovati, čak i histološki, od rijetkih malignih fibrohistocitnih tumora poput "dermatofibrosarcoma protuberans".
○ Dijagnoza i liječenje
Većina je benignih, ali velike lezije (>5 mm) mogu zahtijevati biopsiju.
#Dermoscopy
#Skin biopsy