Dermatofibroma
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Casu tipicu di Dermatofibroma ― Un nodulu duru nantu à u membru. Dermatofibroma hè un tumore benignu relativamente cumuni.
References
Dermatofibroma hè una cundizione cumuni di a pelle chì si trova soprattuttu nantu à i braccia o i gammi. Pare cum'è grumi fermi sottu à a pelle, spessu menu di 1 centimetru in grandezza. Mentri generalmente indolore, pò esse ligata à ferite minori passate cum'è morse d'insetti o punture di spine. Dermatofibromas ponu influenzà à qualchissia, ma sò più cumuni in e femine di 20 à 40 anni. Sò tipicamente benigni, ma à volte ponu vultà dopu a rimozione. Hè impurtante di differenzià i dermatofibromi da un tumore di a pelle più aggressivu chjamatu 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.
U trattamentu preferitu per lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, epidermoid cysts hè a rimozione chirurgica. Cherry angiomas, sebaceous hyperplasia sò cumunimenti trattati cù terapia laser o elettrodesiccazione. A crioterapia è l'escissione di rasatura sò scelte populari per acrochordons, seborrheic keratoses. Se un duttore di famiglia si senti incertu nantu à u diagnosticu o trattamentu di una lesione, o se una biòpsia cunfirma u melanoma, hè cunsigliatu di riferimentu à un specialista.
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 pò esse formate cum'è una reazione à ferite previ, cum'è morse d'insetti o puntu di spine. Dermatofibromi sò classificati cum'è lesioni benigni di a pelle, chì significheghjanu sò completamente innocu, anche si Dermatofibromi pò esse cunfunditi cù una varietà di tumori subcutaneous. I dermatofibromi penetranti in profonda pò esse difficiuli di distinguish, ancu histologicamente, da tumuri fibrohistocytic maligni rari cum'è "dermatofibrosarcoma protuberans".
○ Diagnosi è Trattamentu
A maiò parte sò benigni, ma e lesioni grandi (> 5 mm) ponu esse bisognu di biòpsia.
#Dermoscopy
#Skin biopsy