Dermatofibroma
☆ A 2022-es németországi Stiftung Warentest eredményei szerint a fogyasztók elégedettsége a ModelDermmel csak valamivel volt alacsonyabb, mint a fizetős távorvoslási konzultációkkal.
A Dermatofibroma tipikus esete ― Kemény csomó a végtagon. A Dermatofibroma egy viszonylag gyakori jóindulatú daganat.
References
A Dermatofibroma egy gyakori bőrbetegség, amely leginkább a karokon vagy a lábakon található. A bőr alatti kemény csomókként jelenik meg, amelyek mérete gyakran kisebb, mint 1 centiméter. Bár általában fájdalommentes, összefüggésbe hozható korábbi kisebb sérülésekkel, például rovarcsípésekkel vagy tövisszúrással. A dermatofibrómák bárkit érinthetnek, de gyakrabban fordulnak elő 20-40 éves nőknél. Általában jóindulatúak, de néha kiújulhatnak az eltávolítás után. Fontos megkülönböztetni a dermatofibromákat egy agresszívebb bőrdaganattól, az úgynevezett dermatofibrosarcoma protuberans -tól.
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.
A lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, and epidermoid cysts preferált kezelése a műtéti eltávolítás. Cherry angiomas and sebaceous hyperplasia általában lézerterápiával vagy elektrodesikációval kezelik. A krioterápia és a borotválkozás a acrochordons and seborrheic keratoses népszerű választása. Ha a háziorvos bizonytalannak érzi az elváltozás diagnosztizálását vagy kezelését, vagy ha a biopszia melanomát igazol, szakorvoshoz fordulás javasolt.
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.
A dermatofibrómák kialakulhatnak korábbi sérülésekre, például rovarcsípésekre vagy tövisszúrásokra adott reakcióként. A dermatofibromákat jóindulatú bőrelváltozások közé sorolják, ami azt jelenti, hogy teljesen ártalmatlanok, bár a dermatofibromák összetéveszthetők számos bőr alatti daganattal. A mélyen behatoló dermatofibromákat még szövettanilag is nehéz megkülönböztetni a ritka rosszindulatú fibrohisztocitás daganatoktól, mint például a „dermatofibrosarcoma protuberans”.
○ Diagnosztika és kezelés
A legtöbb jóindulatú, de a nagy elváltozások (>5 mm) biopsziát igényelhetnek.
#Dermoscopy
#Skin biopsy