Dermatofibroma
☆ Pada hasil Stiftung Warentest tahun 2022 dari Jerman, kepuasan konsumen terhadap ModelDerm hanya sedikit lebih rendah dibandingkan dengan konsultasi telemedis berbayar.
Kasus khas Dermatofibroma ― Benjolan keras di dahan. Dermatofibroma adalah tumor jinak yang relatif umum.
References
Dermatofibroma adalah kondisi kulit umum yang kebanyakan ditemukan di lengan atau kaki. Tampaknya benjolan keras di bawah kulit, seringkali berukuran kurang dari 1 sentimeter. Meskipun biasanya tidak menimbulkan rasa sakit, penyakit ini mungkin terkait dengan cedera ringan di masa lalu seperti gigitan serangga atau tusukan duri. Dermatofibroma dapat menyerang siapa saja, namun lebih sering terjadi pada wanita berusia 20 hingga 40 tahun. Biasanya tidak berbahaya, namun terkadang dapat muncul kembali setelah pengangkatan. Penting untuk membedakan dermatofibroma dari tumor kulit yang lebih agresif yang disebut 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.
Perawatan pilihan untuk lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, and epidermoid cysts adalah operasi pengangkatan. Cherry angiomas and sebaceous hyperplasia umumnya diobati dengan terapi laser atau elektrodesikasi. Cryotherapy dan eksisi cukur adalah pilihan populer untuk acrochordons and seborrheic keratoses. Jika dokter keluarga merasa tidak yakin dalam mendiagnosis atau mengobati lesi, atau jika biopsi memastikan melanoma, disarankan untuk merujuk ke spesialis.
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.
Dermatofibroma dapat terbentuk sebagai reaksi terhadap cedera sebelumnya seperti gigitan serangga atau tusukan duri. Dermatofibroma digolongkan sebagai lesi kulit jinak, artinya sama sekali tidak berbahaya, meskipun Dermatofibroma mungkin disalahartikan sebagai berbagai tumor subkutan. Dermatofibroma penetrasi dalam mungkin sulit dibedakan, bahkan secara histologis, dari tumor fibrohistositik ganas yang langka seperti "dermatofibrosarcoma protuberans".
○ Diagnosis dan Pengobatan
Sebagian besar bersifat jinak, namun lesi berukuran besar (>5 mm) mungkin memerlukan biopsi.
#Dermoscopy
#Skin biopsy