Dermatofibroma
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ikpe nke Dermatofibroma - nodule siri ike na aka. Dermatofibroma bụ akpụ a na-ahụkarị nke na-adịghị mma.
References
Dermatofibroma bụ ọnọdụ akpụkpọ anụ a na-ahụkarị na ogwe aka ma ọ bụ ụkwụ. Ọ na-apụta dị ka ọkpụkpụ siri ike n'okpuru akpụkpọ ahụ, na-erughị 1 centimita n'ogo. Ọ bụ ezie na ọ naghị enwekarị mgbu, enwere ike jikọta ya na obere mmerụ ahụ gara aga dị ka ahụhụ ụmụ ahụhụ ma ọ bụ ogwu ogwu. Dermatofibromas nwere ike imetụta onye ọ bụla mana ọ na-adịkarị na ụmụ nwanyị dị afọ 20 ruo 40. Ha na-adịkarị mma, ma mgbe ụfọdụ, ha nwere ike ịlaghachi mgbe ewepụchara ya. Ọ dị mkpa ịmata ọdịiche nke dermatofibromas site na etuto akpụkpọ anụ na-eme ihe ike nke a na-akpọ 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.
Ọgwụgwọ kachasị amasị maka lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, epidermoid cysts bụ iwepụ ịwa ahụ. A na-ejikarị ọgwụgwọ laser ma ọ bụ electrodesiccation na-agwọ Cherry angiomas, sebaceous hyperplasia. Cryotherapy na mkpochapụ ntutu bụ nhọrọ ewu ewu maka acrochordons, seborrheic keratoses. Ọ bụrụ na dibịa bekee na-eche na ejighị n'aka maka ịchọpụta ma ọ bụ ịgwọ ọnya, ma ọ bụ ọ bụrụ na biopsy na-akwado melanoma, a na-atụ aro ka ọ gakwuru onye ọkachamara.
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.
Enwere ike ịmepụta Dermatofibromas dị ka mmeghachi omume maka mmerụ ahụ gara aga dị ka ahụhụ ụmụ ahụhụ ma ọ bụ ogwu ogwu. A na-ekewa Dermatofibromas dị ka ọnya anụ ahụ na-adịghị mma, nke pụtara na ha adịghị njọ kpamkpam, ọ bụ ezie na Dermatofibromas nwere ike mgbagwoju anya na ọtụtụ ụbụrụ subcutaneous. Dermatofibromas dị omimi nwere ike isi ike ịmata ọdịiche, ọbụlagodi n'akụkọ ihe mere eme, site na etuto fibrohistocytic na-adịghị ahụkebe dị ka "dermatofibrosarcoma protuberans".
○ Diagnosis na ọgwụgwọ
Ọtụtụ adịghị mma, mana nnukwu ọnya (>5 mm) nwere ike ịchọ biopsy.
#Dermoscopy
#Skin biopsy