Dermatofibroma
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Kasus khas Dermatofibroma ― Nodul atos ing perangan awak. Dermatofibroma minangka tumor jinak sing relatif umum.
References
Dermatofibroma minangka kondisi kulit sing umum ditemokake ing lengen utawa sikil. Katon minangka gumpalan sing kuat ing ngisor kulit, asring ukurane kurang saka 1 sentimeter. Nalika biasane ora lara, bisa uga ana gandhengane karo ciloko cilik kaya gigitan serangga utawa tusukan duri. Dermatofibroma bisa mengaruhi sapa wae nanging luwih umum ing wanita umur 20 nganti 40. Biasane ora entheng, nanging kadhangkala bisa bali maneh sawise dicopot. Penting kanggo mbedakake dermatofibroma saka tumor kulit sing luwih agresif sing diarani 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.
Pangobatan sing disenengi kanggo lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, epidermoid cysts yaiku ngilangi bedhah. Cherry angiomas, sebaceous hyperplasia biasane diobati nganggo terapi laser utawa electrodesiccation. Cryotherapy lan excision cukur minangka pilihan populer kanggo acrochordons, seborrheic keratoses. Yen dokter kulawarga ngrasa ora yakin babagan diagnosa utawa nambani lesi, utawa yen biopsi negesake melanoma, rujukan menyang spesialis dianjurake.
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 bisa dibentuk minangka reaksi kanggo ciloko sadurunge kayata gigitan serangga utawa tusukan duri. Dermatofibroma digolongake minangka lesi kulit entheng, tegese ora mbebayani, sanajan Dermatofibroma bisa uga bingung karo macem-macem tumor subkutan. Dermatofibroma penetrasi jero bisa uga angel dibedakake, sanajan sacara histologis, saka tumor fibrohistocytic ganas sing langka kaya "dermatofibrosarcoma protuberans".
○ Diagnosis lan Perawatan
Umume ora entheng, nanging lesi gedhe (> 5 mm) mbutuhake biopsi.
#Dermoscopy
#Skin biopsy