Dermatofibroma - 피부 섬유종
피부 섬유종 (Dermatofibroma)의 전형적인 사례 ― 팔다리에 딱딱한 결절이 생겼습니다. 피부 섬유종 (Dermatofibroma)은 비교적 흔한 양성 종양입니다.
References
Dermatofibroma 은 주로 팔이나 다리에서 발견되는 흔한 피부 질환입니다. 이는 피부 아래에 크기가 1cm 미만인 단단한 덩어리로 나타납니다. 일반적으로 통증은 없지만 벌레 물림이나 가시에 찔리는 것과 같은 과거의 경미한 부상과 관련이 있을 수 있습니다. 피부섬유종은 누구에게나 영향을 미칠 수 있지만 20~40세 여성에게 더 흔합니다. 이는 일반적으로 양성이지만 때로는 제거 후 다시 나타날 수 있습니다. 피부섬유종을 dermatofibrosarcoma protuberans 이라고 불리는 더 공격적인 피부 종양과 구별하는 것이 중요합니다.
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.
Lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, and epidermoid cysts 에 대해 선호되는 치료법은 수술적 제거입니다. Cherry angiomas and sebaceous hyperplasia 는 일반적으로 레이저 요법이나 전기 건조술로 치료됩니다. 냉동 요법과 면도 절제술은 acrochordons and seborrheic keratoses 에 인기 있는 선택입니다. 가정의가 병변의 진단이나 치료에 대해 확신이 없다고 느끼거나 생검을 통해 흑색종이 확인되면 전문의에게 의뢰하는 것이 좋습니다.
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.
피부섬유종은 벌레 물림이나 가시 찌르기와 같은 이전 부상에 대한 반응으로 형성될 수 있습니다. 피부섬유종은 양성 피부 병변으로 분류되는데, 이는 완전히 무해하다는 것을 의미하지만, 피부섬유종은 다양한 피하 종양과 혼동될 수 있습니다. 깊은 침투성 피부섬유종은 "돌기피부섬유육종"과 같은 희귀한 악성 섬유조직구 종양과 조직학적으로조차 구별하기 어려울 수 있습니다.
○ 진단 및 치료
대부분은 양성이지만 큰 병변(>5mm)에는 생검이 필요할 수 있습니다.
#Dermoscopy
#Skin biopsy