Dermatofibroma - Dermatofibrom
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Typesch Fall vun Dermatofibrom (Dermatofibroma) ― En haarde Knuet um Gliedmaart. Dermatofibrom (Dermatofibroma) ass e relativ allgemenge benignen Tumor.
References
Dermatofibroma ass e gemeinsame Hautzoustand deen meeschtens op den Äerm oder Been fonnt gëtt. Et erschéngt als fest Klumpen ënner der Haut, dacks manner wéi 1 Zentimeter grouss. Wärend normalerweis schmerzlos ass, kann et mat vergaangene kleng Verletzungen wéi Insektbissen oder Dornprick verbonne sinn. Dermatofibromas kënne jidderengem beaflossen, awer si méi heefeg bei Weibercher am Alter vun 20 bis 40. Si sinn typesch benign, awer heiansdo kënne se no der Entféierung zréckkommen. Et ass wichteg Dermatofibromen vun engem méi aggressiven Hauttumor mam Numm dermatofibrosarcoma protuberans ze differenzéieren.
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.
Déi bevorzugt Behandlung fir lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, epidermoid cysts ass chirurgesch Entfernung. Cherry angiomas, sebaceous hyperplasia ginn allgemeng mat Lasertherapie oder Elektrodesiccatioun behandelt. Kryotherapie a Raséierend Ausschnëtter si populär Wiel fir acrochordons, seborrheic keratoses. Wann e Familljendokter sech onsécher fillt iwwer d'Diagnostik oder d'Behandlung vun enger Läsion, oder wann eng Biopsie Melanom bestätegt, gëtt d'Referenz un e Spezialist recommandéiert.
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.
Dermatofibromas kënne geformt ginn als Reaktioun op fréiere Verletzungen wéi Insektbissen oder Dornenpicks. Dermatofibromas ginn als benigne Hautläsiounen klasséiert, dat heescht datt se komplett harmlos sinn, obwuel Dermatofibrome mat verschiddene subkutanen Tumoren verwiesselt kënne ginn. Déif penetréierend Dermatofibrome kënne schwéier z'ënnerscheeden, och histologesch, vu rare bösartigen fibrohistozytesche Tumoren wéi "Dermatofibrosarcoma protuberans".
○ Diagnos a Behandlung
Déi meescht si benign, awer grouss Läsionen (> 5 mm) kënnen Biopsie erfuerderen.
#Dermoscopy
#Skin biopsy