Dermatofibroma
☆ ໃນປີ 2022 Stiftung Warentest ຜົນໄດ້ຮັບຈາກເຢຍລະມັນ, ຄວາມພໍໃຈຂອງຜູ້ບໍລິໂພກກັບ ModelDerm ແມ່ນຕໍ່າກວ່າການປຶກສາຫາລືທາງດ້ານການປິ່ນປົວທາງໂທລະສັບເລັກນ້ອຍເທົ່ານັ້ນ.
ກໍລະນີທົ່ວໄປຂອງ Dermatofibroma - ເປັນຕຸ່ມແຂງຢູ່ແຂນຂາ. Dermatofibroma ເປັນເນື້ອງອກອ່ອນໆທີ່ຂ້ອນຂ້າງທົ່ວໄປ.
References
Dermatofibroma ເປັນສະພາບຜິວໜັງທົ່ວໄປທີ່ພົບເຫັນສ່ວນຫຼາຍຢູ່ແຂນ ຫຼືຂາ. ມັນປະກົດເປັນກ້ອນແຂງຢູ່ໃຕ້ຜິວໜັງ, ມັກຈະມີຂະໜາດໜ້ອຍກວ່າ 1 ຊັງຕີແມັດ. ໃນຂະນະທີ່ປົກກະຕິແລ້ວບໍ່ເຈັບປວດ, ມັນອາດຈະເຊື່ອມຕໍ່ກັບການບາດເຈັບເລັກນ້ອຍທີ່ຜ່ານມາເຊັ່ນ: ແມງໄມ້ກັດຫຼືມີໜາມ. Dermatofibromas ສາມາດສົ່ງຜົນກະທົບຕໍ່ທຸກຄົນແຕ່ພົບເລື້ອຍໃນແມ່ຍິງທີ່ມີອາຍຸ 20 ຫາ 40 ປີ. ມັນເປັນສິ່ງສໍາຄັນທີ່ຈະຈໍາແນກ dermatofibromas ຈາກເນື້ອງອກຜິວຫນັງທີ່ຮຸກຮານຫຼາຍທີ່ເອີ້ນວ່າ 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.
ການປິ່ນປົວທີ່ມັກສໍາລັບ lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, epidermoid cysts ແມ່ນການເອົາການຜ່າຕັດອອກ. Cherry angiomas, sebaceous hyperplasia ໂດຍທົ່ວໄປແມ່ນໄດ້ຮັບການປິ່ນປົວດ້ວຍເລເຊີ ຫຼື electrodesiccation. ການປິ່ນປົວດ້ວຍ Cryotherapy ແລະ shave excision ແມ່ນທາງເລືອກທີ່ນິຍົມສໍາລັບ acrochordons, seborrheic keratoses. ຖ້າແພດໃນຄອບຄົວມີຄວາມຮູ້ສຶກບໍ່ແນ່ນອນກ່ຽວກັບການວິນິດໄສຫຼືການປິ່ນປົວບາດແຜ, ຫຼືຖ້າການກວດ biopsy ຢືນຢັນ melanoma, ແນະນໍາໃຫ້ສົ່ງໄປຫາຜູ້ຊ່ຽວຊານ.
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 ອາດຈະຖືກສ້າງຕັ້ງຂຶ້ນເປັນຕິກິຣິຍາຕໍ່ການບາດເຈັບທີ່ຜ່ານມາເຊັ່ນ: ແມງໄມ້ກັດຫຼື pricks thorn. Dermatofibromas ຖືກຈັດປະເພດເປັນບາດແຜຜິວຫນັງທີ່ອ່ອນໂຍນ, ຊຶ່ງຫມາຍຄວາມວ່າພວກມັນບໍ່ເປັນອັນຕະລາຍຢ່າງສົມບູນ, ເຖິງແມ່ນວ່າ Dermatofibromas ອາດຈະສັບສົນກັບເນື້ອງອກໃຕ້ຜິວຫນັງຫຼາຍຊະນິດ. dermatofibromas ເຈາະເລິກອາດຈະຍາກທີ່ຈະຈໍາແນກ, ເຖິງແມ່ນວ່າທາງ histological, ຈາກ tumors fibrohistocytic malignant ທີ່ຫາຍາກເຊັ່ນ "dermatofibrosarcoma protuberans".
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ສ່ວນຫຼາຍແມ່ນມີອາການອ່ອນເພຍ, ແຕ່ບາດແຜໃຫຍ່ (> 5 ມມ) ອາດຈະຕ້ອງໃຊ້ການກວດເລືອດ.
#Dermoscopy
#Skin biopsy