Dermatofibroma
☆ 2022 m. Stiftung Warentest iš Vokietijos rezultatai rodo, kad vartotojų pasitenkinimas ModelDerm buvo tik šiek tiek mažesnis nei mokamų nuotolinės medicinos konsultacijų.
Tipiškas Dermatofibroma atvejis – kietas mazgelis ant galūnės. Dermatofibroma yra gana dažnas gerybinis navikas.
References
Dermatofibroma yra dažna odos liga, dažniausiai randama ant rankų ar kojų. Jis atrodo kaip tvirti gabalėliai po oda, dažnai mažesni nei 1 centimetro dydžio. Nors paprastai neskausmingas, jis gali būti susijęs su buvusiais nedideliais sužalojimais, tokiais kaip vabzdžių įkandimai ar spyglių įkandimai. Dermatofibromos gali susirgti bet kas, bet dažniau pasitaiko 20–40 metų moterims. Paprastai jos yra gerybinės, tačiau kartais gali atsinaujinti pašalinus. Svarbu atskirti dermatofibromas nuo agresyvesnio odos naviko, vadinamo 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.
Geriausias gydymas lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, and epidermoid cysts yra chirurginis pašalinimas. Cherry angiomas and sebaceous hyperplasia dažniausiai gydomi lazerio terapija arba elektrodžiovinimu. Krioterapija ir skutimosi pašalinimas yra populiarūs acrochordons and seborrheic keratoses pasirinkimai. Jei šeimos gydytojui kyla abejonių dėl pažeidimo diagnozavimo ar gydymo, arba jei biopsija patvirtina melanomą, rekomenduojama kreiptis į specialistą.
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.
Dermatofibromos gali susidaryti kaip reakcija į ankstesnius sužalojimus, tokius kaip vabzdžių įkandimai ar spyglių įkandimai. Dermatofibromos priskiriamos gerybiniams odos pažeidimams, tai reiškia, kad jie yra visiškai nekenksmingi, nors dermatofibromos gali būti painiojamos su įvairiais poodiniais navikais. Giliai įsiskverbiančias dermatofibromas gali būti sunku atskirti net histologiškai nuo retų piktybinių fibrohistocitinių navikų, tokių kaip „dermatofibrosarcoma protuberans“.
○ Diagnostika ir gydymas
Dauguma jų yra gerybiniai, tačiau dėl didelių pažeidimų (>5 mm) gali prireikti biopsijos.
#Dermoscopy
#Skin biopsy