Dermatofibroma
☆ जर्मनीबाट 2022 Stiftung Warentest नतिजाहरूमा, ModelDerm सँग उपभोक्ता सन्तुष्टि सशुल्क टेलिमेडिसिन परामर्शको तुलनामा थोरै मात्र थियो।
Dermatofibroma को सामान्य केस ― अंगमा कडा नोड्युल। Dermatofibroma एक अपेक्षाकृत सामान्य सौम्य ट्युमर हो।
References
Dermatofibroma प्रायः हात वा खुट्टामा पाइने छालाको सामान्य अवस्था हो। यो छाला मुनि बलियो गाँठको रूपमा देखिन्छ, प्रायः आकारमा 1 सेन्टिमिटर भन्दा कम। सामान्यतया पीडारहित हुँदा, यो किराको टोकाइ वा काँडाको टोकाइ जस्ता विगतका साना चोटहरूसँग जोडिएको हुन सक्छ। Dermatofibromas ले कसैलाई पनि असर गर्न सक्छ तर 20 देखि 40 वर्षका महिलाहरूमा बढी सामान्य हुन्छ। तिनीहरू सामान्यतया सौम्य हुन्छन्, तर कहिलेकाहीं तिनीहरू हटाए पछि फर्कन सक्छन्। डर्माटोफिब्रोमालाई dermatofibrosarcoma protuberans भनिने छालाको ट्युमरबाट फरक पार्नु महत्त्वपूर्ण छ।
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, epidermoid cysts को लागि मनपर्ने उपचार सर्जिकल हटाउने हो। Cherry angiomas, sebaceous hyperplasia लाई सामान्यतया लेजर थेरापी वा इलेक्ट्रोडेसिकेशन द्वारा उपचार गरिन्छ। क्रायोथेरापी र दाढी काट्ने acrochordons, seborrheic keratoses का लागि लोकप्रिय विकल्पहरू हुन्। यदि पारिवारिक चिकित्सकले घाउको निदान वा उपचार गर्ने बारे अनिश्चित महसुस गर्छ भने, वा बायोप्सीले मेलानोमा पुष्टि गर्छ भने, विशेषज्ञलाई रेफरल गर्न सिफारिस गरिन्छ।
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.
डर्माटोफिब्रोमा पहिलेको चोटपटक जस्तै कीराको टोकाइ वा काँडाको टोकाइको प्रतिक्रियाको रूपमा गठन हुन सक्छ। डर्माटोफाइब्रोमालाई छालाको घावको रूपमा वर्गीकृत गरिन्छ, जसको अर्थ तिनीहरू पूर्ण रूपमा हानिरहित हुन्छन्, यद्यपि डर्माटोफिब्रोमा विभिन्न प्रकारका छालाको ट्यूमरहरूसँग भ्रमित हुन सक्छ। गहिरो भेदक डर्माटोफाइब्रोमा छुट्याउन गाह्रो हुन सक्छ, हिस्टोलोजिकल रूपमा पनि, दुर्लभ घातक फाइब्रोहिस्टोसाइटिक ट्युमरहरू जस्तै "dermatofibrosarcoma protuberans" बाट।
○ निदान र उपचार
धेरैजसो सौम्य हुन्छन्, तर ठूला घावहरू (>5 मिमी) लाई बायोप्सी आवश्यक हुन सक्छ।
#Dermoscopy
#Skin biopsy