Dermatofibroma
☆ د آلمان څخه د 2022 سټیفټنګ وارینسټ پایلو کې ، د ماډلډرم سره د مصرف کونکي رضایت د تادیه شوي ټیلی میډیسن مشورې په پرتله یوازې یو څه ټیټ و.
د Dermatofibroma عادي قضیه ― په غړو کې یو سخت نوډول. Dermatofibroma یو نسبي تومور دی.
References
Dermatofibroma د پوستکي یو عام حالت دی چې ډیری یې په لاسونو یا پښو کې موندل کیږي. دا د پوټکي لاندې د قوي ټوټو په څیر ښکاري، ډیری وختونه د 1 سانتي مترو څخه کم وي. په داسې حال کې چې معمولا بې درده وي، دا کیدای شي د تیرو کوچنیو ټپونو سره تړاو ولري لکه د حشراتو د چیچلو یا د کانګو درز. Dermatofibromas کولی شي په هر چا اغیزه وکړي مګر د 20 څخه تر 40 کلونو پورې په میرمنو کې ډیر عام دي. دوی معمولا نرم وي، مګر ځینې وختونه د لرې کولو وروسته بیرته راځي. دا مهمه ده چې د پوټکي ډیر تیریدونکي تومور څخه dermatofibromas توپیر وکړي چې dermatofibrosarcoma protuberans نومیږي.
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.
د lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, epidermoid cysts لپاره غوره درملنه جراحي لرې کول دي. Cherry angiomas, sebaceous hyperplasia معمولا د لیزر درملنې یا الیکټروډیسیکیشن سره درملنه کیږي. کریوتراپي او د شیو ایسشن د acrochordons, seborrheic keratoses لپاره مشهور انتخابونه دي. که چیرې د کورنۍ ډاکټر د زخم د تشخیص یا درملنې په اړه ناڅرګنده وي، یا که بایپسي د میلانوما تصدیق کوي، یو متخصص ته د راجع کولو سپارښتنه کیږي.
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 کیدای شي د پخوانیو ټپونو د غبرګون په توګه رامینځته شي لکه د حشراتو د چیچلو یا د غاړی د غاښونو. Dermatofibromas د پوستکي د نرم زخمونو په توګه طبقه بندي کیږي، پدې معنی چې دوی په بشپړه توګه بې ضرر دي، که څه هم Dermatofibromas کیدای شي د مختلفو فرعي تومورونو سره مغشوش شي. ژوره د ننوتو ډرماتوفیبروما ممکن ستونزمن وي، حتی د هیسټولوژیک له پلوه، د نادر وژونکي فایبروهیسټوسایټیک تومورونو لکه "dermatofibrosarcoma protuberans" څخه.
○ تشخیص او درملنه
ډیری یې نرم دي، مګر لوی زخمونه (> 5 ملي متره) کیدای شي بایپسي ته اړتیا ولري.
#Dermoscopy
#Skin biopsy