Dermatofibroma - Dermatofibrom
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V rezultatih raziskave Stiftung Warentest iz Nemčije leta 2022 je bilo zadovoljstvo potrošnikov z ModelDermom le nekoliko nižje kot s plačanimi telemedicinskimi svetovanji.
Tipičen primer Dermatofibrom (Dermatofibroma) – trd vozlič na okončini. Dermatofibrom (Dermatofibroma) je razmeroma pogost benigni tumor.
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ReferencesDermatofibroma je pogosta kožna lezija, ki se najpogosteje pojavlja na rokah ali nogah. Prikazuje se kot trda, pod kožo ležeča izboklina, običajno manjša od 1 cm. Čeprav je večinoma neboleč, je lahko posledica prejšnjih manjših poškodb, kot so ugrizi žuželk ali vbodi s trni. Dermatofibromi lahko prizadenejo kogarkoli, vendar so pogostejši pri ženskah, starost 20–40 let. Običajno so benigne, včasih pa se po odstranitvi ponovno pojavijo. Pomembno je razlikovati dermatofibrome od bolj agresivnega kožnega tumorja, imenovanega 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.
Najprimernejše zdravljenje lipomov, dermatofibromov, keratoakantomov, pirogenih granulomov in epidermoidnih cist je kirurška odstranitev. Cherry angiomas in sebaceous hyperplasia se običajno zdravita z lasersko terapijo ali elektrodesikacijo. Krioterapija in izrez ob britju sta priljubljeni možnosti za acrochordons in seborrheic keratoses. Če je družinski zdravnik negotov glede diagnoze ali zdravljenja lezije ali če biopsija potrdi melanom, je priporočljiva napotitev k specialistu.
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.
Dermatofibromi lahko nastanejo kot reakcija na predhodne poškodbe, kot so piki insektov ali vbodi s trnjem. Dermatofibrome uvrščamo med benigne kožne lezije, kar pomeni, da so popolnoma neškodljive, čeprav se lahko dermatofibromi zamenjajo z različnimi podkožnimi tumorji. Globoko prodirajoče dermatofibrome je morda težko razlikovati, tudi histološko, od redkih malignih fibrohistocitnih tumorjev, kot je dermatofibrosarcoma protuberans.
○ Diagnoza in zdravljenje
Večina je benigna, vendar je za velike lezije (> 5 mm) morda potrebna biopsija.
#Dermoscopy
#Skin biopsy