Dermatofibroma
☆ Në rezultatet e Stiftung Warentest 2022 nga Gjermania, kënaqësia e konsumatorit me ModelDerm ishte vetëm pak më e ulët se sa me konsultimet e paguara të telemjekësisë.
Rasti tipik i Dermatofibroma ― Një nyjë e fortë në gjymtyrë. Dermatofibroma është një tumor beninj relativisht i zakonshëm.
References
Dermatofibroma është një gjendje e zakonshme e lëkurës që gjendet kryesisht në krahë ose këmbë. Duket si gunga të forta nën lëkurë, shpesh më pak se 1 centimetër në madhësi. Ndonëse zakonisht pa dhimbje, mund të lidhet me lëndime të vogla të së kaluarës si pickimet e insekteve ose shpimet e gjembave. Dermatofibromat mund të prekin këdo, por janë më të zakonshme tek femrat e moshës 20 deri në 40 vjeç. Ato janë tipike beninje, por ndonjëherë mund të kthehen pas heqjes. Është e rëndësishme të dalloni dermatofibromat nga një tumor më agresiv i lëkurës i quajtur 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.
Trajtimi i preferuar për lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, and epidermoid cysts është heqja kirurgjikale. Cherry angiomas and sebaceous hyperplasia zakonisht trajtohen me terapi lazer ose elektrodezikim. Krioterapia dhe heqja e rruajtjes janë zgjedhje të njohura për acrochordons and seborrheic keratoses. Nëse një mjek i familjes ndihet i pasigurt për diagnostikimin ose trajtimin e një lezioni, ose nëse një biopsi konfirmon melanomën, rekomandohet referimi te një specialist.
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.
Dermatofibromat mund të formohen si një reagim ndaj dëmtimeve të mëparshme si pickimet e insekteve ose shpimet e gjembave. Dermatofibromat klasifikohen si lezione beninje të lëkurës, që do të thotë se ato janë plotësisht të padëmshme, megjithëse dermatofibromat mund të ngatërrohen me një shumëllojshmëri tumoresh nënlëkurore. Dermatofibromat me penetrim të thellë mund të jenë të vështira për t'u dalluar, edhe histologjikisht, nga tumoret e rralla malinje fibrohistocitare si "dermatofibrosarcoma protuberans".
○ Diagnoza dhe trajtimi
Shumica janë beninje, por lezione të mëdha (> 5 mm) mund të kërkojnë biopsi.
#Dermoscopy
#Skin biopsy