Dermatofibroma - Дерматофиброма
☆ У резултатима Стифтунг Варентест-а за 2022. из Немачке, задовољство потрошача МоделДерм-ом је само нешто ниже него са плаћеним телемедицинским консултацијама.
Типичан случај Дерматофиброма (Dermatofibroma) ― Тврди чвор на екстремитету. Дерматофиброма (Dermatofibroma) је релативно чест бенигни тумор.
References
Dermatofibroma је уобичајено стање коже које се налази углавном на рукама или ногама. Појављује се као чврсте квржице испод коже, често мање од 1 центиметра. Иако је обично безболан, може бити повезан са ранијим лакшим повредама попут уједа инсеката или убода трна. Дерматофиброми могу погодити било кога, али су чешћи код жена од 20 до 40 година. Обично су бенигни, али понекад се могу вратити након уклањања. Важно је разликовати дерматофиброме од агресивнијег тумора коже који се зове 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.
Пожељни третман за lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, and epidermoid cysts је хируршко уклањање. Cherry angiomas and sebaceous hyperplasia се обично лече ласерском терапијом или електродесикацијом. Криотерапија и ексцизија за бријање су популарни избори за acrochordons and seborrheic keratoses. Ако се породични лекар осећа несигурним у погледу дијагностиковања или лечења лезије, или ако биопсија потврди меланом, препоручује се упућивање специјалисти.
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.
Дерматофиброми се могу формирати као реакција на претходне повреде као што су угризи инсеката или убода трна. Дерматофиброми се класификују као бенигне лезије коже, што значи да су потпуно безопасне, мада се дерматофиброми могу помешати са различитим поткожним туморима. Дубоко пенетрирајуће дерматофиброме може бити тешко разликовати, чак и хистолошки, од ретких малигних фиброхистоцитних тумора попут "дерматофибросаркома протуберанс".
○ Дијагноза и лечење
Већина су бенигне, али велике лезије (>5 мм) могу захтевати биопсију.
#Dermoscopy
#Skin biopsy