Dermatofibroma
https://en.wikipedia.org/wiki/Dermatofibroma
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Kesi ya kawaida ya Dermatofibroma — kinundu kigumu kwenye mwili. Dermatofibroma ni uvimbe usio hatari wa kawaida.
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References
Dermatofibroma 29262213 NIH
Dermatofibroma ni uvimbe wa ngozi wa kawaida, mgumu, peke yake, unaokua polepole, ambao kawaida huwa na rangi ya kahawia hadi rangi ya tan. Ingawa dermatofibroma nyingi haina dalili au huzuni ndogo, inaweza kusababisha kuwasha na maumivu. Dermatofibroma inaweza kupatikana sehemu yoyote ya mwili, lakini mara nyingi hupatikana mikononi na miguu. Dermatofibroma inaweza kuhusishwa na majeraha madogo ya zamani kama vile kuumwa na wadudu au kuchomwa na miiba. Inatokea zaidi kwa wanawake wenye umri wa miaka 20 hadi 40. Kwa kawaida haileti dalili, lakini wakati mwingine inaweza kurudi baada ya kuondolewa. Ni muhimu kutofautisha dermatofibroma na uvimbe wa ngozi unaoitwa 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.
Common Benign Skin Tumors 12613727Matibabu yanayopendekezwa kwa lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, epidermoid cysts ni kuondolewa kwa upasuaji. Cherry angiomas, sebaceous hyperplasia kwa kawaida hutibiwa kwa kutumia laser therapy au electrodesiccation. Cryotherapy na ukata wa kunyoa ni chaguo maarufu kwa acrochordons, seborrheic keratoses. Ikiwa daktari wa familia anahisi kutokuwa na uhakika kuhusu kutambua au kutibu lesioni, au ikiwa biopsy inathibitisha melanoma, rufaa kwa mtaalamu inapendekezwa.
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 inaweza kuundwa kama majibu ya majeraha ya awali kama vile kuumwa na wadudu au miiba. Dermatofibromas huainishwa kama vidonda vya ngozi visivyo na madhara, kumaanisha kuwa hazina madhara kabisa, ingawa Dermatofibromas inaweza kuchanganyikiwa na aina mbalimbali za uvimbe chini ya ngozi. Dermatofibroma zinazopenya kwa kina inaweza kuwa vigumu kutofautisha, hata kihistoria, kutoka kwa uvimbe adimu wa fibrohistocytic kama vile dermatofibrosarcoma protuberans.
○ Uchunguzi na Tiba
Wengi wao ni benigni, lakini vidonda vikubwa (> 5 mm) vinaweza kuhitaji biopsy.
#Dermoscopy
#Skin biopsy