Dermatofibroma
☆ Katika matokeo ya 2022 ya Stiftung Warentest kutoka Ujerumani, kuridhika kwa watumiaji na ModelDerm kulikuwa chini kidogo kuliko na mashauriano ya matibabu ya simu yanayolipishwa.
Kesi ya kawaida ya Dermatofibroma ― Kinundu kigumu kwenye kiungo. Dermatofibroma ni uvimbe mbaya wa kawaida.
References
Dermatofibroma ni hali ya kawaida ya ngozi inayopatikana zaidi kwenye mikono au miguu. Inaonekana kama uvimbe imara chini ya ngozi, mara nyingi chini ya sentimita 1 kwa ukubwa. Ingawa kwa kawaida haina maumivu, inaweza kuhusishwa na majeraha madogo ya zamani kama vile kuumwa na wadudu au kuchomwa na miiba. Dermatofibromas inaweza kuathiri mtu yeyote lakini ni kawaida zaidi kwa wanawake wenye umri wa miaka 20 hadi 40. Kwa kawaida hawana afya, lakini wakati mwingine wanaweza kurudi baada ya kuondolewa. Ni muhimu kutofautisha dermatofibromas kutoka kwa 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.
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.
Matibabu 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 kukata kunyoa ni chaguo maarufu kwa acrochordons, seborrheic keratoses. Ikiwa daktari wa familia anahisi kutokuwa na uhakika kuhusu kutambua au kutibu kidonda, 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.
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 mbaya, lakini vidonda vikubwa (> 5 mm) vinaweza kuhitaji biopsy.
#Dermoscopy
#Skin biopsy