Dermatofibroma
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Tipikal na kaso ng Dermatofibroma ― Isang matigas na buhol sa paa. Ang Dermatofibroma ay medyo karaniwang benign tumor.
References
Ang Dermatofibroma ay isang pangkaraniwang kondisyon ng balat na kadalasang matatagpuan sa mga braso o binti. Lumilitaw ito bilang mga matigas na bukol sa ilalim ng balat, kadalasang wala pang 1 sentimetro ang laki. Bagama't kadalasan ay hindi masakit, maaari itong maiugnay sa mga nakaraang menor de edad na pinsala tulad ng kagat ng insekto o mga tinik. Maaaring makaapekto ang mga dermatofibromas sa sinuman ngunit mas karaniwan sa mga babaeng may edad na 20 hanggang 40. Karaniwang benign ang mga ito, ngunit kung minsan ay maaari silang bumalik pagkatapos alisin. Mahalagang ibahin ang mga dermatofibromas mula sa isang mas agresibong tumor sa balat na tinatawag na 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.
Ang ginustong paggamot para sa lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, epidermoid cysts ay surgical removal. Ang Cherry angiomas, sebaceous hyperplasia ay karaniwang ginagamot sa laser therapy o electrodesiccation. Ang cryotherapy at shave excision ay mga sikat na pagpipilian para sa acrochordons, seborrheic keratoses. Kung ang isang manggagamot ng pamilya ay hindi sigurado tungkol sa pag-diagnose o paggamot ng isang sugat, o kung ang isang biopsy ay nagpapatunay ng melanoma, inirerekumenda ang pagsangguni sa isang espesyalista.
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.
Ang mga dermatofibromas ay maaaring mabuo bilang isang reaksyon sa mga nakaraang pinsala tulad ng kagat ng insekto o mga tusok ng tinik. Ang mga dermatofibromas ay inuri bilang mga benign na sugat sa balat, ibig sabihin ay ganap silang hindi nakakapinsala, kahit na ang Dermatofibromas ay maaaring malito sa iba't ibang mga subcutaneous tumor. Ang malalim na tumatagos na mga dermatofibromas ay maaaring mahirap na makilala, kahit sa histologically, mula sa mga bihirang malignant na fibrohistocytic na tumor tulad ng "dermatofibrosarcoma protuberans".
○ Diagnosis at Paggamot
Karamihan ay benign, ngunit ang malalaking sugat (>5 mm) ay maaaring mangailangan ng biopsy.
#Dermoscopy
#Skin biopsy