Dermatofibroma - Dermatofibrom
☆ Almanya'daki 2022 Stiftung Warentest sonuçlarında ModelDerm'den tüketici memnuniyeti, ücretli teletıp danışmanlıklarından yalnızca biraz daha düşüktü.
Tipik Dermatofibrom (Dermatofibroma) durumu ― Uzuvda sert bir nodül. Dermatofibrom (Dermatofibroma) nispeten yaygın görülen iyi huylu bir tümördür.
References
Dermatofibroma çoğunlukla kollarda veya bacaklarda görülen yaygın bir cilt rahatsızlığıdır. Derinin altında, genellikle boyutu 1 santimetreden küçük, sert topaklar halinde görünür. Genellikle ağrısız olmasına rağmen, böcek ısırıkları veya diken batması gibi geçmişteki küçük yaralanmalarla bağlantılı olabilir. Dermatofibromlar herkesi etkileyebilir ancak 20 ila 40 yaş arasındaki kadınlarda daha sık görülür. Genellikle iyi huyludurlar ancak bazen çıkarıldıktan sonra tekrar ortaya çıkabilirler. Dermatofibromları dermatofibrosarcoma protuberans adı verilen daha agresif bir cilt tümöründen ayırmak önemlidir.
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.
Lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, and epidermoid cysts için tercih edilen tedavi cerrahi olarak çıkarılmasıdır. Cherry angiomas and sebaceous hyperplasia genellikle lazer tedavisi veya elektrodesikasyon ile tedavi edilir. Kriyoterapi ve tıraş eksizyonu acrochordons and seborrheic keratoses için popüler seçeneklerdir. Aile hekiminin bir lezyonun teşhis edilmesi veya tedavisi konusunda kararsız olması veya biyopside melanomun doğrulanması durumunda bir uzmana sevk edilmesi önerilir.
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.
Dermatofibromlar, böcek ısırığı veya diken batması gibi önceki yaralanmalara tepki olarak oluşabilmektedir. Dermatofibromlar iyi huylu cilt lezyonları olarak sınıflandırılır, yani tamamen zararsızdırlar, ancak Dermatofibromlar çeşitli deri altı tümörlerle karıştırılabilir. Derin penetran dermatofibromları "dermatofibrosarkom protuberans" gibi nadir görülen malign fibrohistositik tümörlerden histolojik olarak bile ayırt etmek zor olabilir.
○ Teşhis ve tedavi
Çoğu iyi huyludur ancak büyük lezyonlar (>5 mm) biyopsi gerektirebilir.
#Dermoscopy
#Skin biopsy