Dermatofibroma
☆ Germaniyaning 2022 yilgi Stiftung Warentest natijalariga ko'ra, iste'molchilarning ModelDermdan qoniqish darajasi pullik teletibbiyot maslahatlariga qaraganda bir oz pastroq bo'lgan.
Dermatofibroma ning odatiy holati ― Oyoq-qo'lning qattiq tugun. Dermatofibroma - nisbatan keng tarqalgan yaxshi o'sma.
References
Dermatofibroma - ko'pincha qo'l yoki oyoqlarda uchraydigan teri kasalligi. Bu teri ostidagi qattiq bo'laklar shaklida ko'rinadi, ko'pincha hajmi 1 santimetrdan kam. Odatda og'riqsiz bo'lsa-da, bu hasharotlar chaqishi yoki tikanlar kabi o'tmishdagi kichik jarohatlar bilan bog'liq bo'lishi mumkin. Dermatofibromalar har kimga ta'sir qilishi mumkin, lekin 20 yoshdan 40 yoshgacha bo'lgan ayollarda ko'proq uchraydi. Ular odatda yaxshi, lekin ba'zida ular olib tashlanganidan keyin qaytib kelishi mumkin. Dermatofibromalarni dermatofibrosarcoma protuberans deb ataladigan tajovuzkor teri o'smalaridan farqlash muhimdir.
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 uchun afzal qilingan davolash jarrohlik yo'li bilan olib tashlashdir. Cherry angiomas and sebaceous hyperplasia odatda lazer terapiyasi yoki elektrodezikatsiya bilan davolanadi. Kriyoterapiya va sochingizni kesish acrochordons and seborrheic keratoses uchun mashhur tanlovdir. Agar oilaviy shifokor lezyonni tashxislash yoki davolashda noaniq his qilsa yoki biopsiya melanomani tasdiqlasa, mutaxassisga murojaat qilish tavsiya etiladi.
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.
Dermatofibromalar hasharotlar chaqishi yoki tikan sanchilishi kabi oldingi jarohatlarga reaktsiya sifatida shakllanishi mumkin. Dermatofibromalar yaxshi xulqli teri lezyonlari sifatida tasniflanadi, ya'ni ular mutlaqo zararsizdir, ammo dermatofibromalar turli teri osti o'smalari bilan chalkashishi mumkin. Chuqur kirib boradigan dermatofibromalarni hatto gistologik jihatdan ham “dermatofibrosarkoma protuberans” kabi kam uchraydigan malign fibrogistotsitik o'smalardan ajratish qiyin bo'lishi mumkin.
○ Diagnoz va davolash
Ko'pchilik yaxshi xulqli, ammo katta lezyonlar (>5 mm) biopsiya talab qilishi mumkin.
#Dermoscopy
#Skin biopsy