Dermatofibroma
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Aṣoju ọran ti Dermatofibroma - nodule lile kan lori ẹsẹ. Dermatofibroma jẹ tumo alaiṣedeede ti o wọpọ.
References
Dermatofibroma jẹ ipo awọ ti o wọpọ ti a rii pupọ julọ lori awọn apa tabi awọn ẹsẹ. O han bi awọn odidi ti o duro labẹ awọ ara, nigbagbogbo kere ju 1 centimita ni iwọn. Lakoko ti ko ni irora nigbagbogbo, o le ni asopọ si awọn ipalara kekere ti o kọja bi awọn buje kokoro tabi awọn ẹgun ẹgun. Dermatofibromas le ni ipa lori ẹnikẹni ṣugbọn o wọpọ julọ ni awọn obinrin ti o wa ni 20 si 40. Wọn jẹ alaiṣe deede, ṣugbọn nigbamiran wọn le pada wa lẹhin yiyọ kuro. O ṣe pataki lati ṣe iyatọ dermatofibromas lati ara ti o ni ibinu diẹ sii ti a npe ni 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.
Itọju ti o fẹ fun lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, epidermoid cysts jẹ yiyọ iṣẹ abẹ kuro. Cherry angiomas, sebaceous hyperplasia ni a ṣe itọju ni igbagbogbo pẹlu itọju laser tabi eletiriki. Cryotherapy ati gige gige jẹ awọn yiyan olokiki fun acrochordons, seborrheic keratoses. Ti o ba jẹ pe dokita ẹbi kan kan lara aidaniloju nipa ṣiṣe iwadii aisan tabi atọju ọgbẹ kan, tabi ti biopsy ba jẹrisi melanoma, itọkasi si alamọja ni a gbaniyanju.
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 le ṣe agbekalẹ bi iṣesi si awọn ipalara iṣaaju gẹgẹbi awọn geni kokoro tabi awọn ẹgun ẹgun. Dermatofibromas ti wa ni ipin bi awọn egbo awọ ara ti ko dara, afipamo pe wọn ko lewu patapata, botilẹjẹpe Dermatofibromas le ni idamu pẹlu ọpọlọpọ awọn èèmọ subcutaneous. Dermatofibromas ti o jinlẹ le nira lati ṣe iyatọ, paapaa ni itan-akọọlẹ, lati awọn èèmọ fibrohistocytic buburu to ṣọwọn bii “dermatofibrosarcoma protuberans”.
○ Ayẹwo ati Itọju
Pupọ jẹ alaiṣe, ṣugbọn awọn egbo nla (> 5 mm) le nilo biopsy.
#Dermoscopy
#Skin biopsy