Dermatofibroma - I-Dermatofibroma
☆ Emiphumeleni ka-2022 ye-Stiftung Warentest evela eJalimane, ukwaneliseka kwabathengi nge-ModelDerm bekungaphansi kancane kunokuxhumana okukhokhelwayo kwe-telemedicine.
Isimo esijwayelekile sokuthi I-Dermatofibroma (Dermatofibroma) ― Iqhubu eliqinile esithweni. I-I-Dermatofibroma (Dermatofibroma) iyithumba eliyingozi elivamile uma kuqhathaniswa.
References
Dermatofibroma yisimo sesikhumba esivamile esitholakala kakhulu ezingalweni noma emilenzeni. Ibonakala njengezigaxa eziqinile ngaphansi kwesikhumba, ngokuvamile ingaphansi kwesentimitha elingu-1 ngosayizi. Nakuba ngokuvamile ingenabuhlungu, ingase ihlotshaniswe nokulimala okuncane okudlule njengokulunywa yizinambuzane noma ukuhlaba ameva. I-dermatofibromas ingathinta noma ubani kodwa ivame kakhulu kwabesifazane abaneminyaka engu-20 kuya ku-40. Ngokuvamile ayinabungozi, kodwa ngezinye izikhathi ingabuya ngemva kokususwa. Kubalulekile ukuhlukanisa i-dermatofibromas kwisimila sesikhumba esinamandla esibizwa ngokuthi 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.
Ukwelashwa okuncanyelwayo kwe- lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, epidermoid cysts ukususwa ngokuhlinzwa. Cherry angiomas, sebaceous hyperplasia zivame ukwelashwa nge-laser therapy noma i-electrodesiccation. I-Cryotherapy kanye ne-shave excision yizinketho ezidumile ze- acrochordons, seborrheic keratoses. Uma udokotela womndeni ezizwa engaqiniseki ngokuxilonga noma ukwelapha isilonda, noma uma i-biopsy iqinisekisa i-melanoma, ukudluliselwa kuchwepheshe kunconywa.
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.
I-Dermatofibromas ingase yakheke njengendlela yokusabela ekulimaleni kwangaphambilini njengokulunywa yizinambuzane noma ukuhlaba ameva. Ama-dermatofibromas ahlukaniswa njengezilonda zesikhumba ezingezinhle, okusho ukuthi azinangozi ngokuphelele, nakuba i-Dermatofibromas ingase idideke nezinhlobonhlobo zezimila ezingaphansi kwesikhumba. I-dermatofibromas ejulile ingase ibe nzima ukuhlukanisa, ngisho nange-histologically, nezimila ze-fibrohistocytic ezingavamile njenge-"dermatofibrosarcoma protuberans".
○ Ukuxilongwa Nokwelashwa
Eziningi azinabungozi, kodwa izilonda ezinkulu (>5 mm) zingadinga i-biopsy.
#Dermoscopy
#Skin biopsy