Dermatofibroma surgery: Difference between revisions

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Revision as of 17:15, 29 July 2019

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Homa Najafi, M.D.[2]

Overview

Surgery is not the first-line treatment option for patients with dermatofibroma. Surgery is usually reserved for patients with either cosmetic reasons, symptomatic lesions, uncertain diagnosis and aggressive subtypes.

Complete excision which is involved subcutaneous fat incorporated with 3-mm margin is recommended. Cryosurgery or superficial shaving as a purpose of cosmetic or controlling symptoms are accompanied by increasing risk of recurrence.

Indications

Surgery is not the first-line treatment option for patients with dermatofibroma. Surgery is usually reserved for patients with either:^[1]
- Cosmetic reasons
- Symptomatic lesions (like bleeding)
- Uncertain diagnosis
- Aggressive subtypes ( like aneurysmal dermatofibroma)

Surgery

Complete excision which is involved subcutaneous fat incorporated with 3-mm margin is recommended. ^[1]
Cryosurgery or superficial shaving as a purpose of cosmetic or controlling symptoms are accompanied by increasing risk of recurrence.^[2]

References

↑ ^1.0 ^1.1 Kim, Hee Joo; Kim, Il-Hwan (2015). "A 3-mm Margin Completely Removes Dermatofibromas". Dermatologic Surgery. 41 (2): 283–286. doi:10.1097/DSS.0000000000000235. ISSN 1076-0512.
↑ W. F. Spiller & R. F. Spiller (1975). "Cryosurgery in dermatologic office practice: special reference to dermatofibroma and mucous cyst of the lip". Southern medical journal. 68 (2): 157–160. PMID 1118748. Unknown parameter |month= ignored (help)

Template:WH Template:WS

[KimKim2015-1] 1.0 ^1.1 Kim, Hee Joo; Kim, Il-Hwan (2015). "A 3-mm Margin Completely Removes Dermatofibromas". Dermatologic Surgery. 41 (2): 283–286. doi:10.1097/DSS.0000000000000235. ISSN 1076-0512.

[2] W. F. Spiller & R. F. Spiller (1975). "Cryosurgery in dermatologic office practice: special reference to dermatofibroma and mucous cyst of the lip". Southern medical journal. 68 (2): 157–160. PMID 1118748. Unknown parameter |month= ignored (help)

[1]

[2]

@@ Line 3: / Line 3: @@
 {{CMG}}, {{AE}}{{Homa}}
-==Overview==
+<br />
-Removal can be done surgically with [[local anesthesia]], but, since much of the growth extends beneath the surface of the skin, the scar may be larger and more noticeable than the original tumor.
-==Surgery and Deviced Based Therapy==
-Removal can be done surgically with [[local anesthesia]], but, since much of the growth extends beneath the surface of the skin, the scar may be larger and more noticeable than the original tumor.
-===Cryosurgery===
-[[Cryosurgery]] may also be used to remove a dermatofibroma.
 ==Overview==
-Surgical intervention is not recommended for the management of [disease name].
+[[Surgery]] is not the first-line treatment option for [[patients]] with dermatofibroma. Surgery is usually reserved for patients with either [[Cosmetics|cosmetic]] reasons, [[symptomatic]] [[lesions]], uncertain [[diagnosis]] and aggressive subtypes.
-OR
-Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
-OR
-The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
-OR
+Complete [[excision]] which is involved [[subcutaneous fat]] incorporated with 3-mm margin is recommended. [[Cryosurgery]] or [[superficial]] shaving as a purpose of cosmetic or controlling [[symptoms]] are accompanied by increasing risk of recurrence.
-The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
-OR
-Surgery is the mainstay of treatment for [disease or malignancy].
 ==Indications==
-*Surgical intervention is not recommended for the management of [disease name].
+*[[Surgery]] is not the first-line treatment option for [[patients]] with dermatofibroma. Surgery is usually reserved for patients with either:<ref name="KimKim2015">{{cite journal|last1=Kim|first1=Hee Joo|last2=Kim|first2=Il-Hwan|title=A 3-mm Margin Completely Removes Dermatofibromas|journal=Dermatologic Surgery|volume=41|issue=2|year=2015|pages=283–286|issn=1076-0512|doi=10.1097/DSS.0000000000000235}}</ref>
-OR
+**[[Cosmetics|Cosmetic]] reasons
-*Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
+**[[Symptomatic]] [[lesions]] (like [[bleeding]])
-**[Indication 1]
+**Uncertain [[diagnosis]]
-**[Indication 2]
+**Aggressive subtypes ( like aneurysmal dermatofibroma)
-**[Indication 3]
-*The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
-**[Indication 1]
-**[Indication 2]
-**[Indication 3]
 ==Surgery==
-*The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
+*Complete [[excision]] which is involved [[subcutaneous fat]] incorporated with 3-mm margin is recommended. <ref name="KimKim2015">{{cite journal|last1=Kim|first1=Hee Joo|last2=Kim|first2=Il-Hwan|title=A 3-mm Margin Completely Removes Dermatofibromas|journal=Dermatologic Surgery|volume=41|issue=2|year=2015|pages=283–286|issn=1076-0512|doi=10.1097/DSS.0000000000000235}}</ref>
-OR
+*[[Cryosurgery]] or [[superficial]] shaving as a purpose of cosmetic or controlling [[symptoms]] are accompanied by increasing risk of recurrence.<ref>{{Cite journal
-*Surgery is the mainstay of treatment for [disease or malignancy].
+ | author = [[W. F. Spiller]] & [[R. F. Spiller]]
+ | title = Cryosurgery in dermatologic office practice: special reference to dermatofibroma and mucous cyst of the lip
-==Contraindications==
+ | journal = [[Southern medical journal]]
+ | volume = 68
+ | issue = 2
+ | pages = 157–160
+ | year = 1975
+ | month = February
+ | pmid = 1118748
+}}</ref>
 ==References==