Skin nodules: Difference between revisions
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==Overview== | ==Overview== | ||
A '''skin nodule''' that is > or equal to 1 cm is referred to as a nodule. There are many differential diagnoses for nodules as they can be subcutaneous, intraepidermal, dermal or exophytic. To obtain the correct diagnosis it is important to observe the growth rate, color, symptoms and any underlying conditions that may have caused the nodules. | A '''skin [[nodule]]''' that is > or equal to 1 cm is referred to as a [[nodule]]. There are many differential diagnoses for nodules as they can be [[subcutaneous]], [[intraepidermal]], [[dermal]] or exophytic. To obtain the correct diagnosis it is important to observe the growth rate, color, symptoms and any underlying conditions that may have caused the nodules. | ||
==Causes== | ==Causes== | ||
<div style="-webkit-user-select: none;"> | <div style="-webkit-user-select: none;"> | ||
===Life Threatening Causes=== | ===Life Threatening Causes=== | ||
*[[Granular cell tumor]] | *[[Granular cell tumor]] | ||
*[[Melanoma]] | *[[Melanoma]] | ||
*[[Squamous cell carcinoma of skin]] | *[[Squamous cell carcinoma of skin]] | ||
===Common Causes=== | ===Common Causes=== | ||
*[[Actinic keratosis]] | *[[Actinic keratosis]] | ||
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*[[Granuloma faciale]] | *[[Granuloma faciale]] | ||
*[[Juvenile xanthogranuloma]] | *[[Juvenile xanthogranuloma]] | ||
*[[Keloid]] | *[[Keloid]] | ||
*[[Keratoacanthoma]] | *[[Keratoacanthoma]] | ||
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*[[Lobomycosis]] | *[[Lobomycosis]] | ||
*[[Lymphocytosis|Lymphocytoma cutis]] | *[[Lymphocytosis|Lymphocytoma cutis]] | ||
*[[Merkel cell carcinoma]] | *[[Merkel cell carcinoma]] | ||
*Microcystic adnexal carcinoma | *Microcystic adnexal carcinoma | ||
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*[[Squamous cell carcinoma of skin]] | *[[Squamous cell carcinoma of skin]] | ||
*[[Nodules|Subcutaneous nodules]] | *[[Nodules|Subcutaneous nodules]] | ||
*[[Tophus]] | *[[Tophus]] | ||
*Trichofolliculoma | *Trichofolliculoma |
Revision as of 20:05, 27 February 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2] Luke Rusowicz-Orazem, B.S.
Overview
A skin nodule that is > or equal to 1 cm is referred to as a nodule. There are many differential diagnoses for nodules as they can be subcutaneous, intraepidermal, dermal or exophytic. To obtain the correct diagnosis it is important to observe the growth rate, color, symptoms and any underlying conditions that may have caused the nodules.
Causes
Life Threatening Causes
Common Causes
- Actinic keratosis
- Angiocentric immunoproliferative lesion
- Blue nevus
- Calcinosis cutis
- Cold panniculitis of haxthausen
- Cutaneous abscess
- Cutaneous metastasis
- Cutaneous nodules
- Dermatofibroma
- Dermatofibrosarcoma protuberans
- Desmoid
- Enchondromatosis
- Eosinophilic cellulitis
- Epidermal inclusion cyst
- Erythema elevatum diutinum
- Erythema induratum
- Erythema nodosum
- Familial cutaneous collagenoma
- Focal dermal hypoplasia
- Follicular infundibulum tumor
- Garrod pads
- Granular cell tumor
- Granuloma annulare
- Granuloma faciale
- Juvenile xanthogranuloma
- Keloid
- Keratoacanthoma
- Lipoid dermatoarthritis
- Lobomycosis
- Lymphocytoma cutis
- Merkel cell carcinoma
- Microcystic adnexal carcinoma
- Necrobiosis lipoidica
- Panniculitis
- Pigmented naevus
- Spitz nevus
- Squamous cell carcinoma of skin
- Subcutaneous nodules
- Tophus
- Trichofolliculoma
- Xanthomata
Causes by Organ System
Causes in Alphabetical Order
Differential Diagnosis
In alphabetical order. [1] [2]
- Dermatofibroma
- Dermal/subcutaneous neoplasms
- Epidermoid
- Epidermal inclusion cyst
- Ganglion cyst
- Hypertrophic scars
- Kaposi's sarcoma
- Lipoma
- Nodular melanomas
- Pilar cyst
- Pyogenic granuloma
- Xanthoma
Diagnosis
History and Symptoms
- Note the morphology of the nodule
- size changes
- tenderness
- History
- malignancies/ rheumatoid arthritis
- immunosupression
- family history of melanoma
Laboratory Findings
- Appropriate cultures should taken of suppurative lesions
Other Diagnostic Studies
- Biopsy to determine characteristics of nodule
- Shave
- Punch
- Excisional
Treatment
- Treatment includes excision whether for cosmetic or symptomatic reasons
- Epidermoid cysts:
- Lesions must calm down before excision
- Intralesional steroids
- It must be completely removed to avoid a recurrent lesion