Dermatofibroma surgery: Difference between revisions
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{{Dermatofibroma}} | {{Dermatofibroma}} | ||
{{CMG}}, {{AE}}{{Homa}} | {{CMG}}, {{AE}}{{Homa}} | ||
==Overview== | ==Overview== | ||
[[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. | [[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. | ||
Complete [[excision]] which is involved [[subcutaneous fat]] incorporated with 3 | Complete [[excision]] which is involved [[subcutaneous fat]] incorporated with 1-3 mm margin based on the location of [[Lesions|lesion]] is recommended. [[Cryosurgery]] or [[superficial]] shaving as a purpose of cosmetic or controlling [[symptoms]] are accompanied by increasing risk of recurrence. | ||
==Indications== | ==Indications== | ||
| Line 20: | Line 18: | ||
==Surgery== | ==Surgery== | ||
*Complete [[excision]] which is involved [[subcutaneous fat]] incorporated with 3 | *Complete [[excision]] which is involved [[subcutaneous fat]] incorporated with 1-3 mm margin based on the location of [[Lesions|lesion]] 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><ref name="EstelaRico2014">{{cite journal|last1=Estela|first1=J.R.|last2=Rico|first2=M.T.|last3=Pérez|first3=A.|last4=Unamuno|first4=B.|last5=Garcías|first5=J.|last6=Cubells|first6=L.|last7=Alegre|first7=V.|title=Dermatofibromas faciales: estudio clínico-patológico de 20 casos|journal=Actas Dermo-Sifiliográficas|volume=105|issue=2|year=2014|pages=172–177|issn=00017310|doi=10.1016/j.ad.2013.10.002}}</ref><ref>{{Cite journal | ||
| author = [[T. Mentzel]], [[H. Kutzner]], [[A. Rutten]] & [[H. Hugel]] | |||
| title = Benign fibrous histiocytoma (dermatofibroma) of the face: clinicopathologic and immunohistochemical study of 34 cases associated with an aggressive clinical course | |||
| journal = [[The American Journal of dermatopathology]] | |||
| volume = 23 | |||
| issue = 5 | |||
| pages = 419–426 | |||
| year = 2001 | |||
| month = October | |||
| pmid = 11801774 | |||
}}</ref> | |||
*[[Cryosurgery]] or [[superficial]] shaving as a purpose of cosmetic or controlling [[symptoms]] are accompanied by increasing risk of recurrence.<ref>{{Cite journal | *[[Cryosurgery]] or [[superficial]] shaving as a purpose of cosmetic or controlling [[symptoms]] are accompanied by increasing risk of recurrence.<ref>{{Cite journal | ||
| author = [[W. F. Spiller]] & [[R. F. Spiller]] | | author = [[W. F. Spiller]] & [[R. F. Spiller]] | ||
Revision as of 17:49, 29 July 2019
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Risk calculators and risk factors for Dermatofibroma surgery |
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 1-3 mm margin based on the location of lesion 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 1-3 mm margin based on the location of lesion is recommended. [1][2][3]
- Cryosurgery or superficial shaving as a purpose of cosmetic or controlling symptoms are accompanied by increasing risk of recurrence.[4]
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.
- ↑ Estela, J.R.; Rico, M.T.; Pérez, A.; Unamuno, B.; Garcías, J.; Cubells, L.; Alegre, V. (2014). "Dermatofibromas faciales: estudio clínico-patológico de 20 casos". Actas Dermo-Sifiliográficas. 105 (2): 172–177. doi:10.1016/j.ad.2013.10.002. ISSN 0001-7310.
- ↑ T. Mentzel, H. Kutzner, A. Rutten & H. Hugel (2001). "Benign fibrous histiocytoma (dermatofibroma) of the face: clinicopathologic and immunohistochemical study of 34 cases associated with an aggressive clinical course". The American Journal of dermatopathology. 23 (5): 419–426. PMID 11801774. Unknown parameter
|month=ignored (help) - ↑ 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)