The deratofibroma represents high-quality education on skin of the small size. The deratofibroma can appear on any body part, but shoulders, an upper back, a foot and an anklebone are the most widespread. It is possible to meet education at adults more often, at children – is much more rare. Education can be gray, pink, brown or red color, sometimes over time it changes color. To the touch the deratofibroma firm also reminds the lump which hardened under skin. The skin outgrowth is preferential formed by fibrous fibrous fabric and contains histiocytes and fibroblasts. If to squeeze a deratofibroma on the parties, then on its surface the small pole will appear. The deratofibroma is called also sclerosing hemangioma or a fibrous histiocytoma.
As a rule, deratofibromas do not cause essential inconveniences. They are almost painless, but can cause an itch and weak pain in some people. It is most often possible to see single deratofibromas, but at some patients it is possible to meet also multiple. Educations seldom happen more than one centimeter in the diameter.
Was considered earlier that the deratofibroma is reaction to stings of various insects or an injury, however this version did not gain distribution. The exact reason of a deratofibroma is unknown. Partly it can be explained with the resistant nature of a disease. At first education reminds a dense small knot, the size in a small pea. Eventually the deratofibroma size, its color and density change a little.
Doctors allocate such probable causes of a deratofibroma:
The most common symptoms of a deratofibroma are:
It is necessary to know that very often the dermatofibrosarcoma (a kind of a carcinoma cutaneum) at the first stage has similar symptoms with a deratofibroma. Therefore it is important not to play for time, and at manifestation of the first symptoms to see a doctor. Especially it is worth paying attention when education quickly increases in a size, changes color or a form, causes strong pain or bleeds.
The doctor, as a rule, can diagnose a deratofibroma after visual survey of the patient. If the outgrowth on skin does not bleed and visually is not similar to a deratofibroma, the doctor can make a biopsy. For this purpose the doctor will remove a small piece of education and will carefully study it under a microscope. By means of a biopsy it is possible to diagnose various diseases including tumors. Before carrying out a biopsy the patient is exposed to a local anesthesia.
The disease in itself does not pass, and without the corresponding treatment the deratofibroma remains with the patient throughout all his life. If educations reside in too noticeable places or the patient touches them (in the course of clothing or at commission of other actions), then removal of a deratofibroma is more preferable. It is also best of all to choose removal of a deratofibroma if it causes at the patient unpleasant feelings, morbidity and an itch.
As deratofibromas are deeply under skin, for their removal do cuts in deep layers of skin. After removal of deratofibromas often there are quite noticeable scars. If the procedure takes place normally, the patient is allowed to go home in the same day. Complications develop extremely seldom and they are connected, as a rule, not with a disease, and with poor carried out procedure.
Alternative option of treatment of a deratofibroma is cutting of its upper part. But most often after such treatment it increases in a size several years again later.
After removal of a deratofibroma the scar for some time remains very noticeable, often causes an itch. Over time it smoothes out and becomes more pale. Today there is a set of cosmetic procedures which allow to make a scar practical imperceptible. However it is necessary to know that it is possible to undergo these procedures only after a while after treatment of a deratofibroma. For treatment of hems it is possible to choose one of the following methods:
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