Dermatofibroma

Dermatofibroma

Chris Schach

Author Bio -

 

Key Points
* Benign skin growths
* Usually found on legs

Dermatofibromas are benign skin growths, often found on the legs. They can grow up to about 1 cm in diameter. The typical apperance is of a round, brownish to purple bump. Dermatofibromas contain scar-like tissue and feel like hard lumps in the skin. Another common term for this is a fibrous Histiocytoma. Although the cause is unknown, there is often a history of minor trauma or injury to the site, possibly denoting a causative role in the development of dermatofibromas.

Synonyms for Dermatofibroma include Dermal Dendrocytoma, Fibrous Dermatofibroma, Fibrous Histiocytoma, Fibroma Simplex, Nodular Subepidermal Fibrosis, and sclerosing Hemangioma.

Differential Diagnosis (Other conditions with similar appearance)

    Atypical Mole
    Mastocytosis
    Basal cell carcinoma
    Metastatic Carcinoma of the Skin
    Blue Nevi
    Neurilemoma
    Dermatofibrosarcoma protuberans
    Prurigo nodularis
    Keratoacanthoma
    Spitz nevus
    Leiomyoma
    Malignant Melanoma

    Diagnosis
    Key Points

    Dermatofibromas are diagnosed by visual inspection, though a biopsy may be taken if the diagnosis is uncertain. They usually dimple inward when pinched, thus giving the appropriately named “dimple sign,” that is highly suggestive of the diagnosis.

    Treatment
    * Mostly unnecessary

    Because dermatofibromas are benign (or harmless), no treatment is necessary in most cases. They can be surgically removed, but removal usually leaves a scar.

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