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December 08, 2016 00:06

atheroma |General information about atoms

Atheroma, atheroma - a benign tumor that develops as a result of blockage glandulae sebacea - sebaceous glands of the skin.Ater often called wen, and in the medical lexicon, it is synonymous - steatoma (from stear - fat).Atheroma may be found in children, and even infants, but most often it is diagnosed as a sebaceous gland retention cysts in adult patients.

code in ICD-10

cyst - a benign cyst subcutaneous tissue, the tumor is classified as epithelial tumors and histological structure is divided into epidermoid cysts, dermoid, steatsistomy, trihilemmalnye tumor.All kinds of atheroma practically do not differ from clinical symptoms and are included in the International Classification of Diseases last revision (ICD-10) as a disease of the skin appendages.

ICD atheroma is determined in such a way:

  • Class L00-L99, a class XII - Diseases of the skin and subcutaneous tissue.
  • Block L60-L75 Diseases of the skin appendages.

disease code

disease name

L72

Follicular cysts of skin and

subcutaneous tissue

L72.0

epidermoid cyst

L72.1

Trihodermalnaya cyst

L72.2

steatsistoma, including multiple steatsistoma

L72.8

Other follicular cysts of skin andsubcutaneous tissue

L72.9

Follicular cyst of skin and subcutaneous tissue NOS (unspecified)

in general, in the nosological group L72.1 neoplasms included such diseases of the sebaceous glands, which in clinicalcharacteristics and methods of treatment of the same type:

  • Atheroma.
  • sebocystoma.
  • atheromatosis.
  • steatoma.

reasons

etiology, causes atheroma due to a violation of the sebaceous gland duct patency.In turn, the sebaceous glands - this is truly unique structural unit of the human body.The sebaceous glands are located just over the body, they secrete a lipid substance, designed to moisturize and protect the skin and hair.Glandulae sebacea (sebaceous glands) in contrast to their "brothers" - sweat glands are located much closer to the upper layers of the skin - they are located in the zone of the papillary and reticular layer, the lead-out is often associated with areas in which and formed atheroma:

  • Flowopened on the skin surface - the outer ear canal, eyelids, lips, penis, anus, foreskin, nipples.
  • ducts open into the hair follicles (practically throughout the body).

Preferential location Glandulae sebacea - face, then descending followed by the neck, back, hairy area of ​​the head, chest, pubic area, abdomen, followed by the shoulders, forearms and shins.

Sebaceous glands are capable of producing up to 20 grams lipid secretion daily, if clogged ducts sebocytes cells keratin secretion fat released is too much, the iron becomes full and it is formed in the so-called "zhirovki" - cystic tumor proliferation.

reasons atheroma set by its localization and characteristics of the cystic contents of the capsule.It is now well understood and easily defined by these types of atheroma:

  • Retention follicular cysts, which are usually referred to secondary tumors, emerging as a result of blockage of the duct glandulae sebacea (sebaceous glands).Secondary atheroma most often localized on the face, neck, back, and can be a typical complication of acne, acne.
  • epidermoid - benign tumors, congenital etiology, often hereditary.These cysts are formed directly from the epidermis.Hereditary, congenital atheroma is often defined as the multiple and are predominantly located in areas where there is hair follicles - the head, the groin (the pubis, scrotum).

reasons atheroma caused by such factors as:

  • .Narushenie metabolism and therefore change the consistency of sebum.
  • defeat of the hair follicle (often inflammation) and slow the outflow of secretions, obstruction of the bulbs.
  • inflammation of the upper layers of the skin and damage to the sebaceous glands.
  • Congenital anomalies of the structure of the sebaceous glands.
  • acne, blackheads and skin trauma at independent of their removal.
  • Hyperhidrosis.
  • hormonal dysfunction.
  • Illiterate use of cosmetics, drugs, including makeup.
  • Violation of rules of personal hygiene.
  • rare genetic diseases.

whether atheroma danger?

Neoplasms in the subcutaneous tissue are mostly considered to be benign, so the question - whether the atheroma is dangerous, can be answered unequivocally - no, atheroma poses no danger.All information about the supposedly rare malignancy atheroma should be classified as errors or incorrect diagnoses.The only possible complication is blockage of the sebaceous glands purulent process, when a cyst is formed for a long time and is not being treated.Also it should be noted that not able to dissolve atheroma themselves, most often it is removed, as so-called traditional methods can only slow down the increase of cysts, but not completely neutralize it.Independent attempts to squeeze, cut wen - is unsafe activity that can cause really serious complications until sepsis, but this method is unlikely to be the use of a reasonable person, taking care of their health.

There is a risk of misdiagnosis, especially if the tumor is localized in the skull area, this part of the atheroma may be mistaken hemangioma or hernia mater - fundamentally different education both in the etiology andon histology.It is for this reason that any, even the safe, painless, and little in the form of a tumor is to entrust a specialist who will be able to make a differential diagnosis and assign adequate, efficient treatment.Only then the alarm about the dangers of atheroma may be eliminated completely, as well as the risk of suppuration or inflammation of the tumors.

Symptoms

Like most tumors atheroma sebaceous glands do not show any significant clinical symptoms, the only signal a visual indication it is increasing and at the detection of atypical body, tight structure, "Wen".Favourite localization retention cysts - hairy parts of the body - the skin of the head, the lower part of the face, the area of ​​the ear, neck and back, groin area.

Distinguish the following symptoms of atheroma:

  • Education on the skin surface.
  • tightly-elastic structure.
  • clear contours cysts.
  • Mobility subcutaneous capsule.
  • the middle, in the center of atheroma may be visible excretory duct.
  • When inflammation of atheroma, abscess - flushing of the skin in the formation of borders, painful on palpation, slight swelling, pus can break out.

If present blockage of the sebaceous glands in the form of a block diagram, you get a list:

  • Actually skin (upper layers).
  • subcutaneous tissue.
  • cavity atheroma with detritus (contents of lipid cells, keratinized parts of the epidermis, fat and cholesterol crystals).
  • capsule cysts.
  • opening of the sebaceous gland duct.

In medical practice the most frequent secondary atheroma - retention cysts of the sebaceous glands.These tumors are characteristic of people with a specific skin type (oily, porous skin), suffering from hyperhidrosis, seborrhea.Also atheroma often develops in those whose skin covered with acne, blackheads, in such cases, the cyst can be very dense, quite painful and reach large sizes (up to 3-4 cm).

Thus, symptoms ateromy- is purely visual signs, which are determined by fairly quickly, more accurate initial diagnosis is a dermatologist or beautician using inspection and palpation.

How does atheroma?

External signs of atheroma - is its clinical manifestations, which are similar in principle tumors are extremely poor.Atheroma not manifested by pain, discomfort, the only inconvenience - it is a cosmetic defect that is visible when the cyst which developed large size.Also atheroma may cause inconvenience, if formed in the zone, which are regularly in contact to any item of clothing, such as atheroma on the head can become inflamed when wearing headgear.

Atheroma - the tumor cyst, which is similar to a conventional talc, protruding above the skin in the form of painless seal.Integument of cysts are not changed, have normal color and texture.Inflamed atheroma more manifested in the clinical sense, it often hurts can fester.The skin over the cyst hyperemic, palpation tumors reveals a distinct fluctuation.

Atheroma always has a fairly clear path in the middle of it you can see the center of excretory ducts, which is considered a distinctive feature that allows to distinguish a cyst from similar symptoms for lipomas, fibromas and hemangiomas.

atheroma sizes range from small (1 cm) to large (size of a walnut).The cyst, which develops for a long time, are subject to constant irritation can fester and transform into a subcutaneous abscess with pain and fever.Quite often purulent atheroma revealed yourself in such cases out expires inflammatory secret, thick consistency with a characteristic smell of purulent process.

atheroma What is different from a lipoma?

Differential diagnosis of atheroma is very important, since this brush is very similar in their appearance on the lipoma, also symptoms can be confused with fibroids or hygroma.What is different from a lipoma atheroma - the most common subcutaneous tissue disease?

  1. Atheroma Clinical appearances looks like a lipoma, but it is formed in a sealed duct of the sebaceous gland.In addition, the atheroma is not a true tumor formation, since its structure refers to the typical brush.Etiology atheromatous cysts are fairly well studied - is closing excretory ducts thick, fat secret that gradually accumulates in the cyst capsule.Atheroma able to inflame and fester, its main distinguishing feature is clearly visible exit point out of the sebaceous gland, skin contact.We retention cysts very characteristic texture, dense, elastic, forming movable and partially welded to the skin.Favourite localization of atheroma area - all hairy parts of the body, especially the head, the groin, the armpits.
  2. Lipoma - a classic example of a so-called "Wen", which is formed below the skin in the adipose tissue.The etiology of lipomas is neutochnena, it is believed that they arise as a consequence of metabolic disorders, and doctors do not deny the influence of hereditary factors.The consistency of the lipoma is much softer, more plastic atheroma, lipoma may occur anywhere on the body, regardless of whether it hairline.Favourite localization lipomas - hips, shoulders, rarely head, abdominal area.Wen did not move during palpation and not soldered to the skin, they grow very slowly, over many years, almost without disturbing the person.A characteristic feature of the lipoma is considered to be its ability to grow in the deep dermis, muscles and up to periosteum.Deleted utility bills as well as atheroma, surgically.

Summarizing it can be noted that the lipoma - a benign solid tumor with no cavity, atheroma - a benign cyst, having a capsule and contents (detritus).Independently find quite difficult, it makes more sense to entrust this task specialist - surgeon, dermatologist, cosmetologist who own and knowledge and experience in dealing with such diagnostic problems.

Recurrence of atheroma

During the operation, an atheroma is excised totally, ie completely.Recurrence of atheroma is possible only in case of incomplete removal, when the cyst tissue remains in the sebaceous glands, the newly formed capsule, which was subsequently filled greasy, epithelial secret obtyuriruet and excretory ducts.Atheroma to be excised completely, sometimes in conjunction with the infiltrated surrounding tissues in the case of festering and melting of the capsule.The reason for that may trigger a relapse of atheroma may also be associated not with the rest of the capsule particles, and directly from the excretory ducts, when a new cyst is formed very close, close to the postoperative scar.In addition, the recurrence of the cyst is often a diagnostic error when the atheroma for taking dermoid cyst or lipoma, these types of tumors are also treated surgically, but the technique can be a specific operation, other than the excision of atheroma.

Recurrence of atheroma Statistics is about 15%, of which more than 10% - are the consequences of opening the abscess cyst when husking capsule cavity is extremely difficult because of its filling with purulent contents.Such cysts are supposed to sanitize treat inflammation, and after 2-3 weeks to remove.Effectively remove the atheroma in the so-called "cold" period, when only began to form a cyst, or does not show signs of inflammation, suppuration.

should pay attention to what the recurrence of atheroma may be associated with the cause of the formation of cysts - hyperhidrosis, hereditary predisposition to obutratsii sebaceous glands.In such cases, no atheroma formed in the surgical site, and next, close gland excretory ducts, particularly for these processes are characteristic of the scalp, groin area.

Re atheroma

Atheroma really can recur, it happens in such cases:

  • Incomplete removal of the cyst (substandard husking, excision).
  • autopsy abscess festering in the case of the atheroma, but not the removal of all components of the cyst.
  • The use of ineffective methods of conservative treatment.
  • self-medication by the patient when purulent atheroma revealed yourself subsides and again recurs.

Many doctors believe that the re-atheroma - a surgeon or an error or need for complex treatment, which is included in the supervision and guidance of the dermatologist, immunologist and other professionals depending on the identified etiology atheroma.This is explained by the fact that the function of the surgeon - to reveal the abscess or cyst excised, and the treatment and prevention, it is a solution to re-atheroma not formed again, this is the work of a dermatologist, immunologist and other professionals.

Also in surgical practice is believed that repeated atheroma can develop if it is trying to remove in the process of inflammation, thus at the stage of suppuration atheroma to remove is not recommended - very high risk of poor excision and recurrence of the cyst.Abscess, the abscess is usually opened, drained, inflammation is treated and only then husks capsule.If the operation is carried out thoroughly and totally atheroma is excised, recurrence is almost impossible, since the renewed process simply nowhere else.

Multiple atheroma

Multiple atheromatosis called atheroma.Atheromatosis - is essentially the atherosclerotic process with the formation of plaque in the typical dendritic prints the narrow channel in the same way as in classical atherosclerosis, and blockage of blood vessels cholesterol plaques.

atheromatosis or multiple sebaceous cysts often detected in the vulnerable areas of the body - in the armpit, in the groin area - on the genitals, perineum, scrotum, penis.