Desmoid tumours

Characteristics of desmoid tumours

Desmoid tumours, also known as dermatofibroma, is the second type of fibroma, next to fibroma molluscum. It is a benign, painless neoplastic lesion composed of fibrous tissue that is removed not for medical reasons, but for aesthetic and practical reasons. The tumor is compact and usually takes on a brownish or red color, with a rough surface. A desmoid tumour is spherical or sac-like in shape and can be up to 10 millimeters in diameter. It most often appears on the lower extremities, but also on the abdomen or buttocks. In rare cases, it can appear on the face and trunk.

Dermatofibroma – causes of formation

The process of forming a desmoid tumour can take up to several months. It is an acquired change and occurs in both men and women. It often develops in the place of a bite, past inflammation (e.g., hair follicles), viral infection or injury. The group of people at greater risk of fibroma formation includes Patients with diabetes, obesity and Recklinghausen syndrome. The formation of these types of lesions has a genetic basis, so some people are more prone to them.

Diagnosis and treatment of desmoid tumour

To correctly diagnose a desmoid tumour, the knowledge of an experienced dermatologist who performs a dermatoscopy examination is essential, because the lesion is sometimes mistaken for a papilloma, fibrosarcoma, or even melanoma. During the diagnosis, the size, color, shape, texture, location and time of formation are considered, as well as the number of fibromas if there is more than one. Your physician may recommend a biopsy followed by a histopathological examination to help determine the nature of lesion.

If you feel the need to remove desmoid tumour for aesthetic or practical reasons, you may undergo surgical excision of the lesion. Surgical procedure is one of the best methods to remove a fibroma – it is effective, fast and safe. In our Clinic, the procedure of desmoid tumour removal is performed under local anesthesia by a qualified surgeon using a scalpel. After excision, if necessary, stitches are placed. The healing period is about 1 week, and a small scar may or may not form at the excision site. Unfortunately, other methods, such as cryotherapy, do not guarantee that the lesion will not reappear in the same place.

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