In the language of the ancestor of the medical science of Hippocrates, the meaning of the word "atheroma" consists of two concepts: gruel is an ather, om is a tumor, which fully corresponds to the name.
Atheroma is characterized by subcutaneous capsular neoplasms, which have various rounded shapes and sizes - from pea to egg.
Clinical picture
Disease in the form of tumor-like cystic neoplasms develops as a result of blockage of sebaceous ducts. Accumulating in the lumen of the gland, the separated masses contribute to the gradual formation of the skin sac, the inner surface of which consists of a flat epithelium.
The formed bag is filled with sebum with impurities of keratinized epidermal cells, seeds of necrotic tissue( detritus), cholesterol crystals and fat drops.
It is classified into two types:
1) The true form of atheroma - development gives embryo-ligated epidermal cells.
2) False form of atheroma - classify with a violation of outflow in the sebaceous glands.
The main cause of atheroma, of course, is the obstruction in the sebaceous glands and the violation of the outflow of sebum. Neoplasm can cause any process that provokes this situation:
trauma, which served as the cause;
swelling and inflammation of the hair follicle;
hyperhidrosis.
The provoking factor is:
metabolic disturbance;
increased sweating;
hyperandrogenism;
adverse environmental conditions;
is a harmful job;
use of antiperspirants.
Symptoms, sites of manifestations of atheroma
The location of cystic formations has a vast "geography":
on the head, face, behind the ear;
in the superciliary arcs;
on the cheeks and neck;
on the back between the shoulder blades;
on the sacrum and perineum;
on the scrotum and labia.
Consistency is mild, painless, sometimes communicating with the skin through a small opening, accumulated accumulated fat deposits with an unpleasant "ambre."The skin above the tumor has a normal shade. These tumors are related to the primary form of atheroma.
A provoking factor for the rapid growth of a tumor is any inflammatory process. The skin becomes cyanotic or inflamed red. Appear ulceration. A breakthrough can be formed with the release of the syphilis and pus, All this occurs accompanied by:
general weakness;
malaise;
temperature increase.
The classification of atheroma with these manifestations refers, to a secondary form. In the risk factor fall:
lovers of fried and fatty foods;
owners of copious acne;
if there is a history of seborrheic keratoses.
Manifestations of inflammatory symptoms are the first call to remove it. Not giving this due attention and postponing the solution of the problem "for later", you can become the owners of more serious problems in the form of complications.
Complications of atheroma
Timely removal of atheroma, regardless of size, is the best prevention of complications.
1) The most dangerous consequence is the inflammatory process. The contents of the cystic sac - serves as a nutrient medium for various bacteria. The inflammatory process can develop at any time. In such cases, "amateur" is not appropriate. The doctor should clean the pouch cavity of the pus and put the drainage, after having treated the cleaned "pocket" with an antiseptic.
2) Not completely removed atheroma capsule after the inflammatory process, may cause a relapse. Even a small part of the remaining capsule can cause new formations in the same place.
3) The most serious consequence is the phlegmon. It is caused by purulent melting of the atheroma capsule and outflow into the subcutaneous layer of the contents. Or break the capsule inwards, which leads to inflammation of the subcutaneous tissue. This process is fraught with serious consequences - inflammation of a number of lying organs and tissues, and penetration into the blood threatens sepsis.
4) Even with removal of atheroma, complications in the form of inflammation of the wound are possible. The only reason is the lack of proper care for the wound. Inflammation increases in a certain progression - the more education, the greater the scar and, accordingly, the more extensive the inflammatory process.
5) Rarely, but still, there is a probability from capsular cells of atheroma development of malignant neoplasm, therefore, in controversial situations, histological examination is performed.
It is natural that the position of doctors is expressed quite definitely - as early as possible removal of atheroma, in any of its manifestations. In a stable state, the removal of education is much safer, simpler and faster, at the same time as a cystic bag, which significantly reduces the likelihood of any complications.
Diagnosis
The clinical picture is the main indicator of a diagnostic examination. Everything is taken into account:
and localization of education and appearance;
main symptoms and the presence of pain;
whether there is an output channel( in the form of a black point);
definition of clear borders of an atheroma.
To exclude malignant formation and lipoma, histological and morphological studies are performed.
Treatment, atheroma removal
There are no alternatives to surgical intervention in the treatment of atheroma. Ateric cysts are removed by three surgical methods:
1) The traditional( surgical) method is a conventional scalpel under local anesthesia. With the help of biopsy tools, the skin of the tumor is inscribed, a small amount of mass is squeezed out to reduce the pressure in the capsule. Through the incision the capsule is completely removed, and the incision is sutured. The whole procedure takes no more than 10 minutes.
2) Laser excision is a method based on the evaporation of high temperature formation under the action of a carbon dioxide laser. Cold air flow, during the procedure ensures painless operation. The action of the rays stimulates the surrounding cells to intensive division, as a result of which, scarring remains.
3) Method of radio wave surgery - during the operation, the thermal energy of high frequency waves is formed, which is formed by contact with the skin by means of a surgical electrode. Intensive division of new cells, caused by stimulation by high-frequency waves, promotes rapid healing without scarring. This technique eliminates repetitive formations.
Self-medication is fraught with complications, entrust yourself to a specialist.
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