SKINIPEDIA - Skin Essentials: Dermatofibroma

Skin Essentials: Dermatofibroma Study
Authors: Joseph C Pierson, MD, Consulting Staff, Department of Dermatology, Guthrie Army Clinic, Ft Drum, NY Coauthor(s): Christine C Tam, MD, Staff Physician, Dermatology Office of David A Spott, MD

Medical Care

No treatment is usually necessary for dermatofibromas. Simple reassurance that the lesion is benign may be indicated. Intralesional steroid injections have been attempted with variable results.

Surgical Care

For cosmetically unacceptable lesions or lesions that are particularly symptomatic, or if any diagnostic uncertainty exists, complete excision, including the subcutaneous fat, is the ideal procedure. An inverted pyramidal biopsy technique may allow for an aesthetically pleasing result, while still providing adequate tissue for histologic findings. Superficially shaving the lesion or cryosurgery can be attempted for cosmesis or to decrease the symptoms; however, recurrences are more likely. Carbon dioxide laser treatment of multiple facial dermatofibroma has been reported.

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