A dermatofibroma is a common benign skin growth that usually appears on the lower legs. They can appear alone or in groups and are painless but may be tender or itchy.
What Is Dermatofibroma?
\A dermatofibroma is a common skin growth that usually appears on the lower legs, but may appear anywhere on the body. These growths are benign (noncancerous). Dermatofibromas are most common in adults and are rarely found in children.
The diagnosis is made through physical examination and sometimes biopsy. A dermatofibroma does not require treatment unless it is interfering with clothing or is unsightly. They can be surgically removed, though this will leave a scar and the growth may eventually return.
Any new growth on the skin should be seen by a medical provider, especially if the growth is very dark in color or changes its shape or appearance quickly.
You do not need treatment for this condition because it is completely benign; however, if the lesion changes at all, a doctor should be consulted. If you would like it removed, a doctor can cut, freeze, or burn it off.
- Hard, raised skin growth on the lower legs: The growth may feel like a smooth pebble stuck to the skin that is most often found on the lower legs, but can also be found on the upper arms and trunk.
- Very small: Dermatofibromas rarely larger than a fingernail, usually 0.5 to 1 cm in size.
- Painless: They are usually painless but can be associated with tenderness or itching.
- Color may vary: Red, pink, light purple, gray or brown in color (or a combination of hues)
- Dimples when pinched: This is a common, often characteristic finding of dermatofibromas that is useful for diagnosis; however, this sign does not have to be present in order to diagnose a dermatofibroma.
- Slow growing, single growth: Dermatofibromas are usually solitary; however, some people may develop multiple that generally do not go above 15 in number.
Causes of dermatofibroma are not entirely understood, but may be related to trauma or spontaneous cell growth.
Who is most likely to be affected
Details of who experiences dermatofibromas include:
- Women: More than men, a 1:2 ratio or higher
- Women who are 20 to 49 years old
- Children rarely experience them
- : Individuals who have this trait may be at greater risk for dermatofibromas.
Although details are not entirely clear, it is known that dermatofibromas are caused by a growth of skin cells called fibroblasts and histiocytes. Possible causes include:
Treatment Options and Prevention for Dermatofibroma
Dermatofibromas do not go away by themselves. Dermatofibroma is a chronic finding that remains for life unless it is surgically removed.
Since dermatofibromas are largely harmless, they do not require medically indicated treatment. Elective surgical removal is the only treatment for dermatofibromas, and is often used in situations that include:
- Unsightly location
- Inconvenient location: For example, if the dermatofibroma is located in an area that is continuously irritated by shaving or clothing.
- Pain or itching
Since some dermatofibromas can grow deep into the skin, it is important to ensure removal below the skin's surface. Shaving the top of the nodule with a surgical knife may only remove the top layer of the dermatofibroma and miss the deeper layer. This can cause the dermatofibroma to grow back again later after several years.
When to Seek Further Consultation for Dermatofibroma
If you notice significant changes in the color, size, or border (irregularity) of your skin growth or if your skin growth bleeds or become painful, seek prompt medical evaluation. These symptoms may signify an aggressive subtype of dermatofibroma or an alternative diagnosis that requires workup.
- Zaccaria, E, Rebora, A, Rongioletti, F. Multiple eruptive dermatofibromas and immunosuppression: report of two cases and review of the literature. International Journal of Dermatology. 2008; 47(7): 723-7. Published July 2008. .
- Oakley, A. Dermatofibroma. Updated Jan. 2016. Dermnetnz.org.
- Dermatofibroma. American Osteopathic College of Dermatology.
- Dermatofibroma: what is it? Harvard Health Publishing. Published Sept. 2000. .
- Lyle, S. Dermatofibroma (fibrous histiocytoma). dermpedia.org.
- Luba, MC, Bangs, SA, Mohler, AM, Stulberg, DL. Common benign skin tumors. American Family Physician. 2003; 67(4): 729-738.