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Atheroma in the leg
Last reviewed: 23.04.2024
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Atheroma on the leg is diagnosed rather rarely, this is due to the fact that the lower extremities are not as rich in the sebaceous glands as the back, neck, head or inguinal zone.
In the classical sense, atheroma is a neoplasm of the cystic form, which is formed as a result of obturation of the outflowing duct of the sebaceous gland. Such an atheroma can develop in almost any part of the body, excluding the palms and feet, since there are no sebaceous glands in these areas. Atheroma on the foot is often mistaken for a related atheroma of the tumor - fibroma, lipoma or hygroma. The cyst does not bring unpleasant sensations, does not hurt and grows very slowly, sometimes remaining in former sizes for decades. That is why atheroma should be clearly differentiated and a treatment plan developed, which is operative in 99.9% of cases.
Clinical signs of foot atheroma:
- The size of the cyst.
- Painful sensations in palpation.
- Persistence of visual signs of atheroma during movement, walking.
- Presence or absence of hyperemia of the skin in the cyst zone.
- The presence or absence of a traumatic factor that may contribute to the development of atheroma.
Atheroma of the sebaceous gland is treated surgically, most often the operation is performed on an outpatient basis in a minimally invasive way (laser, radio wave technology).
It should be noted that atheroma can also be called another disease, not related to skin integuments or sebaceous glands. This Atheroma arteries is a degenerative process, as a result of which specific fatty or scarring plaques form on the walls of the vessels. This blockage of the arteries leads to their constriction and disruption of the normal course of the blood flow. Atheroma of the arteries is, by and large, a kind of common disease - atherosclerosis. Such arterial atheromas are removed by coronary revascularization, when the blood flow is restored operatively by shunting (expansion of the coronary arteries). Vascular atheroma on the leg most often affects the calf muscles or muscles of the thigh.
Atheroma on thigh
In the femoral part of the body there are quite a few sebaceous glands, so the atheroma on the thigh should be differentiated from the lipoma, fibroma, hygroma. If the diagnosis of the sebaceous gland cyst is confirmed, the treatment of atheroma of the hip is usually performed surgically. Conservative treatment is inconclusive, because atheroma is essentially a non-functioning outflowing duct, which is obturated with a sebaceous secret. Even puncturing and squeezing the contents of the cyst can not neutralize the neoplasm itself, there remains a dense capsule and the actual cause of atheroma formation. Atheroma on the thigh refers to benign tumor-like formations of the skin of the subcutaneous tissue, so there is usually no indication for an emergency removal of the cyst, except that purulent, inflamed atheroma can cause pain and increase in size. The tactics of treatment are always individual and depends on the clinical parameters of the cyst, nevertheless, its surgical or laser removal is inevitable.
In addition to the typical sebaceous cyst, there is also a type of atheroma of the thigh - a steatome. It is the same retentive growth of the skin, which has a capsule and contents in the form of a fat secret, but it is the final stage of cellulite development. Steatoma of the thigh is a vast zone of adipose tissue, entirely covered with protein fibers in the form of peculiar honeycombs. Such tuberous, tumor-like protrusions not only represent a cosmetic defect, but also greatly affect the normal blood supply of the hip tissues. Treatment of cellulite in the final stage and a similar form deserves a separate detailed description, we only note that the operative way of atheroma of the thigh in this form is not treated. Therapy is carried out for a long time, with the help of a whole complex of measures and procedures, including both conservative and surgical methods.
Shin Atheroma
Part of the leg, lower limb, crus (crus) is divided conditionally into the anterior and posterior zone, in the posterior zone there are much more sebaceous glands, therefore any tumor-like formation is most often formed there.
It should be noted that shin atheroma is a very rare phenomenon, since the subcutaneous tissue in this area is poorly developed, the alveolar glands are practically not represented, that is, there is virtually no place for the formation of a true retention subcutaneous cyst. Often, atheroma is taken fibroma, lipoma, hygroma, fibrotic histiocyte, which according to clinical manifestations are slightly similar to atheroma, but different in histological structure and treated differently.
Atheroma as a cyst of the duct of the glandulae sebacea develops slowly enough, it does not hurt, it does not show changes in the skin, but is prone to frequent inflammation and suppuration. On the shin of the atheroma can appear as a result of a bruise, as well as next to a postoperative scar, when the patency of the sebaceous glands is disturbed. If the diagnosis confirms that the neoplasm is an atheroma, it must be removed surgically or laser-assisted. The operation is performed in the so-called "cold" period, that is, when symptoms of the inflammatory process or abscess are absent. Cyst excision is performed under local anesthesia, most often in outpatient settings. Removal of the retention cyst of the sebaceous gland belongs to the category of small surgery and presents no difficulties. Recurrence of shin atheroma is possible only in cases of poor-quality formation of the formation, as well as during an operation on a suppurated cyst, when as a result of inflammation the tissues surrounding the capsule melt, and there is no possibility to clearly define the excision boundaries.