Atheroma in the groin

The inguinal region is rich not only with sebaceous glands, but also with hair follicles, that is, such structural parts of the body that can be considered a favorable environment for the development of all kinds of benign retentional neoplasms.

Atheroma in the inguinal region ranks second in the list of the most common zones of the cysts of the sebaceous glands, the scalp is the leader in this list.

Factors contributing to the formation of atheroma in the inguinal region:

• The presence of hair, hair follicles.
• Injury of the inguinal zone during intimate procedures.
• Infection of the skin of the inguinal region.
• Increased sweating.
• Inconvenient, cramped underwear.
• Hereditary predisposition.
• Violation of the hormonal background.
• Metabolic disorders.
• Violation of the rules of personal hygiene.
• Injury of inguinal zone, softening of tissues in the area of local hemorrhage.

Atheroma in the inguinal region is not considered a true tumor and is not a malignant neoplasm. However, such cysts are prone to inflammation, they are almost always inflamed and can grow into an abscess. In the groin, atheroma is more often defined as retention formation, that is, developing as a result of blockage of the sebaceous glands and their ducts (retentio - delay, delay). The longer the cyst is formed, the more dentrite (content) it accumulates, respectively, the atheroma increases and can reach very large sizes - up to 5-7 centimeters in diameter.

Diagnosis of the inguinal atheroma is quite specific, since almost all the diseases of this zone are well studied. In addition, the cyst of the sebaceous gland groin in 6-70% of cases becomes inflamed, that is accompanied by a typical symptomatology of the purulent process - hyperemia of the skin, severe pain, increased local temperature in the area of inflammation. Such atheromas are extremely painful, they require immediate medical intervention, adequate treatment to avoid the development of a more serious complication - phlegmon and sepsis. Complex, purulent cysts of the groin are operated under stationary conditions, simple atheromas of the inguinal zone are treated also operatively, but outpatiently.

[1], [2], [3]

Atheroma in the groin

The inguinal zone of the human body is covered with a hair covering and is rich in sebaceous glands that are directly located in the hair follicles.

Atheroma in the groin occurs quite often and it is associated with such causes:

• Contamination and irritation of the skin in the groin.
• Mechanical damage and irritation of the groin area when wearing tight underwear, incorrect depilation.
• Inaccurate shaving procedures, ingrown hair.
• Injuries to the groin.
• Non-observance of the rules of hygiene of intimate zones.
• Hormonal dysfunction.
• Increased sweating.
• Venereal diseases.
• STDs are sexually transmitted diseases.
• Allergy.
• Avitaminosis.
• Hereditary factor.
• Thermal factor - supercooling or overheating.

Atheroma in the groin is most often diagnosed as multiple small cysts that look like rashes that cover the entire groin. Less commonly, a large subcutaneous cyst is formed in the groin, which is prone to inflammation, secondary infection and transformation into a purulent abscess.

Retinal groin cysts are treated with a laser or radio wave method, abscessed cysts are first opened, treated with antiseptic means, drained, after the inflammatory signs subsided, are removed by excision.

Atheroma in the groin is considered a benign cyst, nevertheless, like other tumorous neoplasms, requires accurate differential diagnosis, often histology and timely enucleation.

[4], [5], [6], [7],

Atheroma on the pubis

A favorite site of atheroma localization is any part of the body that has sebaceous glands and hair. The most common cysts of sebaceous glands on the head, the area of the armpits, groin, pubis follow one after another, not too inferior in frequency to the development of subcutaneous neoplasms.

Glandulae sebaseae are sebaceous glands located throughout the body, excluding the palm zone and the sole of the foot, these alveolar structures regularly produce a lipid secret that is needed to protect the skin, lubricate the hair, thus in its majority glands are closely connected with folliculus pili - a hair bulb. In the pubic area are localized glandulae sebaseae, having a multi-lobed structure, in addition, the number of glands in this region, as well as in the zone of the labia and women, is very large.

Atheroma on the pubis is due to various factors, among which can be such:

• Violation of the function of the autonomic nervous system.
• Dysfunction of the hormonal system, failure in regulation.
• Violation of the function of the peripheral nervous system.
• Metabolic disorders.
• Pregnancy in women.
• Menopause in men and women.
• Viral diseases.
• Illness of Itenko-Cushing.
• Decreased function of the adrenal cortex.
• Diseases of the anterior lobe of the pituitary gland.

All these pathologies are accompanied by a violation of secretory production from the sebaceous glands, seborrhea, especially in the genital area, including in the pubic region. Such disorders lead to the formation of lipid plugs located in the outflow ducts of the glands, they often have the form of gum aids, as well as atheromas, steatomas. Also, factors that provoke atheroma on the pubic can be such situations:

• Non-compliance with the rules of personal intimate hygiene
• Consequences of unsuccessful depilation
• Mechanical irritation of the skin with tight underwear.
• Allergic reaction, including drug allergy.

Atheroma in the pubic region looks like a small compaction with clear contours, the cyst does not hurt until the inflammatory process develops in it, which happens quite often. A simple retention cyst, formed as a consequence of the accumulation of cystic dentritis, is surgically removed without serious complications. Purulent atheroma on the pubis is operated only after opening the abscess, draining it, treating inflammation. Such atheromas are subject to enucleation only if the purulent exudate is completely removed from the cyst cavity, and the symptoms of the inflammatory process subsided. Removal of the sebaceous gland cyst in intimate areas is not difficult, such procedures are often performed on an outpatient basis, the main thing is to call the doctor in time and prevent pyesis of atheroma.

[8], [9], [10], [11], [12]

Atheroma on the labia

Atheroma on the labia meets very rarely. This is due to a different structure of these organs, more precisely to the fact that the labia does not contain enough sebaceous glands, which are a favorite site for the localization of subcutaneous cysts. Nevertheless, the small sebaceous glands, which are not connected with the hair follicles, penetrate the connective tissue of the external genitalia and can become a site potentially "attractive" for atheroma development.

The sebaceous glands of the labia are called free, separate, they are smaller than the classical alveolar glands and have narrower outflow ducts. In addition, these glands are characterized by increased production of the sebaceous secretion, which becomes the contents of the cyst and often clogs the outflow opening.

Atrophy of the labia in 90% is defined as retentional, it contains a characteristic composition of exudate - dentrites, consisting of fatty, epithelial and keratinized epidermal cells. Cysts of the labia may reach large sizes due to a mechanical, traumatic factor - wearing of clothes, sexually contacts.

Subcutaneous cysts in this area are prone to inflammation and suppuration, often at risk of secondary infection. Therefore, if any untypical compaction occurs on the labia, a woman should consult a gynecologist for examination and diagnosis.

Differential diagnosis of atheromas of BPH (large labia) and PGM (small labia) is performed with such similar in clinical manifestations diseases:

• Fibroma.
• Myoma.
• Mixom.
• Lipoma.
• Papilloma.
• Hemangioma.
• Hygroma.
• Lymphangioma.
• Hydrogenoma.

The atheromas of the labia are treated only surgically, the purulent cyst is opened, drained, then totally excised to avoid relapses.

[13], [14], [15], [16], [17]

Atheroma of the perineum

Atheroma is most often formed in the sebaceous glands associated with the hair follicle, the follicle. Therefore, any hairy part of the body is a potentially dangerous zone for the development of retention benign cysts.

Atheroma of the perineum is due to the fact that the skin in this area is very vulnerable and is often involved in the process of hypersecretion of the sebaceous glands. The perineum requires careful care in a hygienic sense, since any contamination, irritation, rash, damage to the skin is fraught with secondary infection and the development of inflamed purulent cysts of the sebaceous glands.

Subcutaneous neoplasm of the perineum is characterized by small dimensions, most often they are multiple, located throughout the vulva. Clinical manifestations of atheros are not specific, they may look like small pimples, whiteheads. The more symptomatic symptoms characteristic of inflamed cysts, which rapidly increase in size, are inflamed and cause pain. Such atheromas are prone to spontaneous dissection and ulceration. Untimely diagnosis and lack of adequate therapy leads to a recurrence of the process, the formation of extensive abscesses.

Diagnosis of perineal atheroma is carried out by examining the gynecological chair, taking a smear, less often a biopsy is required. Removal of multiple atheroma of the vulva is possible with the help of non-surgical laser, radio wave methods, single cysts measuring more than 1 centimeter are removed by surgery with the help of total excision within healthy, intact tissues.

Atheroma of the vulva is operated at any stage of development, removal of the cyst is considered to be the only reliable and effective way to get rid of this neoplasm.

[18], [19], [20],