Understanding Superfascial Lumps: Diagnosis and Classification

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This comprehensive content provides insights into the identification, examination, and classification of superflacial lumps. It covers the history, examination procedures, classification (congenital and acquired), skin anatomy, scar formation (hypertrophic and keloid), along with detailed descriptions and images of various conditions related to superficial lumps.

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SUPERFASCIAL LUMPS Tariq Altokhais Associate Professor Consultant, Pediatric Surgeon Department of Surgery

History of a lump or an ulcer History of a lump or an ulcer Duration (when was the first time noticed) First symptom (how the patient noticed it) Other symptoms Progression (change since notice) Persistence (has it ever disappear or healed) Any other lumps or ulcers Cause

Examination of a lump Examination of a lump Inspection: Shape Site Color Size Palpation: Temperature Tenderness Surface Edges Consistency Mobility Pulsation Compressibility Fluctuation Transillumination

Classification Classification Congenital Acquired: Infection Trauma Cystic Solid

Skin anatomy Skin anatomy Image result for skin Epidermis: openings of glands Papillary dermis: basal cell layer Dermis : contains sweat & sebaceous glands

Image result for hypertrophic scar Image result for hypertrophic scar

Scar Scar Fibrous tissue proliferation following : . Trauma . Surgery . Infection It is usually flat.

Hyper trophic scar Hyper trophic scar Excessive fibrous tissue in a scar Image result for hypertrophic scar . confined to the scar . no neovascularization .wound infection is an important factor .clinically it is a raised , non tender swelling with no itching .it may regress gradually in six months . does not usually recur after excision

Keloid Keloid Excessive fibrous and collagen tissue with neovascular proliferation in a scar. usually extends beyond the original scar keloid scar

Haemangioma Haemangioma

Papilloma Papilloma

Sebaceous Cyst Sebaceous Cyst

Dermoid Dermoid Clinical features: Painless, spherical,cystic mass. Appears in childhood or adults. Smooth surface. Not attached to skin No punctum Not compressible Trans-illumination test - ve .