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SWELLINGS
DIAGNOSIS
• Plane of swelling
• Cause – Congenital
Traumatic
Inflammatory
neoplastic
Congenital
• Dermoid cyst
• Hemangioma
• Dermoid
Sequestration dermoid
Tubulo dermoid
Teratomatous dermoid
Implantation dermoid
Hemangioma
• Capillary hemangioma
• Cavernous hemangioma
• Plexiform/ circoid hemangioma
Capillary hemangioma
Bright red or purple
Generally flat, may be raised
Compressible
6 varieties
Port wine stain
Diffuse telangectasia with practically no
swelling
Salmon patch
Present since birth
Forehead/occiput
Disappears before first birthday
Spider nevus
Central red spot with numerus radiating
blood vessels
Vin Rose patch
Mild dilatation of intradermal subpapillary
plexus giving pale pink color to skin
Campbell de morgan
spot
Bright red spot
1-3mm
Not totally compressible
Strawberry angioma
Sessile lobulated
circumscribed
Cavernous hemangioma
Cavernous
hemangioma
Bigger hemangioma
Soft, spongy, bluish
Dilated spaces containing blood
Compressible
Surface/visceral
• Plexiform hemangioma
• Congenital AV fistula
• Glomus tumor – AV communication surrounded by smooth muscle
cells and glomus cells
Traumatic
• Hematoma
• Fracture
Inflammatory
• Erysepelas
• Cellulitis
• Abscess
• Furuncle
• Carbuncle
Abscess
• Pyogenic
• Pyaemic
• Cold abscess
Neoplastic
• Benign and malignant
Benign
Papilloma
Simple overgrowth of all layers of skin
Central axis
fibroma
Mostly combined with other mesodermal
tissue
Painless, firm, circumscribed
Hard/soft
Lipoma
Universal tumor
Fat cells overactive and distended with fat
Encapsulated/diffuse/multiple
Soft
Slip sign
Semifluctant
Dimpling in skin on movement
Neurofibroma
Local – slightly painful, firm and smooth
Generalised
Lymphangioma
Lymphangioma
Capillary lymphangioma
0.5 to 4mm
Soft and spongy
Not compressible
Margins indistinct
Cavernous
lymphangioma
Bigger
Deeper
Soft and lobulated
Fluctuant, brilliantly transilluminant
Cystic hygroma
Most common form
Majority posterior triangle of neck
Sebaceous cyst
Blockage of sebaceous duct
Fixed to skin
Sometimes punctum not visible
Margin yield
Fluctuation present
condyloma
Hypertrophy of epidermis occurring at
mucocutaneous junction
Fungating, sessile
Moist surface
Warts
Patches of overgrown skin with keratosis
Keloid and
hypertrophic scar
Callosity and corn
Callous- raised thickened patch of
hyperkeratosis
Corn- circumscribed horny thickening
palpable as a nodule
Pyogenic granuloma
Dark red, firm small nodule
1-2cm
Overgrowth of granulation tissue
Bleeds easily
Not painful
Thank you

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SWELLINGS.pptx