A study of epidermal and dermal tumors over face in ageing skin

Abstract

Ageing is a complex process that has been defined as the accumulation of molecular damage over time. signs of ageing skin are atrophy, laxity, wrinkling, sagging, dryness, yellowness, a multiplicity of pigmented and other blemishes and sparse grey hair. More than 90% of age-associated cosmetic problems are caused by ultraviolet (UV) radiation on exposed skin, which damages telomeres, generates free-radicals and whose effects are largely proportionate to skin type. Skin tumours develop as a result of proliferation of a single or multile components of the skin. Skin tumours are a challenging group of conditions that can be categorized into epidermal and dermal tumors depends on their origin. skin tumours in ageing skin are challenging because of wide variatios in cliical presentations, the occurence, behaviour and variety of the epidermal and dermal tumours makes it worthwhile to study this topic. The aim of this study was to study the clinical features and epidemiology of epidermal and dermal tumours of skin over face in ageing. fifty patients with Epidermal and Dermal skin tumors over face in ageing skin attending the opd of department of dermatology.The highet age prevalances was in 5th decade (50%), The female: male ratio was 1.2: 1. The commonest skin tumours recorded were epidermal tumours (74%), followed by dermal tumors (26%). Commonest among Epidermal tumours were seborrheic keratosis – 28 cases (75.07%), were firm in consistency in 30 cases (81.08%), cystic in 04 cases (10.81), soft in 03 cases (8.1 %). Among Commonest among dermal tumors were compound nevus – 5 cases (38.46%), Among dermal tumors, 06 cases were biopsied.clinical diagnosis concordance with histopatholgical diagnosis was seen in 04 cases (66.66%). Discordance seen in 02 cases (33.33%), clinically suspected as sebaceoma and dermal nevus turned out to be dermal nevus and dermatofibroma histopathologically.