[메디컬투데이=최민석 기자] What are the similar but different types of milia and ductal tumors? What are the grains that appear like grains or millet around the eyes? It is not painful or fatal, but even though it is small, it is noticeable and causes constant concern. In cases like this, it is best to visit a dermatologist and receive an accurate diagnosis.
It is often considered a skin problem and people squeeze it out by hand or self-extrude it, but this is absolutely prohibited. Treatment may become difficult as the lesion worsens due to secondary infection or skin tissue adhesion. In particular, if it is a vascular tumor, you need to be more careful because the lesion is prone to enlarging or spreading to surrounding areas.
Milia and duct tumors are benign tumors that occur on the skin. Both are only cosmetic problems and do not affect life. At first, they appear similar and may blend in around the eyes. However, since the cause of occurrence and tissue characteristics are different, the treatment is also different, so distinction is necessary.
Milia are cysts filled with dead skin cells just below the epidermis, and they commonly occur around the eyes or on the cheeks. The pathogenesis is not clear, but congenital factors or skin damage are the main causes. If your skin is dry or you rub it frequently, it may appear easily and the area may expand. Even if sebum secretion or blood circulation is poor due to allergic dermatitis, etc., you are vulnerable to milia.
Treatment usually involves relatively simple removal by burning with a laser or extruding an instrument. To prevent or prevent recurrence, sebum secretion must be minimized, so avoid oily cosmetics and pay attention to washing your face to avoid leaving any residue. It is also helpful to apply moisturizer and sunscreen from time to time to prevent your skin from drying out.
In contrast, angioma is a benign tumor that is largely influenced by family history. It is caused by an abnormality in the epocrine sweat glands, causing the sweat passages to proliferate abnormally. It mainly occurs in women after puberty and has a strong tendency to be inherited even if only one parent has it. Compared to milia, the boundaries of the papules are unclear and their sizes vary.
Additionally, it is difficult to treat at once as it is located in the dermis layer, which is deeper than the epidermis, and is prone to recurrence. If left untreated, the number increases and spreads easily when stimulated by rubbing with hands, so it is best to treat it at an early stage.
The treatment of vascular tumors mainly uses Co2 laser or erbium laser. Since deep cutting of a large area can leave scars, the process of destroying the tissue is repeated several times by making several small holes of about 1mm as deep as drilling. Methods are mainly used to minimize scarring and increase treatment effectiveness.
At the same time, the treatment effect can be further improved by using an electric acupuncture needle to deliver high frequency waves to the sweat glands causing the hangiomas.
Director Shim Hyun-soo of Beautiful Dermatology Clinic in Busan said, “The key to treating vascular tumor is to minimize damage to the skin surface and cleanly remove the root of the sweat gland that is causing it. Therefore, it is more advantageous to receive treatment from a dermatologist with clinical know-how and expertise,” he advised.
[ⓒ 메디컬투데이. 무단전재-재배포 금지]
2023-11-30 06:09:49
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