The Fordyce dots (also called Fordyce granules ) are the visible sebaceous glands present in most individuals. They appear in the genitals and/or in the face and in the mouth. They appear as small, painless, arising, pale, red or white spots or lumps of 1 to 3 mm in diameter that may appear in the scrotum, penis or in the labia, as well as the inner surface (retromolar mucosa) and lip vermilion boundaries face. They are not associated with any disease or disease, they are not infectious but they represent natural events in the body. Therefore no treatment is required, unless the individual has a cosmetic problem. People with this condition sometimes consult a dermatologist because they fear they may have sexually transmitted diseases (especially genital warts) or some form of cancer.
Video Fordyce spots
Classification
Sebaceous glands are the normal structure of the skin but can also be found ectopic in the mouth, where they are referred to as Oral Fordyce details or sebaceous ectopic glands. On their foreskin called Tyson glands, do not be confused with glandular corona glands.
When they appear on the penis, they are also called sebaceous penis glands .
When viewed as individual glandular lines along the interface between the lip skin and the vermilion border, the term Fox-Fordyce disease and Fordyce's condition have been used.
Maps Fordyce spots
Description
On the shaft of the penis, Fordyce points are more visible when the skin is stretched, and may only be seen during erections. Spots can also appear on the skin of the scrotum.
Oral Fordyce granules appear as grain like rice, white or yellow-white. They are painless papules (small bulges), about 1-3 mm in the largest dimension. The most common sites are along the line between the vermilion and upper lip borders, or on the buccal mucosa (inside the cheeks) in the commissure area, often bilaterally. They can also occur on the retromolar pad of the mandible and tonsillar region, but any surface of the mouth may be involved. No mucosal changes around it. Some patients will have hundreds of grains while most have only one or two.
Occasionally, some adjacent glands will merge into clusters such as larger cauliflower similar to sebaceous skin hyperplasia. In such circumstances, it may be difficult to determine whether or not to diagnose lesions as sebaceous hyperplasia or sebaceous adenomas. The difference may be moot because both entities have the same treatment, although adenomas have greater growth potential. Sebaceous carcinoma of the oral cavity has been reported, probably arising from Fordyce granules or the hyperplastic focus of the sebaceous glands.
In some people with Fordyce spots, the gland expresses a vaginal discharge, calculating as it is squeezed.
Cause
Typically, sebaceous glands are only found in association with hair follicles.
They appear more pronounced in people with oily skin types, with some rheumatic disorders, and in hereditary nonpolyposis colorectal cancer. In the latter, the most common sites for Fordyce spots are lower gingiva (gums) and vestibular mucosa.
Diagnosis
A large number of lobules combine to form a clear mass can be called benign sebaceous hyperplasia, and occasionally small pseudocysts containing keratin may be seen and should be distinguished from epidermoid cysts or dermoid cysts with adnexa sebaceous. Pathologists should be careful to distinguish the lesions from salivary neoplasms with sebaceous cells, such as sebaceous lymphadenoma and their sebaceous and malignant sebaceous sebaceous lymphadenocarcinoma and sebaceous carcinoma.
Oral Fordyce granules are usually not biopsied because they are easily diagnosed clinically, but they are often seen as incidental findings of mucosal biopsy of the buccal, labial and retromolar mucosa. Granules resemble normal skin sebaceous glands but lack hair follicles and almost always have no ductal communication with the surface. This gland is located just below the epithelium above it and often produces local elevation of the epithelium. Large individual sebaceous cells, with a central dark core and abundant cytoplasmic foam
Treatment
Most doctors regard this as a normal physiological phenomenon and suggest that it is not treated.
Prognosis
The dots of Fordyce are really tame and do not require maintenance. Often their presence is considered a normal anatomical variant rather than a true medical condition.
Epidemiology
This variation in normal anatomy is seen in the majority of adults. It is estimated that about 80% of people have oral Fordyce dots, but rarely found large amounts of granules. They are usually not seen in children, and tend to appear around age 3, then increase during puberty and become more pronounced in adulthood. They are more prominent in men.
History
They were named after the American dermatologist John Addison Fordyce.
References
External links
- DermAtlas: Fordyce Dots
- Fordyce Places
Source of the article : Wikipedia
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