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Cureus May 2020Ganglion cysts are benign cystic lesions that are lined by a synovium and are filled with a gelatinous mucoid material. Ganglion cysts are most commonly located in the...
Ganglion cysts are benign cystic lesions that are lined by a synovium and are filled with a gelatinous mucoid material. Ganglion cysts are most commonly located in the hand and the wrist. We present a rare case report of a 45-year-old male with a recurrent intramuscular ganglion cyst in the peroneus longus for two years. The patient underwent drainage one year back, but the swelling recurred one month after surgery. Magnetic resonance imaging showed a delineated, round, lobulated fluid collection consistent with the appearance of a ganglion cyst that was present within the proximal part of peroneus longus. Surgical exploration revealed an encapsulated mass present within the peroneus longus muscle belly. The complete excision of the ganglion cyst was performed, and the diagnosis was confirmed by histology. Postoperatively, at a two-month and six-month follow-up, he was completely asymptomatic with no recurrence and a normal neurological function. Ganglion, which arises from the peroneus longus muscle or tendon, presents with swelling over the lateral aspect of leg due to compression of the common peroneal nerve. Careful preservation of the nerve with complete ganglion excision gives excellent results.
PubMed: 32523829
DOI: 10.7759/cureus.7972 -
Journal of the American Board of Family... Dec 2022Primary care physicians encounter many patients who present with lumps and bumps on their fingers, hands, and wrists. Some benign lesions including ganglion cysts,...
BACKGROUND
Primary care physicians encounter many patients who present with lumps and bumps on their fingers, hands, and wrists. Some benign lesions including ganglion cysts, epidermal inclusion cysts, and giant cell tumors of the tendon sheath that are benign and can be managed by primary care clinicians most of the time in an outpatient setting.
METHODS
We conducted a narrative of review of literature on the clinical presentation, diagnosis, prognosis, and management of common types of lumps and bumps found on the fingers, hand, and wrist.
CONCLUSIONS
Based on the literature review and our clinical practice, we provide indications for referral to plastic surgeons or other specialists for these lesions.
Topics: Humans; Wrist; Dupuytren Contracture; Hand
PubMed: 36564195
DOI: 10.3122/jabfm.2022.220028R2 -
Plastic and Reconstructive Surgery.... Feb 2021Intraneural ganglion cysts are nonneoplastic mucinous cysts that form by the accumulation of thick mucinous fluid in the epineurium of peripheral nerves. Symptoms arise...
UNLABELLED
Intraneural ganglion cysts are nonneoplastic mucinous cysts that form by the accumulation of thick mucinous fluid in the epineurium of peripheral nerves. Symptoms arise from mechanical compression of adjacent nerve fascicles from the intraneural ganglion cyst, and include local or radiating pain, paresthesias, weakness, and muscle atrophy.
METHODS
Retrospective review of three cases of symptomatic intraneural ganglion cysts affecting the upper and lower extremity.
RESULTS
In our cases, the intraneural ganglion cysts were completely decompressed with resection of the articular branches, leading to improvement in the patient's symptoms.
CONCLUSIONS
Treatment of intraneural ganglion cysts requires an understanding of the underlying anatomy and pathophysiology; accurate early diagnosis is important and can lead to timely treatment and better outcomes.
PubMed: 33680635
DOI: 10.1097/GOX.0000000000003339 -
Neurologia Medico-chirurgica 2013A 69-year-old man presented with progressive paralysis of the right arm and leg with a past history of metastatic rectal cancer. Magnetic resonance imaging showed a...
A 69-year-old man presented with progressive paralysis of the right arm and leg with a past history of metastatic rectal cancer. Magnetic resonance imaging showed a cystic mass lesion posterior to the odontoid process. Under a preoperative diagnosis of intradural extramedullary tumor, partial transcondylectomy and C1 hemilaminectomy were performed, and the cyst was removed through a transdural approach, decompressing the medulla oblongata and the cervical spinal cord. The histological diagnosis was juxtafacet cyst (ganglion cyst). An atlantoaxial intraspinal juxtafacet cyst at the level of the odontoid process is extremely rare. In our case, the cyst was removed using a posterior approach, resulting in rapid improvement in symptoms.
Topics: Aged; Atlanto-Axial Joint; Central Nervous System Cysts; Decompression, Surgical; Diagnosis, Differential; Ganglion Cysts; Humans; Laminectomy; Magnetic Resonance Imaging; Male; Neurologic Examination; Odontoid Process; Synovial Cyst; Zygapophyseal Joint
PubMed: 23438667
DOI: 10.2176/nmc.53.125 -
Cureus Jul 2021Ganglion cysts usually occur around the wrist. Occasionally, they can also occur around the shoulder in the spinoglenoid and suprascapular notches. Rarely they can be...
Ganglion cysts usually occur around the wrist. Occasionally, they can also occur around the shoulder in the spinoglenoid and suprascapular notches. Rarely they can be found on the long head of biceps as it traverses the glenohumeral joint. Such lesions are usually diagnosed on MRI and might need minor surgery. We present the case of a young athlete with a rare location of ganglion cyst, successfully diagnosed and managed non-invasively by using sonography. This represents a time and cost-conscious approach as compared to traditional methods.
PubMed: 34422483
DOI: 10.7759/cureus.16453 -
Vascular Specialist International Jun 2020Adventitial cystic disease (ACD) is a very rare condition characterized by the accumulation of a cyst filled with gelatinous substance in the adventitia of a vessel... (Review)
Review
Adventitial cystic disease (ACD) is a very rare condition characterized by the accumulation of a cyst filled with gelatinous substance in the adventitia of a vessel adjacent to the joint area. The cyst usually compresses the vessel lumen, causing claudication or leg swelling. The disease usually affects the popliteal artery. However, several cases of venous ACDs particularly in the common femoral or external iliac vein have been reported. The definition, diagnosis, and optimal treatment of ACD remain controversial because of its rarity and the inconsistent use of terminology. The heterogeneity of the reported cases is more prominent in venous ACD. Herein, the accurate terminology of cysts correlated to the joint (synovial cyst, ganglion cyst, and adventitial cyst) and the pathogenesis, anatomy, and optimal therapy of venous ACD are discussed in detail to establish reporting standards for future studies.
PubMed: 32611837
DOI: 10.5758/vsi.200029 -
Frontiers in Surgery 2022To investigate the application and the clinical efficacy of wrist arthroscopy in the treatment of carpal intraosseous ganglion cysts (IGCs).
OBJECTIVE
To investigate the application and the clinical efficacy of wrist arthroscopy in the treatment of carpal intraosseous ganglion cysts (IGCs).
METHODS
A retrospective case study method was adopted to analyze the clinical data of 28 patients with carpal IGCs admitted to the Sixth Hospital of Ningbo from April 2012 to January 2019. A hypodensity in the bone was shown by X-ray before the operation, with hypodensity and cystic change in the bone being confirmed by computed tomography and magnetic resonance imaging. Arthroscopic open window of the wrist, cystectomy, and autologous iliac bone graft implantation were conducted. Regular postoperative X-ray combined with CT follow-ups were conducted to observe the healing after bone implantation. Patients were followed up regularly and assessed by the Modified Mayo Wrist Score in four aspects of the postoperative pain, wrist mobility, grip, and function to provide an objective overall assessment of the therapeutic outcome.
RESULTS
All 28 patients were followed up for 8-16 months, with an average follow-up duration of 10 months. After the operation, pain disappeared completely for 25 patients, and 3 cases showed significant improvement. All cases were pathologically confirmed as ganglion cysts and had first-stage bony healing after bone grafting with an average healing time of 10.8 weeks. The grip returned to normal for all patients, and wrist flexion and extension were the same as the healthy wrist for 25 patients, with a Modified Mayo Wrist Score of excellent in 19 cases and good in 9 cases. No recurrence was observed.
CONCLUSION
In patients with symptomatic carpal IGCs, the application of arthroscopic open window, cystectomy, and autologous bone graft implantation could achieve satisfactory clinical therapeutic effects.
PubMed: 35747440
DOI: 10.3389/fsurg.2022.798432 -
Journal of Surgical Case Reports May 2023Glomus tumors are uncommon, benign lesions commonly located on the digits of the hands and are diagnostically challenging. This is because hemangiomas or ganglion cysts...
Glomus tumors are uncommon, benign lesions commonly located on the digits of the hands and are diagnostically challenging. This is because hemangiomas or ganglion cysts are more commonly identified in those locations. Our case report underlines the diagnostic challenge of a glomus tumor and the importance of immunohistochemical staining.
PubMed: 37261272
DOI: 10.1093/jscr/rjad307 -
Orthopaedics & Traumatology, Surgery &... Apr 2016Sciatica can occur due to a spinal lesion, intrapelvic tumor, diabetic neuropathy, and rarely piriformis syndrome. The causes of piriformis syndrome vary by a...
UNLABELLED
Sciatica can occur due to a spinal lesion, intrapelvic tumor, diabetic neuropathy, and rarely piriformis syndrome. The causes of piriformis syndrome vary by a space-occupying lesion. A ganglionic cyst can occur in various lesions in the body but seldom around the hip joint. In addition, sciatica due to a ganglionic cyst around the hip joint has been reported in one patient in Korea who underwent surgical treatment. We experienced two cases of sciatica from a piriformis ganglionic cyst and we report the clinical characterics and progress after non-operative treatment by ultrasonography-guided aspiration. The two cases were diagnosed by magnetic resonance imaging and were treated by ultrasonography-guided aspiration. We followed the patients for more than 6months. The symptoms of piriformis syndrome from the ganglion improved following aspiration and this conservative treatment is a treatment method that can be used without extensive incision or cyst excision.
LEVEL OF EVIDENCE
Level IV historical case.
Topics: Adult; Female; Ganglion Cysts; Humans; Magnetic Resonance Imaging; Male; Piriformis Muscle Syndrome; Sciatica
PubMed: 26969206
DOI: 10.1016/j.otsr.2015.11.018 -
Skin Appendage Disorders Aug 2023Subungual myxoid cysts and subungual glomus tumors demonstrate characteristic features on magnetic resonance imaging (MRI) and ultrasound (US). It is not yet...
INTRODUCTION
Subungual myxoid cysts and subungual glomus tumors demonstrate characteristic features on magnetic resonance imaging (MRI) and ultrasound (US). It is not yet well-established whether US is congruent to MRI in diagnostic evaluation of these subungual lesions.
METHODS
Participants with clinical suspicion for subungual glomus tumors or subungual myxoid cysts were recruited. After clinical evaluation, participants underwent radiography, MRI, and US plus biopsy, aspiration, or excision where possible. Differential diagnoses were revised after review of imaging, and imaging findings were compared to definitive diagnosis by pathology, aspiration, or clinical course.
RESULTS
All lesions were visible on both US and MRI and size estimates agreed between the two modalities. US and MRI findings of subungual glomus tumors and subungual myxoid cysts agreed with their known respective imaging characteristics.
CONCLUSIONS
Diagnosis of subungual myxoid cysts and subungual glomus tumors agreed between US and MRI. We provide sample MRI and US imaging parameters for optimal evaluation of subungual myxoid cysts and glomus tumors. We demonstrate that subungual MRI evaluation can be performed without special equipment, allowing for evaluation by most radiology departments. Lastly, US is user-dependent and may be non-inferior for a sonographer familiar with subungual US.
PubMed: 37564693
DOI: 10.1159/000530397