Excision of a Ganglion Cyst from Distal Middle Finger Near Nail Bed
Arya Rao1; Sudhir B. Rao, MD2
1Harvard/MIT MD-PhD Program
2Munson Healthcare Cadillac Hospital
Ganglion cysts (GCs) are common benign soft tissue tumors that when presenting near the nail bed of digits, are specifically termed digital mucous cysts (DMCs). The surgical excision of GCs near the nail bed requires precise technique and a thorough understanding of the anatomical relationships to prevent recurrence and minimize complications. This case report describes the surgical management of a GC located on the distal phalanx of the middle finger near the nail bed. The procedure demonstrates several key principles that are essential for successful outcomes, including the necessity of complete cyst excision to prevent recurrence, the importance of careful dissection near the germinal matrix to prevent permanent nail deformity, the value of a bloodless surgical field in maintaining precise visualization, and the significance of proper wound closure technique in ensuring optimal aesthetic and functional outcomes.
Aspiration of Ganglion Cyst on Right Wrist
Jonathan E. Sledd1; Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES2
1Edward Via College of Osteopathic Medicine – Auburn Campus
2Philippine Children’s Medical Center
Ganglion cysts are sacs containing a gel-like fluid that can form over tendons and joints. They are commonly seen as visible lumps on the hand and back of the wrist. Ganglion cysts are not cancerous, and most are asymptomatic. But if a cyst puts pressure on a nerve, it can cause pain, tingling, and muscle weakness. Initial treatment of a ganglion cyst is not surgical. Observation may be recommended because half of ganglion cysts may disappear over time. Activity often causes the cyst to increase in size, and thus immobilization may be an option. If a ganglion cyst causes pain and limits activities, aspiration of the fluid may decrease pressure and relieve pain. Surgical excision may also be recommended if symptoms are not relieved or if the cyst recurs. This article presents the case of a 51-year-old female who had a ganglion cyst on her right wrist. Treatment options were presented to the patient, and she opted to undergo aspiration over excision.
Pediatric Surgical Treatment of a Wrist Ganglion Cyst in a Resource-Limited Setting
Jonathan Sledd1; Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES2
1Edward Via College of Osteopathic Medicine
2Philippine Children’s Medical Center
Ganglion cysts are benign, mucinous-filled swellings that overly tendons and joints. They are the most common soft tissue mass found in the hand and wrist but also commonly encountered in the knee and foot. Presenting as a palpable knot, the cyst is asymptomatic until it impinges on local neurovasculature causing pain, numbness, tingling, and/or motor deficits. Pediatric ganglion cysts have different epidemiological characteristics than adults, with the majority found on the volar aspect on the wrist.
Treatment of ganglion cysts is most often observation due to the 50% chance of resolution over time. Activity causes the cyst to increase in size, and thus more aggressive treatment is often desirable. If the cyst recurs or symptoms are not relieved with observation alone, a more aggressive treatment such as surgical excision is often desirable. This article presents a female pediatric patient undergoing surgical excision of a large ganglion cyst on the dorsum of her right wrist. With the treatment options explained to her, she chose excision for the lower rate of recurrence.
Aspiration of Ganglion Cyst on Right Wrist
Romblon Provincial Hospital
Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
World Surgical Foundation, Philippines
Training Officer of the Division of Pediatric Surgery
Philippine Children’s Medical Center
This case centers around a 51-year-old female with a ganglion cyst on her right wrist. Here, Dr. Lester Suntay performs an aspiration of the cyst while on a surgical mission with the World Surgical Foundation.
Pediatric Excision of Ganglion Cyst from Right Wrist
Romblon Provincial Hospital
Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
World Surgical Foundation, Philippines
Training Officer of the Division of Pediatric Surgery
Philippine Children’s Medical Center
In this case, Dr. Lester Suntay excises a ganglion cyst from the right wrist of a pediatric patient while on a surgical mission with the World Surgical Foundation.
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