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[P528] A case of digital mucous cyst treated by surgical ligation with use of methylene blue dye
( Seung Gi Hong ),( Sung Eun Song ),( Sun Young Jo ),( Eun Phil Heo ),( Ki Woong Rho ) 대한피부과학회 2017 대한피부과학회 학술발표대회집 Vol.69 No.1
Digital mucous cyst (DMC) is relatively common, benign pseudocysts of the digits typically located at the distal interphalangeal joint (DIPJ) or in the proximal nail fold caused by leakage of fluid from the joint into the surrounding tissues. DMCs present as solitary, and round to oval cystic nodular lesion on the digits of the hand. Various modalities such as aspiration of cyst, cryosurgery, CO2 laser therapy, surgical excision and surgical ligation are applied to treat DMC. Among them, surgical ligation is considered a effective therapy of DMCs because of its high cure rate. It is important to identify the site of the communication between the DIPJ and the cyst. Injection of methylene blue into the DIPJ is helpful to identify the site. This case is about 47-year-old female patient who had been diagnosed as DMC and underwent cryotherapy at 2 years before visiting our clinic. However, DMC was not cured, and she visited our hospital. We attempted to treat cysts by sealing the leakage point. Methylene blue dye is first injected into the DIPJ. Then, a skin flap is raised around the cyst to find the area of dye-filled communication between the joint space and the cyst. This communication is then sutured and the flap is dropped back into place without tissue resection. Methylene blue injection is a convenient method for the complete removal of highly relapsing DMC.
Unusual localization of digit mucous cyst: fingertip
( Sin Wook Chun ),( Hyun Ok Son ),( Suk Young Lee ),( Jong Baik Kim ),( Han Gyu Choi ),( Han Kyoung Cho ),( Byung In Ro ) 대한피부과학회 2015 대한피부과학회 학술발표대회집 Vol.67 No.1
Digit Mucous Cyst(DMC) is a common condition that is clinically characterized by a round to oval, translucent, smooth nodule. Etiologically, the cyst might rise de novo by fibroblast overproduction of hyaluronic acid. The buildup of mucopolysaccharides pushes the collagen of the dermis upward, forming a pseudocyst. Such pathogenesis is independent from adjacent joint and is considered as a focal cutaneous mucinosis. In addition, a direct connection from an osteoarthritic joint might allow joint fluid to escape and form a mucous cyst. DMC typically involves the lateral or dorsal surfaces of the distal interphalangeal joint or over the proximal nail fold. It is occasionally painful and uncomfortable. Histologically, they are more accurately classified as pseudocysts because there is no epithelial lining of the spaces. Within the stroma, multiple small, cleft-like spaces with a tendency for liquefaction and cavity formation coalesce to form large cystic spaces containing mucin. A 57-year-old male, construction worker patient had a hyperkeratotic corn-like nodule over the tip of his right middle finger for 1 year. Tenderness of the nodule made the patient uncomfortable which eventually made the nodule removed. Shaving biopsy and curettage was performed and mucinous material was drained. Histological examination had revealed characteristic features of a mucinous cyst. Interestingly, the cyst was on the fingertip, a very unusual localization.
( Chul Woo Kim ),( Jae Won Ha ),( So Eun Park ),( Jin Yong Lee ),( Sang Seok Kim ) 대한피부과학회 2015 대한피부과학회 학술발표대회집 Vol.67 No.1
Digital mucous cysts (DMCs) are benign myxoid cysts typically involving the lateral or dorsal surfaces of the distal interphalangeal joint or over the proximal nail fold. Various therapeutic modalities have been used for the treatment of DMCs. They include surgery, puncture and drainage, cryotherapy, sclerotherapy, steroid injection, carbon dioxide laser, electrodessication and infrared coagulation. A 74-year-old Korean woman visited our clinic with a 2 year history of DMC on her right 4th finger. We decided to treat the lesion with 1% sodium tetradecyl sulfate (STS) intralesional injection (injection site to the distal end of the cyst). The lesion shrank slightly, but did not disappear at the 2-week follow-up visit, and we repeated the injection in the same way. But, even after 6 treatments, the cyst did not decrease remarkably. Therefore, we altered the injection site to the proximal end of the cyst at the 7th treatment. The lesion had disappeared almost completely with a superficial necrosis on the injection site after 2 weeks. Herein we describe a case of large, linear digital mucous cyst, which was resistant to repeated 1% STS injections at the distal end of the cyst, but responded to the injection at the proximal part.
Minocycline 경화 요법으로 치료한 Digital Mucous Cyst
심현수 ( Hyun Soo Shim ),최준희 ( Jun Hee Choi ),정윤 ( Yun Jeong ),이숙경 ( Sook Kyung Lee ) 대한피부과학회 2008 대한피부과학회지 Vol.46 No.1
Digital mucous cysts are observed frequently on the lateral or dorsal aspect of the digital fingers. Digital mucous cysts are prone to recur after simple excision, electrocoagulation, intralesional injection of corticosteroid and a variety of other therapeutic maneuvers. In thias report, we describe one patient with digital mucous cyst who was successfully treated with intralesional injection of 1 mg/ml of minocycline hydrochloride without any sequelae. (Korean J Dermatol 2008;46(1):83∼85)
Sodium Tetradecyl Sulfate 경화요법으로 치료한 점액수지낭종 3예
송희진 ( Hee Jin Song ),한성협 ( Sung Hyup Han ),변지원 ( Ji Won Byun ),홍원규 ( Won Kyu Hong ),이현숙 ( Hyeon Sook Lee ),신정현 ( Jeong Hyun Shin ),최광성 ( Gwang Seong Choi ) 대한피부과학회 2008 대한피부과학회지 Vol.46 No.9
A digital mucous cyst is a benign, non-inflammatory disease frequently observed on the dorsal aspect of the fingers and toes. Multiple punctures with extraction of the cyst contents and intralesional steroid injections are the suggested treatments. However, this approach has shown a high failure and recurrence rate. Cryotherapy has had a better success rate but it is a more painful procedure. Surgical excision of the communicating tract between the cyst and joint has been reported to have the highest cure rate but it requires highly skilled surgery, and the surgery has the risk of severe complications including contractures of the joints and acquired nail deformity. We report three patients with digital mucous cysts treated by sclerotherapy without complications. (Korean J Dermatol 2008;46(9):1249~1252)
윤태영(Tae Young Youn),박향준(Hyang Joon Park),은희철(Hee Chul Eun),이유신(Yoo Shin Lee) 대한피부과학회 1985 대한피부과학회지 Vol.23 No.3
We report a case of digital mucous cyst with longitudinal groovings of the nail distal to the cyst which was treated by multiple puncture method described by other authors. The digital mucous cyst was cured without any sequelae and no recurrence has developed within 2 years. Also the nail groovings returned to normal.
P164 : Treatment of digital mucous cysts by sodium tetradecyl sulfate sclerotherapy
( Chul Woo Kim ),( So Eun Park ),( Jin Yong Lee ),( Soo Jung Shin ),( Chang Sun Yoo ),( Sang Seok Kim ) 대한피부과학회 2013 대한피부과학회 학술발표대회집 Vol.65 No.2
Background: There are various treatment modalities for digital mucous cysts(DMCs), among which sclerotherapy has been reported as an effective alternative treatment. Here, we report our experience of intralesional sclerotherapy with sodium tetradecyl sulfate(STS) for treatment of DMCs. Objectives: The purpose of this study is to assess the efficacy and safety of sclerotherapy with STS in treating DMCs. Methods: We performed the treatment for 15 patients(2 patients with multiple lesions) with 18 DMCs.(one patient with 3 lesions and the other with 2 lesions). 1%-3% STS 0.2-0.5ml was injected into a lesion at each session, and repeated every 4 weeks if necessary. Changes in lesions and adverse reactions were recorded, and the therapeutic efficacy was evaluated. Results: The treatment was beneficial in 14(77.8%) of 18 lesions. Lesions exhibited complete resolution after a mean of 2.4 injections. Recurrences were observed in 2 patients(one patient in toe and the other in finger), and 2 patients(all in fingers) did not respond well to treatment. No patient reported any major adverse effects. However, 3 patients experienced transient pain and 5 patients experienced erosions and superficial skin necrosis at the injection site, which resolved within a few days. Conclusion: Based on the results of our study, treatment was well tolerated with few side effects, and resulted in high cure rate. Therefore, we believe that sclerotherapy with STS is a promising alternative treatment for DMCs.
Case Report : A Case of Herpetiform Appearance of Digital Mucous Cysts
( Jae Hur ),( Yong Seok Kim ),( Kwang Yeoll Yeo ),( Joung Soo Kim ),( Hee Joon Yu ) 대한피부과학회 2010 Annals of Dermatology Vol.22 No.2
A digital mucous cyst (DMC) is clinically characterized by a round to oval, translucent, smooth nodule localized to the dorsal aspect of the distal digits near the distal interphalangeal joint. It usually presents as a solitary lesion, and multiple lesions are uncommon. An 88-year-old man presented with herpetiform translucent papules on the right thumb. We first diagnosed the lesion Fig. 1. Several small, round to oval, shiny, dome-shaped, whitish papules presenting as herpetiform lesions on the right thumb.as molluscum contagiosum or herpetic whitlow. Histopathology showed a cystic space containing mucinous material and numerous fibroblasts surrounded by mucinous stroma in the upper dermis. The lining of the cyst wall was not apparent and mucinous material was stained with Alcian blue, indicating a diagnosis of DMC. (Ann Dermatol 22(2) 194~195, 2010)
P194 Clinical and dermoscopic features of digital mucous cyst
( Je Byeong Chae ),( Jungyoon Ohn ),( Je-ho Mun ) 대한피부과학회 2016 대한피부과학회 학술발표대회집 Vol.68 No.2
<div style="display:none">fiogf49gjkf0d</div><div style="display:none">fiogf49gjkf0d</div><div style="display:none">fiogf49gjkf0d</div><div style="display:none">fiogf49gjkf0d</div><div style="display:none">fiogf49gjkf0d</div><div style="display:none">fiogf49gjkf0d</div><div style="display:none">fiogf49gjkf0d</div> Background: Digital mucous cysts (DMCs) are benign myxoid cysts that typically located at the fingers. Recently, dermoscopy has been suggested to be useful in the diagnosis of DMCs. However, only small number of cases was reported in the literature to date. Objectives: To investigate the clinical and dermoscopic characteristics of DMC. Methods: We enrolled patients with histopathologically diagnosed DMCs at Seoul National University Hospital between January 2009 and August 2016. Demographic data and dermoscopic patterns were investigated. Results: In total, 27 cases of DMCs from 26 patients were evaluated. The mean age of patients was 61.4 years. The proportion of females was higher than that of males (F: M=18:9). Four patients (14.8%) reported subjective symptom such as pain and tenderness. Twenty cases (74.1%) were located on the fingers. In 12 cases, dermoscopic examination was performed. Vascular patterns were commonly observed in 7 cases (58.3%), with arborizing patterns in 4 cases (57.2%), followed by linear (14.3%), dotted (14.3%), and polymorphous vessels (14.3%), respectively. Nail dystrophy, white structures, and ulceration were detected in 3 (25%), 3 (25%), and 3 cases (25%), respectively. Conclusion: The clinical and demographic results of our data were similar to the previous literature. Dermoscopy can be a useful adjuvant tool in the diagnosis of DMCs.