Recurrence of Ganglion Cysts Following Re-excision | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 5، دوره 9، شماره 4، مهر و آبان 2021، صفحه 387-390 اصل مقاله (342.18 K) | ||
| نوع مقاله: RESEARCH PAPER | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2020.34661.1958 | ||
| نویسندگان | ||
| Jack G. Graham* 1؛ Lindsay McAlpine2؛ Juana Medina3؛ Priscilla A. Jawahier4؛ Pedro K. Beredjiklian1؛ Michael Rivlin1 | ||
| 1Department of Orthopedic Surgery, The Rothman Institute, Sidney Kimmel Medical College, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA, USA | ||
| 2Department of Neurology, Yale School of Medicine, 333 Cedar Street, New Haven, CT 06510, USA | ||
| 3Unidad Ortopédica de Colombia, Bogota, Colombia | ||
| 4Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands | ||
| چکیده | ||
| Background: The recurrence of ganglion cysts after surgical excision has a reported rate of 4% to 40%. Recurrence rate after revision surgical excision is unknown. The purpose of this study was to define the incidence of recurrent ganglion cysts in patients who underwent a secondary excision procedure. Methods: With Institutional Review Board approval, we retrospectively identified by CPT code and reviewed charts of patients who had recurrent ganglion cyst excision performed over a five-year period (2010 – 2014). Recurrence was defined as reappearance of a cyst in the same area as it was previously. Demographic information including recurrences and revision surgeries was collected in addition to outcome variables such as patient satisfaction, pain levels, and functional limitations. Results: Out of the 42 revision cases identified 20 patients were reached. Mean time to recurrence of the cyst after the first ganglion cyst excision was 2.5 years (range: 1 month - 12 years). After the second ganglion cyst excision, three patients (15%) had a recurrence, each occurring within one year (mean: 11 months; range: 9-12). One of the three patients underwent a third successful ganglion cyst excision. The other two patients declined surgical intervention to date. Patients without a second recurrence (n=17) reported an average pain score of 0.1 (range: 0-2) on a scale of 1-10. Three (18%) reported some difficulty with day-to-day activities due to their scar. Seven (41%) patients reported at least transient numbness or tingling. Mean satisfaction was 9.8 on a scale of 1-10, and 100% reported that they would undergo another ganglion cyst excision should they ever have another recurrence. Conclusion: Patients should be advised about the risk of recurrence after re-excision of ganglion cysts, which was noted to be 15% in our cohort. This rate of recurrence is similar to that of primarily excised cysts. Level of evidence: III | ||
| کلیدواژهها | ||
| Ganglion cyst؛ Recurrence؛ Surgical excision؛ Wrist surgery | ||
| مراجع | ||
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