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Ganglion cysts have been found to recur following surgery in 12% [29] to 41% [30] of patients. A six-year outcome study of the treatment of ganglion cysts on the dorsal wrist compared excision, aspiration, and no treatment. Neither excision nor aspiration provided long-term benefit better than no treatment.
The removal of a ganglion cyst usually requires a ganglionectomy. Such cysts usually form on the hand, foot or wrist and may cause pain or impair body function. Aspiration of the cyst and steroid injections are typically performed first. If they fail, the cyst is excised under local, regional or even general anesthetic.
Ulnar tunnel syndrome is usually caused by a ganglion cyst pressing on the ulnar nerve, other causes include traumas to the wrist and repetitive movements, but often the cause is unknown (idiopathic). [2] Long distance bicycle rides are associated with transient alterations in ulnar nerve function. [3]
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A lipoma is a benign tumor made of fat tissue. [1] They are generally soft to the touch, movable, and painless. [1] They usually occur just under the skin, but occasionally may be deeper. [1]
The cysts contain a jelly like substance and usually do disappear on their own. If the ganglion cyst is not bothersome, it should be left alone. Just removing the fluid from the cyst is not curative because fluid will come back in less than a week. Surgery is often done for large cysts but the results are poor.
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