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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.
Definitive treatment for ganglioglioma requires gross total surgical resection, and a good prognosis is generally expected when this is achieved. However, indistinct tumor margins and the desire to preserve normal spinal cord tissue, motor and sensory function may preclude complete resection of tumor.
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. Ganglionectomies are also performed for other reasons, such as the treatment of chronic pain.
Current treatment options include CSF aspiration, fibrin-glue therapy, laminectomy with wrapping of the cyst, among other surgical treatment approaches. Interventional treatment of Tarlov cysts is the only means by which symptoms might permanently be resolved due to the fact that the cysts often refill after aspiration.
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]
Micrograph of a ganglioneuroma with the characteristic ganglion cells. H&E stain. Pathologically, ganglioneuromas are composed of ganglion cells, Schwann cells and fibrous tissue. [5] Ganglioneuromas are solid, firm tumours that typically are white when seen with the naked eye. [citation needed]
Treatment is often largely dependent on the type of cyst. Asymptomatic cysts, termed pseudocysts , normally require active monitoring with periodic scans for future growth. [ 7 ] Symptomatic (producing or showing symptoms) cysts may require surgical removal if they are present in areas where brain damage is unavoidable, or if they produce ...
Glomus tumors are usually solitary and small lesions. The vast majority are found in the hand, wrist, foot, and under the fingernails. [3]They are often painful, and the pain is reproduced when the lesion is placed in cold water - a history of sensitivity to cold weather is also common. [6]
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