A Simple and Effective Technique for the Cryotherapy of Digital Mucous Cysts

Minami, Shoichiro; Nakagawa, Noboru; Ito, Takaaki; Sadanobu, Naoya; Lin, Yoshiaki; Natsuaki, Masaru; Yamanishi, Kiyofumi

doi:10.1111/j.1524-4725.2007.33267.x

Cited by 12 publications

(17 citation statements)

References 6 publications

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“…Cryotherapy is another noninvasive treatment method for DMC. Liquid nitrogen was applied either with a probe or by the means of an open spray technique . The total cure rate was 72%, which was lower than the surgery cure rate ( P < 0.001) but was not statistically different from that of sclerotherapy ( P = 0.350).…”

Section: Discussionmentioning

confidence: 86%

Management of digital mucous cysts: a systematic review and treatment algorithm

et al. 2017

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Digital mucous cysts (DMC) are benign, highly recurrent lesions of the digits. To date, there is still no treatment agreement on the treatment of DMC. Herein, we review available data on treatment modalities, including both surgical and nonsurgical techniques, and to provide a practical algorithm for the management of DMC. A systematic review was conducted using MEDLINE, EMBASE, and Cochrane databases. Articles studying the management of DMC were included in this review. A total of 40 articles were included in the review. The five most frequently used treatments for DMC were surgery (n = 849), expression of cyst content (n = 132), sclerotherapy (n = 119), corticosteroid injection (n = 108), and cryotherapy (n = 103). Surgery yielded the highest cure rate among all treatment modalities (95%) compared to sclerotherapy (77%), cryotherapy (72%), corticosteroid injection (61%), and expression of cyst content (39%) (P < 0.001). Surgery should be considered as the first-line treatment for DMC. Second-line treatments include sclerotherapy and cryotherapy. Third-line treatments include corticosteroid injections, expression of cyst content, and less-studied modalities. Surgery showed the highest cure rates. Future adequately designed randomized controlled trials are warranted to compare different treatment modalities.

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Section: Discussionmentioning

confidence: 86%

Management of digital mucous cysts: a systematic review and treatment algorithm

et al. 2017

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“…3,7,9 But the recurrence rate is high, even in the situation of excision. 4 Ligation of DMCs in the origin at the joint capsule with the assistance of dye injection produces a satisfactory result.…”

Section: Discussionmentioning

confidence: 98%

Digital mucous cysts presenting as numerous translucent nodules in the right fifth finger

Hwang

Huang

Liu

2011

Journal of the Chinese Medical Association

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Digital mucous cysts is a common benign skin disease usually present as solitary or a few soft, translucent to slightly bluish nodules. Here, we report the case of a 90-year-old male patient with numerous translucent nodules on his right fifth finger. Although he had one of them drained, they recurred afterward. Skin biopsy was done on the ventral side of the fifth distal phalange, and clear viscous fluid was noted during the procedure. The surrounding bulging nodules became flattened after milking. By hematoxylin and eosin stain, the section showed a cystic lesion in the dermis. The cyst wall was devoid of a true lining, consisting of eosinophlic, compact, slightly hyalinized collagen. In the cystic space, there was only a small amount of mucin. He was therefore diagnosed with multiple digital mucous cysts. We treated him with intralesional steroid injection and compressive dressing. Two weeks later, however, the skin lesions recurred despite the treatments.

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“…One was a cashier whose work required repeated bending and straightening of her fingers 4 and the other was a factory worker whose work was pushing a garment into a mold. 3 The treatment options for digital myxoid cyst include incision and drainage, intralesional steroid injection, cryotherapy, carbon dioxide laser, electrocoagulation and several means of surgical treatment 5,2,6 . But the recurrence rate is high, even in the situation of excision.…”

Section: Discussionmentioning

confidence: 99%