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Periosteal ganglion cyst of tibia: A rare case report

INTRODUCTION AND IMPORTANCE: Periosteal ganglion cyst is a rare disorder, found only in 55 out of 100,000 people annually. Periosteal ganglion location may cause partial external cortical destruction with irregular saucerization and erosion. This report presents a rare case of periosteal ganglion cy...

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Autores principales: Primaputra, Muhammad Rizqi Adhi, Laras, Sashia, Kamal, Achmad Fauzi, Prabowo, Yogi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10382745/
https://www.ncbi.nlm.nih.gov/pubmed/37343503
http://dx.doi.org/10.1016/j.ijscr.2023.108395
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author Primaputra, Muhammad Rizqi Adhi
Laras, Sashia
Kamal, Achmad Fauzi
Prabowo, Yogi
author_facet Primaputra, Muhammad Rizqi Adhi
Laras, Sashia
Kamal, Achmad Fauzi
Prabowo, Yogi
author_sort Primaputra, Muhammad Rizqi Adhi
collection PubMed
description INTRODUCTION AND IMPORTANCE: Periosteal ganglion cyst is a rare disorder, found only in 55 out of 100,000 people annually. Periosteal ganglion location may cause partial external cortical destruction with irregular saucerization and erosion. This report presents a rare case of periosteal ganglion cyst that occurred of the cruris sinistra. CASE PRESENTATION: A male patient, 68 years old, came with complaint of a lump in the left cruris since one year ago. Nine months later, the lump has increased in size like a chicken egg and still felt painless. MRI result revealed a well-circumscribed multilocular cystic lesion in the peri-osseous soft tissue of the tibia. We performed directly excisional biopsy within the mass, and the histopathology result was periosteal ganglion cyst. CLINICAL DISCUSSION: The exact pathogenesis of periosteal ganglion is unclear. Synovial herniation and mucoid degeneration of the connective tissue of the periosteum are two suggested mechanisms. In some cases, ganglion cysts may compress nearby nerves. Surgical treatment is recommended for patients who still experience symptoms after non-surgical management has failed. Complete resection of the cyst and surrounding periosteum is recommended to prevent recurrence. After 6 months post-operative follow up clinical examination, no recurrence symptoms founded on the patient. CONCLUSION: Periosteal ganglion is a rare lesion and may mimic other bone surface lesions. Resection of the periosteal ganglion cyst with surrounding periosteum is important to prevent recurrence.
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spelling pubmed-103827452023-07-30 Periosteal ganglion cyst of tibia: A rare case report Primaputra, Muhammad Rizqi Adhi Laras, Sashia Kamal, Achmad Fauzi Prabowo, Yogi Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Periosteal ganglion cyst is a rare disorder, found only in 55 out of 100,000 people annually. Periosteal ganglion location may cause partial external cortical destruction with irregular saucerization and erosion. This report presents a rare case of periosteal ganglion cyst that occurred of the cruris sinistra. CASE PRESENTATION: A male patient, 68 years old, came with complaint of a lump in the left cruris since one year ago. Nine months later, the lump has increased in size like a chicken egg and still felt painless. MRI result revealed a well-circumscribed multilocular cystic lesion in the peri-osseous soft tissue of the tibia. We performed directly excisional biopsy within the mass, and the histopathology result was periosteal ganglion cyst. CLINICAL DISCUSSION: The exact pathogenesis of periosteal ganglion is unclear. Synovial herniation and mucoid degeneration of the connective tissue of the periosteum are two suggested mechanisms. In some cases, ganglion cysts may compress nearby nerves. Surgical treatment is recommended for patients who still experience symptoms after non-surgical management has failed. Complete resection of the cyst and surrounding periosteum is recommended to prevent recurrence. After 6 months post-operative follow up clinical examination, no recurrence symptoms founded on the patient. CONCLUSION: Periosteal ganglion is a rare lesion and may mimic other bone surface lesions. Resection of the periosteal ganglion cyst with surrounding periosteum is important to prevent recurrence. Elsevier 2023-06-15 /pmc/articles/PMC10382745/ /pubmed/37343503 http://dx.doi.org/10.1016/j.ijscr.2023.108395 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Primaputra, Muhammad Rizqi Adhi
Laras, Sashia
Kamal, Achmad Fauzi
Prabowo, Yogi
Periosteal ganglion cyst of tibia: A rare case report
title Periosteal ganglion cyst of tibia: A rare case report
title_full Periosteal ganglion cyst of tibia: A rare case report
title_fullStr Periosteal ganglion cyst of tibia: A rare case report
title_full_unstemmed Periosteal ganglion cyst of tibia: A rare case report
title_short Periosteal ganglion cyst of tibia: A rare case report
title_sort periosteal ganglion cyst of tibia: a rare case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10382745/
https://www.ncbi.nlm.nih.gov/pubmed/37343503
http://dx.doi.org/10.1016/j.ijscr.2023.108395
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