Comparing Best Treatment Modality for Ganglionic Cyst

Dr. Rajkamal Kanojiya, Dr. Rishi Deep Jain, Dr. Rekha Chaudhary, Dr. Dhruv Sharma

Abstract: Background: Ganglion cysts are benign soft tissue tumours. A ganglion cyst may encountered in any joint but 60% - 70% of ganglion cysts are found in the dorsal aspect of the wrist and communicate with the joint via a pedicle.(1,2) Also ganglion cysts can be single lobulated, they are most often multiple lobulated, with septa made from connective tissue separating the lobes .(3) The treatments range from conservative management to aspiration with or without injection of various agents to excision. Recurrence rates have been documented widely, varying from 1 to 40 %. Aim: To study the recurrence rate in different modalities of ganglionic cyst treatment. Methods: Prospective clinical study analysis of outcome of 80 patients with soft tissue swelling were evaluated on the basis of their surgical management or catgut insertion. Results: Recurrence rate was highest in aspiration and lowest in catgut insertion. Conclusion: To conclude asymptomatic ganglion may be left untreated as many of them regress spontaneously and catgut can be used for management

Keywords: ganglion cysts, recurrence rate, treatment modalities, aspiration, catgut insertion