Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
J Cutan Med Surg. 2010 Sep-Oct;14(5):199-206. doi: 10.2310/7750.2010.09058.
Digital mucous cyst (DMC) is a common benign condition, but consensus has not been reached regarding its pathogenesis and treatment.
This review provides a concise overview of DMCs.
The review presents the literature pertaining to the etiology, pathogenesis, classification, clinical features, epidemiology, differential diagnoses, diagnosis, and management of DMCs.
DMCs have a predilection for middle-aged patients, a good prognosis, and a high recurrence rate. DMCs may occur in one of three locations on the distal digit. They arise owing to a metaplastic or degenerative process. Preexisting osteoarthritis is common and may be an etiologic factor in patients with DMCs. A number of conservative and surgical treatments are available depending on the structures and locations involved.
Studies with greater sample size and longer follow-up would enrich current knowledge of the benefits, recurrences, and complications for each treatment modality.
黏液囊肿(digital mucous cyst,DMC)是一种常见的良性病变,但对其发病机制和治疗方法尚未达成共识。
本文对 DMC 进行简要概述。
本文就 DMC 的病因、发病机制、分类、临床特征、流行病学、鉴别诊断、诊断和治疗进行了文献回顾。
DMC 好发于中年患者,预后良好,但复发率较高。DMC 可发生于远节指骨的 3 个特定部位,由化生或退行性改变引起。常存在先前存在的骨关节炎,这可能是 DMC 患者的发病因素之一。根据受累结构和部位的不同,可选择多种保守和手术治疗方法。
若开展样本量更大、随访时间更长的研究,有望进一步明确每种治疗方法的获益、复发和并发症情况。