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一名44岁女性大腿部腱鞘囊肿的罕见病例:病例报告及文献综述

A rare case of Ganglion cyst in the thigh in a 44-year-old woman: A case report and literature review.

作者信息

Alhamad Mohammad, Mahfoud Mahmoud, Alsmail Hasan, Masdouh Mostafa, Alasaad Hakam, Ibrahim Jaber

机构信息

Damascus University, Al Assad University Hospital, Damascus, Syria.

Damascus University, Al Assad University Hospital, Damascus, Syria.

出版信息

Int J Surg Case Rep. 2024 Jul;120:109817. doi: 10.1016/j.ijscr.2024.109817. Epub 2024 Jun 4.

Abstract

INTRODUCTION AND SIGNIFICANCE

Ganglion cysts in the thigh area are uncommon, typically occurring in the wrist and ankle. These cysts are usually painless but may compress nearby structures, causing discomfort. Ultrasound is a valuable tool to differentiate ganglion cysts from hematomas and lipomas. It also helps identify the fluid-filled cyst walls. Treatment typically involves surgical removal, with complete resection being the goal.

CASE PRESENTATION

We present a case of a woman who experienced a gradual increase in size of a lump in her groin area. The lump was later diagnosed and completely removed. Histological analysis revealed the presence of a ganglion cyst.

CLINICAL DISCUSSION

Clinical examination is crucial for diagnosing superficial ganglion cysts. It allows us to assess their separation from the skin and connection to deeper structures. It's important to consider ganglion cysts as part of the differential diagnosis for cystic lesions in the groin area during routine medical practice. This can help avoid unnecessary and expensive tests like MRI scans in some cases.

CONCLUSION

Developing a thorough differential diagnosis for uncommon lesions in specific anatomical areas is essential in clinical practice. This aids in choosing appropriate diagnostic methods and surgical intervention, if necessary, to prevent recurrence of the condition.

摘要

引言与意义

大腿区域的腱鞘囊肿并不常见,通常发生在手腕和脚踝。这些囊肿通常无痛,但可能压迫附近结构,引起不适。超声是区分腱鞘囊肿与血肿和脂肪瘤的重要工具。它还有助于识别充满液体的囊肿壁。治疗通常包括手术切除,目标是完全切除。

病例介绍

我们报告一例腹股沟区肿物逐渐增大的女性病例。该肿物后来被诊断并完全切除。组织学分析显示为腱鞘囊肿。

临床讨论

临床检查对于诊断浅表腱鞘囊肿至关重要。它使我们能够评估其与皮肤的分离情况以及与深部结构的连接。在日常医疗实践中,将腱鞘囊肿作为腹股沟区囊性病变鉴别诊断的一部分很重要。这在某些情况下有助于避免不必要且昂贵的检查,如磁共振成像扫描。

结论

在临床实践中,针对特定解剖区域的罕见病变进行全面的鉴别诊断至关重要。这有助于选择合适的诊断方法,并在必要时进行手术干预,以防止病情复发。

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