Aldairi Abdulrahman Saleh, Alsaedi Faris, Bundagji Yusra, Al-Zaidi Rana, Alotaibi Homaid
Department of Dermatology, King Faisal Hospital, Ministry of Health, Makkah, SAU.
Department of Anatomic Pathology, King Faisal Hospital, Ministry of Health, Makkah, SAU.
Cureus. 2025 Mar 22;17(3):e80987. doi: 10.7759/cureus.80987. eCollection 2025 Mar.
Ganglion cysts are prevalent benign lesions originating from joint capsules or tendon sheaths, predominantly found in the wrist, while their presence on the toes is extremely rare. We report the case of a 27-year-old female who presented with a painless, mobile, rubbery nodule on the lateral aspect of the first metatarsal of the right foot. Generally, ganglion cysts in the foot are uncommon, and their development is thought to be associated with repetitive mechanical stress, leading to mucoid degeneration of collagen tissue. While conservative treatments such as aspiration and steroid injections exist, they have a high recurrence rate, making surgical excision the preferred option. This case highlights an unusual presentation of a ganglion cyst on the lateral aspect of the first metatarsal and emphasizes the importance of considering mechanical stress as a contributing factor. Punch biopsy excision provided a definitive, minimally invasive, and effective treatment, demonstrating excellent results with no recurrence noted during follow-up
腱鞘囊肿是源自关节囊或腱鞘的常见良性病变，主要见于腕部，而在脚趾上极为罕见。我们报告一例27岁女性病例，其右足第一跖骨外侧出现一个无痛、可活动、橡皮样结节。一般来说，足部腱鞘囊肿并不常见，其形成被认为与反复的机械性应力有关，导致胶原组织发生黏液样变性。虽然存在诸如抽吸和类固醇注射等保守治疗方法，但它们的复发率很高，因此手术切除是首选方案。本病例突出了第一跖骨外侧腱鞘囊肿的不寻常表现，并强调了将机械性应力视为一个促成因素的重要性。打孔活检切除提供了一种确切、微创且有效的治疗方法，随访期间未发现复发，效果良好
