A ganglion cyst of the wrist: etiology, clinical symptoms and treatment of tumor
Among the various pathologies that afflict people, special place is occupied by neoplasms. It is known that they can be benign or malignant. This is determined by the ability of the tumor to spread metastases in other organs.
In medical practice you can find a pathology, called hygroma. A wrist ganglion cyst is a benign tumor, which is filled with a serous fluid inside. It also contains fibrin or mucus. This cavity (cyst) is formed in the serous Bursa, or tendon sheath.
The tumor itself is formed from the shells of the joint. It may be localized not only at hand, but also on other areas of the body where the lesions of the joints. If the person had first symptoms, you should immediately consult a doctor.
Characterization of tumors on the wrist
A ganglion cyst, though not a great danger because of their purity, but can cause complications. These include capsule rupture and release of contents in surrounding tissue, resulting in the accession of infection or suppuration. It is necessary to consider in more detail what are the etiology, clinical symptoms and treatment of this disease.
A ganglion cyst of the wrist may be different. Isolated single-chamber and multi-chamber shaped. Such a gradation based on the number of capsules. Capsule is different, too. Distinguish the capsule in the form of valve anastomosis, or a separate entity. Allocate 2 main types of gigram depending on the localization of the wrist and carpal. Much more rarely, this cyst is found on other parts of the human body.
Of great importance for the understanding of the pathology have the mechanism and specificity of formation of hygroma. Some believe that the tumor is part of the joint capsule, but it is not so. Feature hygroma that the cells forming it are atypical (modified). There is a theory that the ganglion cyst appears on a background of metaplasia of the connective tissue forming the joint. As a result of this degeneration, some cells form the capsule and the other liquid.
Even surgical treatment of hygroma may not protect 100% of the sick person from the secondary development of this disease. The remaining cells multiply, resulting in relapse of the disease.
A ganglion cyst can be formed in humans for several reasons. It is established that this pathology is partly an occupational disease. It occurs in persons whose occupation is connected to smaller, similar work. It can be seamstresses, typists, musicians. Other possible reasons include:
- high load on the joints of the wrist;
- traumatic injuries of the joints;
High stress on the joint may be due to heavy work, sports or professional activities. The most frequent etiologic factor is trauma. In most cases, the formation of hygroma on the wrist due to prolonged mechanical action. Not excluded a single trauma. The great value has a heredity. It is established that hygroma on your wrist formed by people whose close relatives suffered from this disease.
Interesting is the fact that the frequency of occurrence of disease in individuals, male and female are different. So, hygroma wrist about 3 times more likely to be diagnosed women. Of great importance is the age of the person. More prone to the formation of hygroma persons aged 20 to 30 years, older people and children get sick much less often.
Not always at diagnosis, there is a clear relationship between the appearance of hygroma on the wrist and any factor. The tumour may occur without any reason.
To properly diagnose and prescribe appropriate treatment, you must know the main clinical symptoms of this pathology. The tumor at the initial stage of the formation may not manifest itself. In some cases, in place of its localization appear redness and peeling of the skin. With the development of a tumor is formed in the pineal education. A ganglion cyst of the wrist is often located on the outer side of the joint. The education is dense to the touch, palpation painless and immobile.
A ganglion cyst is partly soldered to the surrounding tissues of the joint. Most often, there arises a ganglion cyst of the wrist, at least they can be more. In the latter case they can be formed almost simultaneously. To recognize the tumor naked eye. It is clearly defined when flexing the wrist.
As for the size of Wagram on the wrist, something he rarely exceeds 3 cm to Grow the tumor can quickly or slowly. Of great importance is that in the absence of surgical treatment of such formations do not disappear on their own and don’t resolve. The prognosis for people who have a ganglion cyst on your wrist without complication always favorable.
Every third patient, the disease is asymptomatic, without causing any pain or discomfort. Pain can occur when the load on the joint or alone. Pain is different, it largely depends on the location of the tumor. If there are nerve endings, they can zaselyatsya, causing acute pain.
Diagnosis of this disease is not to doctors difficulties. It is based on the history of the disease, information about the way of life, the results of the external inspection, laboratory and instrumental studies. The ganglion cyst on the wrist should be distinguished from other diseases of the musculoskeletal system. For this purpose is x-ray examination. Less commonly used techniques such as MRI, ultrasound, biopsy.
With the help of ultrasound can determine the type of cyst (unilocular or bilocular). In addition, ultrasound gives an idea about the structure of hygroma on the wrist. Equally important is the fact that ultrasound allows us to see the presence or absence of circulatory system in most tumor tissue, which is very useful in the surgical treatment of hygroma on the wrist. Unlike MRI, ultrasound is a more accessible method of diagnosis.
There are tumors that are optically and radiographically difficult to distinguish from hygroma wrist. In such a situation requires differential diagnosis. It is performed when there is lipoma, atheroma.
What is the treatment of hygroma
To treat a ganglion cyst can be conservative and operative. In the first case, often used the puncture with the injection of medicinal substances with sklerosiruuschem effect. Getting rid of hygroma can include physiotherapy, local therapy in the form of the application of different absorbable ointments. The cyst on the wrist cannot be cured completely all of the above ways. But the likely high risk of recurrence.
The most effective method of treatment is surgical removal of hygroma. For the operation must present certain evidence. These include high growth rate of cysts, dysfunction of the joint, limitation of mobility of the wrist, severe pain. Deletion of hygroma is held and in case of its unaesthetic appearance.
The doctor must know that a large tumor size operations are more dangerous, so as to allocate the cyst is much more difficult. Operation in most cases is performed under local anesthesia. Some patients prefer the treatment of folk remedies, but it is ineffective.
Treatment hygroma is carried out only under the supervision of a physician. No need to self-medicate. Surgical intervention is carried out in such a way that removed all affected tissue. Otherwise, the treatment of the disease will be ineffective.
A ganglion cyst — a benign education. It never degenerates into cancer. Treatment hygroma most effectively using surgical method. If the right to hold her, and to exclude potential etiological factors, it is possible for life to get rid of this disease.