Management of forearm ganglion: a comparative study from a medical college hospital
Background Ganglionic cysts are smooth, fluctuant benign tumors of forearm commonly encountered in our day-to-day outdoor practice. The study aims to compare the efficacy, safety, and recurrence rates of triamcinolone, mixture of triamcinolone and hyaluronidase, and surgical excision in our tertiary...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-04-01
|
| Series: | Al-Azhar Assiut Medical Journal |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/azmj.azmj_92_21 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841525320717434880 |
|---|---|
| author | Yaqoob Hassan Ajaz A. Rather Irshad Ahmad Ishfaq A. Wani |
| author_facet | Yaqoob Hassan Ajaz A. Rather Irshad Ahmad Ishfaq A. Wani |
| author_sort | Yaqoob Hassan |
| collection | DOAJ |
| description | Background
Ganglionic cysts are smooth, fluctuant benign tumors of forearm commonly encountered in our day-to-day outdoor practice. The study aims to compare the efficacy, safety, and recurrence rates of triamcinolone, mixture of triamcinolone and hyaluronidase, and surgical excision in our tertiary care hospital.
Patients and methods
This prospective comparative study was carried out in the SKIMS Medical College and Hospital over a period of 3 years. A total of 96 participants between January 2018 and January 2021 with forearm ganglion were included and treated in three groups: group A included patients who had aspiration and injection of triamcinolone; group B patients had aspiration and injection of a mixture of triamcinolone and hyaluronidase; and group C patients underwent excision under local anesthesia. The data was collected and analyzed.
Results
Among 96 patients who met the inclusion criteria, the mean age was 35.74 years, with a male:female ratio of 0.63. Swelling was the most common clinical presentation recorded in 100% patients. Swelling with symptoms like pain, paresthesia, etc., was present in 59.38%, dissatisfaction with cosmetic appearance in 55.21%, and 36.46% patients had apprehension of a sinister lesion (malignant tumor). Of the patients, 47.92% had aspiration and injection of triamcinolone (group A); 43.75% patients had aspiration and injection of a mixture of triamcinolone and hyaluronidase (group B); and 8.33% patients underwent surgical excision (group C). In group A, 15.22% patients had recurrence, while only 2.38% patients developed recurrence in group B. We observed a 100% success rate after surgical excision. There was significantly positive relation between group A and group B treatment protocols and recurrence rates (P≤0.05). None of our patients developed any major post-procedural complications.
Conclusion
Aspiration and intra-cystic instillation of a mixture of triamcinolone and hyaluronidase is a simple, effective, safe treatment of ganglion with low recurrence rates as compared with triamcinolone alone. Surgical excision after failed primary treatment with aspiration and injection showed excellent results. |
| format | Article |
| id | doaj-art-ba5f683aef4a4106b2225f9f417349e3 |
| institution | Kabale University |
| issn | 1687-1693 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Al-Azhar Assiut Medical Journal |
| spelling | doaj-art-ba5f683aef4a4106b2225f9f417349e32025-01-17T15:57:00ZengWolters Kluwer Medknow PublicationsAl-Azhar Assiut Medical Journal1687-16932024-04-01222788110.4103/azmj.azmj_92_21Management of forearm ganglion: a comparative study from a medical college hospitalYaqoob HassanAjaz A. RatherIrshad AhmadIshfaq A. WaniBackground Ganglionic cysts are smooth, fluctuant benign tumors of forearm commonly encountered in our day-to-day outdoor practice. The study aims to compare the efficacy, safety, and recurrence rates of triamcinolone, mixture of triamcinolone and hyaluronidase, and surgical excision in our tertiary care hospital. Patients and methods This prospective comparative study was carried out in the SKIMS Medical College and Hospital over a period of 3 years. A total of 96 participants between January 2018 and January 2021 with forearm ganglion were included and treated in three groups: group A included patients who had aspiration and injection of triamcinolone; group B patients had aspiration and injection of a mixture of triamcinolone and hyaluronidase; and group C patients underwent excision under local anesthesia. The data was collected and analyzed. Results Among 96 patients who met the inclusion criteria, the mean age was 35.74 years, with a male:female ratio of 0.63. Swelling was the most common clinical presentation recorded in 100% patients. Swelling with symptoms like pain, paresthesia, etc., was present in 59.38%, dissatisfaction with cosmetic appearance in 55.21%, and 36.46% patients had apprehension of a sinister lesion (malignant tumor). Of the patients, 47.92% had aspiration and injection of triamcinolone (group A); 43.75% patients had aspiration and injection of a mixture of triamcinolone and hyaluronidase (group B); and 8.33% patients underwent surgical excision (group C). In group A, 15.22% patients had recurrence, while only 2.38% patients developed recurrence in group B. We observed a 100% success rate after surgical excision. There was significantly positive relation between group A and group B treatment protocols and recurrence rates (P≤0.05). None of our patients developed any major post-procedural complications. Conclusion Aspiration and intra-cystic instillation of a mixture of triamcinolone and hyaluronidase is a simple, effective, safe treatment of ganglion with low recurrence rates as compared with triamcinolone alone. Surgical excision after failed primary treatment with aspiration and injection showed excellent results.https://journals.lww.com/10.4103/azmj.azmj_92_21ganglionhyaluronidaserecurrencesurgical excisiontriamcinolone |
| spellingShingle | Yaqoob Hassan Ajaz A. Rather Irshad Ahmad Ishfaq A. Wani Management of forearm ganglion: a comparative study from a medical college hospital Al-Azhar Assiut Medical Journal ganglion hyaluronidase recurrence surgical excision triamcinolone |
| title | Management of forearm ganglion: a comparative study from a medical college hospital |
| title_full | Management of forearm ganglion: a comparative study from a medical college hospital |
| title_fullStr | Management of forearm ganglion: a comparative study from a medical college hospital |
| title_full_unstemmed | Management of forearm ganglion: a comparative study from a medical college hospital |
| title_short | Management of forearm ganglion: a comparative study from a medical college hospital |
| title_sort | management of forearm ganglion a comparative study from a medical college hospital |
| topic | ganglion hyaluronidase recurrence surgical excision triamcinolone |
| url | https://journals.lww.com/10.4103/azmj.azmj_92_21 |
| work_keys_str_mv | AT yaqoobhassan managementofforearmganglionacomparativestudyfromamedicalcollegehospital AT ajazarather managementofforearmganglionacomparativestudyfromamedicalcollegehospital AT irshadahmad managementofforearmganglionacomparativestudyfromamedicalcollegehospital AT ishfaqawani managementofforearmganglionacomparativestudyfromamedicalcollegehospital |