Abstract:

Objective: The aim of present study is to evaluate a large clinical population of patients operated with diagnosis of ganglion in a single center over a 14-year period. Materials and Methods: One hundred and sixty-seven patients operated and histopathologically diagnosed with ganglion cyst located in hand and wrist were included in the study. The retrospectively analyzed parameters included age, gender, localization, clinical presentations, site, treatment methods and histopathological features. Recurrences, complications and outcomes were evaluated by phone calls. Statistical analyses and descriptive statistics were presented with frequencies and percentages. Results: The average age of the patients was 40,70 years (range 3-83 years). Majority of the patients (62,87%; n: 105) were in the 2nd – 4th decade of life. Pain and cosmetic concerns were the main complaints of the patients. The majority of the ganglions were located in the wrist (n: 114; 68,26%), and the majority of the wrist location was the dorsal side (n: 65). Mean follow-up time of 85 patients who could be reached by phone and agreed to participate in the study was 8,60 years. Recurrence rate among these patients was 7% (n: 6). Conclusion: The results of the present study were consistent with findings reported previously respect to patient age distribution, gender predominance and ganglion localization. Low recurrence rates can be achieved by complete resection of the cyst including the stalk and a cuff of adjacent tissue.

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