Abstract
This case report describes a very rare and highly malignant type of lymphoma, which presents as a mucous cyst on the finger. The cyst was excised and the specimen pathohistologically analyzed. The analysis revealed the presence of a Natural-Killer cell neoplasm. This case illustrates and stresses the importance of a pathohistological examination when doubts arise about the initial diagnosis of a benign tumorous lesion.
Similar content being viewed by others
References
Brown RE, Zook EG, Russell RC, Kucan JO, Smoot EC (1991) Fingernail deformities secondary to ganglions of the distal interphalangeal joint (mucous cysts). Plast Reconstr Surg 87:718–725
Chen WS, Lin CC (1991) Mucous cyst of the distal interphalangeal joint: treatment by simple excision or excision and rotation flap. J Hand Surg [Br] 16:118–119. doi:10.1016/0266-7681(91)90153-F
Crawford RJ, Gupta A, Risitano G, Burke FD (1990) Mucous cyst of the distal interphalangeal joint: treatment by simple excision or excision and rotation flap. J Hand Surg [Br] 15:113–114. doi:10.1016/0266-7681(90)90064-B
Dodge LD, Brown RL, Niebauer JJ, McCarroll HR Jr (1984) The treatment of mucous cysts: long-term follow-up in sixty-two cases. J Hand Surg [Am] 9:901–904
Doganavsargil B, Argin M, Sezak M et al (2007) Dedifferentiated chondrosarcoma of the thumb: a case report. Arch Orthop Trauma Surg (Epub ahead of print)
Figl M, Leixnering M (2008) Retrospective review of outcome after surgical treatment of enchondromas in the hand. Arch Orthop Trauma Surg (Epub ahead of print)
Hogemann A, Wolfhard U, Kendoff D, Board TN, Olivier LC (2008) Results of total aponeurectomy for Dupuytren’s contracture in 61 patients: a retrospective clinical study. Arch Orthop Trauma Surg (Epub ahead of print)
Imran D, Koukkou C, Bainbridge LC (2003) The rhomboid flap: a simple technique to cover the skin defect produced by excision of a mucous cyst of a digit. J Bone Joint Surg Br 85:860–862
Liang X, Graham DK (2008) Natural killer cell neoplasms. Cancer 112:1425–1436. doi:10.1002/cncr.23316
McKeon K, Boyer MI, Goldfarb CA (2006) Use of routine histologic evaluation of carpal ganglions. J Hand Surg [Am] 31:284–288. doi:10.1016/j.jhsa.2005.10.023
Miyake A, Morioka H, Yabe H et al (2006) A case of metacarpal chondrosarcoma of the thumb. Arch Orthop Trauma Surg 126:406–410. doi:10.1007/s00402-006-0134-5
Muramatsu K, Ihara K, Doi K, Hashimoto T, Seto S, Taguchi T (2008) Primary reconstruction with digital ray transposition after resection of malignant tumor. Arch Orthop Trauma Surg 128(10):1017–1021
Olivier LC, Gensigk F, Board TN et al (2008) Arthrodesis of the distal interphalangeal joint: description of a new technique and clinical follow-up at 2 years. Arch Orthop Trauma Surg 128:307–311. doi:10.1007/s00402-007-0457-x
Rezania D, Sokol L, Cualing HD (2007) Classification and treatment of rare and aggressive types of peripheral T-cell/natural killer-cell lymphomas of the skin. Cancer Control 14:112–123
Rizzo M, Beckenbaugh RD (2003) Treatment of mucous cysts of the fingers: review of 134 cases with minimum 2-year follow-up evaluation. J Hand Surg [Am] 28:519–524. doi:10.1053/jhsu.2003.50088
Shin EK, Jupiter JB (2007) Flap advancement coverage after excision of large mucous cysts. Tech Hand Up Extrem Surg 11:159–162. doi:10.1097/BTH.0b013e31803c4e19
Themistocleous GS, Chloros GD, Mavrogenis AF et al (2005) Unusual presentation of osteoid osteoma of the scaphoid. Arch Orthop Trauma Surg 125:482–485. doi:10.1007/s00402-005-0003-7
Unglaub F, Loos B, Schwarz S et al (2008) Phlegmonous-infection in first degree Dupuytren’s disease. Arch Orthop Trauma Surg (Epub ahead of print)
Uysal M, Ozkoc G, Akpinar S, Hersekli MA, Tandogan R (2007) Combined ulnar and carpal tunnel syndrome caused by pigmented villo-nodular tenosynovitis: a rare case. Arch Orthop Trauma Surg 127:563–565. doi:10.1007/s00402-007-0357-0
Author information
Authors and Affiliations
Corresponding author
Additional information
F. Unglaub and B. Loos have contributed equally to this work.
Rights and permissions
About this article
Cite this article
Unglaub, F., Loos, B., Wolf, M.B. et al. Malignant Natural-Killer cell neoplasm presenting as a mucous cyst on the distal interphalangeal joint of the finger. Arch Orthop Trauma Surg 129, 1613–1616 (2009). https://doi.org/10.1007/s00402-008-0794-4
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00402-008-0794-4