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Digital Mucous Cyst Differential Diagnoses

  • Author: Murad Alam, MD; Chief Editor: Dirk M Elston, MD  more...
 
Updated: Mar 20, 2015
 
 

Diagnostic Considerations

Also consider the following:

  • Epidermoid cyst
  • Fibrokeratoma (digital mucous cysts may resemble this when they form between the proximal nail fold and the nail and protrude with a keratoticlike tip.)
  • Giant-cell tendon sheath tumor (does not transilluminate)
  • Heberden node (may coexist)
  • Myxoid malignant fibrous histiocytoma
  • Myxoid variant of liposarcoma (These are less likely to present as firm circumscribed masses and more likely to be deeply seated.)
  • Rheumatic nodule

Differential Diagnoses

 
 
Contributor Information and Disclosures
Author

Murad Alam, MD Professor of Dermatology, Otolaryngology, and Surgery; Chief, Section of Cutaneous and Aesthetic Surgery, Department of Dermatology, Northwestern University; Director, Mohs Micrographic Surgery, Northwestern Memorial Hospital

Murad Alam, MD is a member of the following medical societies: American Academy of Dermatology, American College of Mohs Surgery, American Medical Association, American Society of Transplantation, Phi Beta Kappa, Society for Investigative Dermatology, American College of Aesthetic and Cosmetic Physicians; American Society of Aesthetic/Cosmetic Physicians, Women's Dermatologic Society, Dermatology Foundation, Illinois Dermatological Society, American Society for Dermatologic Surgery, American Society for Laser Medicine and Surgery

Disclosure: Nothing to disclose.

Coauthor(s)

Natalie Ann Kim-Orden, MD Intern, Children's Hospital of Los Angeles

Disclosure: Nothing to disclose.

Melanie Warycha, MD Procedural Dermatology Fellow, Department of Dermatology, Northwestern University Feinberg School of Medicine

Melanie Warycha, MD is a member of the following medical societies: American Academy of Dermatology, American Society for Dermatologic Surgery, Women's Dermatologic Society, Medical Dermatology Society

Disclosure: Nothing to disclose.

Kira Minkis, MD, PhD Director of Mohs and Dermatologic Surgery, Director of Surgical, Laser, and Cosmetic Education, Assistant Professor, Department of Dermatology, Weill Cornell Medical College; Attending Physician, New York Presbyterian Hospital

Disclosure: Nothing to disclose.

Specialty Editor Board

Michael J Wells, MD, FAAD Associate Professor, Department of Dermatology, Texas Tech University Health Sciences Center, Paul L Foster School of Medicine

Michael J Wells, MD, FAAD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, Texas Medical Association

Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD Professor and Chairman, Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina College of Medicine

Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

Additional Contributors

Richard K Scher, MD Adjunct Professor of Dermatology, University of North Carolina at Chapel Hill School of Medicine; Professor Emeritus of Dermatology, Columbia University College of Physicians and Surgeons

Richard K Scher, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American College of Physicians, American Medical Association, Association of Military Surgeons of the US, International Society for Dermatologic Surgery, Noah Worcester Dermatological Society, Society for Investigative Dermatology

Disclosure: Nothing to disclose.

Acknowledgements

David Bickers, MD, Chairman, Carl Truman Nelson Professor, Department of Dermatology, New York Presbyterian Hospital, Columbia University College of Physicians and Surgeons

Disclosure: Nothing to disclose.

Mary Farley, MD Dermatologic Surgeon/Mohs Surgeon, Anne Arundel Surgery Center

Disclosure: Nothing to disclose.

References
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  2. Salerni G, Alonso C. Images in clinical medicine. Digital mucous cyst. N Engl J Med. 2012 Apr 5. 366(14):1335. [Medline].

  3. Kivanc-Altunay I, Kumbasar E, Gokdemir G, Koslu A, Tekkesin M, Basak T. Unusual localization of multiple myxoid (mucous) cysts of toes. Dermatol Online J. 2004 Jul 15. 10(1):23. [Medline].

  4. Hur J, Kim YS, Yeo KY, Kim JS, Yu HJ. A case of herpetiform appearance of digital mucous cysts. Ann Dermatol. 2010 May. 22(2):194-5. [Medline]. [Full Text].

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  9. Epstein E. A simple technique for managing digital mucous cysts. Arch Dermatol. 1979 Nov. 115(11):1315-6. [Medline].

  10. Epstein E. Steroid injection of myxoid finger cysts. JAMA. 1965. 194:98-99.

  11. Bardach HG. Managing digital mucoid cysts by cryosurgery with liquid nitrogen: preliminary report. J Dermatol Surg Oncol. 1983 Jun. 9(6):455-8. [Medline].

  12. Audebert C. Treatment of mucoid cysts of fingers and toes by injection of sclerosant. Dermatol Clin. 1989 Jan. 7(1):179-81. [Medline].

  13. Córdoba S, Romero A, Hernández-Nuñez A, Borbujo JM. Treatment of digital mucous cysts with percutaneous sclerotherapy using polidocanol. Dermatol Surg. 2008 Oct. 34(10):1387-8; discussion 1388. [Medline].

  14. Huerter CJ, Wheeland RG, Bailin PL, Ratz JL. Treatment of digital myxoid cysts with carbon dioxide laser vaporization. J Dermatol Surg Oncol. 1987 Jul. 13(7):723-7. [Medline].

  15. Kemmett D, Colver GB. Myxoid cysts treated by infra-red coagulation. Clin Exp Dermatol. 1994 Mar. 19(2):118-20. [Medline].

  16. Jamnadas-Khoda B, Agarwal R, Harper R, Page RE. Use of Wolfe Graft for the Treatment of Mucous Cysts. J Hand Surg Eur Vol. 2009 Apr 24. [Medline].

  17. Blume PA, Moore JC, Novicki DC. Digital mucoid cyst excision by using the bilobed flap technique and arthroplastic resection. J Foot Ankle Surg. 2005 Jan-Feb. 44(1):44-8. [Medline].

  18. Imran D, Koukkou C, Bainbridge LC. 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. 2003 Aug. 85(6):860-2. [Medline].

  19. Johnson SM, Treon K, Thomas S, Cox QG. A reliable surgical treatment for digital mucous cysts. J Hand Surg Eur Vol. 2013 Oct 25. [Medline].

  20. de Berker D, Lawrence C. Ganglion of the distal interphalangeal joint (myxoid cyst): therapy by identification and repair of the leak of joint fluid. Arch Dermatol. 2001 May. 137(5):607-10. [Medline].

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Digital mucous cyst proximal to nail unit.
Digital mucous cyst at proximal nail fold.
Histopathology of digital mucous cyst.
 
 
 
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