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Aktuelle Dermatologie 2010; 36(10): 366-370
DOI: 10.1055/s-0029-1243959
Übersicht

© Georg Thieme Verlag KG Stuttgart · New York

Mukoide Dorsalzysten

Klinik, Pathogenese und TherapiemöglichkeitenMucous Cysts – Clinic, Pathogenesis and TherapyG.  Wagner1 , M.  M.  Sachse1
  • 1Hautklinik, Klinikum Bremerhaven Reinkenheide (Chefarzt: Dr. G. Wagner)
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Publication History

Publication Date:
04 March 2010 (online)

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Zusammenfassung

Die mukoiden Dorsalzysten zeichnen sich durch einen charakteristischen klinischen Befund aus. Im Bereich der Fingerendglieder, seltener an den Zehen, finden sich hautfarbene, prallelastische Knoten, aus denen sich ein geleeartiges Sekret entleeren kann. Histopathologisch handelt es sich um Pseudozysten ohne epitheliale Wandauskleidung, die ein hyaluronsäurereiches Muzin beinhalten. Die Pathogenese wird kontrovers diskutiert. Neben einer ganglionartigen Neubildung ausgehend vom distalen Interphalangealgelenk werden die mukoiden Dorsalzysten auch den fokalen kutanen Muzinosen zugerechnet. Die Behandlungsmöglichkeiten der mukoiden Dorsalzysten sind vielfältig und umfassen konservative, kryo- und laserchirurgische sowie technisch unterschiedlich aufwendige operative Verfahren.

Abstract

Mucous cysts are characterized by their typical clinical appearance and mainly occur over the distal interphalangeal joint of the hand or toe. Digital mucous cysts are usually flesh coloured firm elastic dome-shaped nodules which may release a gelatinous viscous fluid. Histopathology describes a pseudocyst without any membranous lining. Pathogenesis is still unclear and remains a matter of debate. Currently, it is believed that this ganglion-like mass arises from the distal interphalangeal joint. Others ascribe mucous cysts to cutaneous mucinosis. Various methods of management have been advocated, including conservative approaches, cryosurgery and laser therapy.

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Dr. Gunnar Wagner

Klinikum Bremerhaven Reinkenheide

Postbrookstr. 103
27574 Bremerhaven

Email: gunnar.wagner@klinikum-bremerhaven.de

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