An unusual cutaneous manifestation of a ganglion cyst

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Presentation transcript:

An unusual cutaneous manifestation of a ganglion cyst Laurie M. Good, MD, Joshua B. DiCarlo, MD, Whitney A. High, MD Journal of the American Academy of Dermatology Volume 64, Issue 6, Pages 1206-1208 (June 2011) DOI: 10.1016/j.jaad.2009.09.034 Copyright © 2010 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Magnetic resonance imaging revealed a multiloculated cystic and synovial process with fluid extending from the acromioclavicular joint into the subcutaneous tissue. Journal of the American Academy of Dermatology 2011 64, 1206-1208DOI: (10.1016/j.jaad.2009.09.034) Copyright © 2010 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 The physical examination revealed an exophytic, verrucous mass upon the surface of the skin overlying the acromioclavicular joint. Journal of the American Academy of Dermatology 2011 64, 1206-1208DOI: (10.1016/j.jaad.2009.09.034) Copyright © 2010 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 A, Histologic examination revealed pools of mucin and some hypercellularity with background fibrosis. B, A closer examination illustrated associated mucoblast-like fibrocytes within pools of mucin. C, Special stains highlighted pools of mucin within the dermis and spilling of mucin into lymphatics. D, Mucin was identified being carried up into the epidermis. (A and B, Hematoxylin–eosin stain; C and D, colloidal iron stain; original magnifications: A, ×12.5; B, ×50; C, ×12.5; D, ×100.) Journal of the American Academy of Dermatology 2011 64, 1206-1208DOI: (10.1016/j.jaad.2009.09.034) Copyright © 2010 American Academy of Dermatology, Inc. Terms and Conditions