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22years , male came to me with a hard nodule on right hand wrist. Chief Complaints Gradually increase since six months. No any more problem. History No trauma, no history of fracture. Vitals Stable Physical Examination Rt. Hand wrist lower end of radius head on harder nodule uder skin. Investigations No any investigation , please suggest if necessary Diagnosis Bone growth/ Oesteo growth?? Chondroma?? Tumar?? Please suggest Management Please suggest

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It's a Ganglion.(Palmer). Compound palmer ganglion.. It is an uncommon condition characterized by a swelling in the distal part of volar aspect of wrist and communicating with another swelling over palm across the flexor retinaculum. It commonly results from tuberculous tenosynovitis.. Aspiration, and surgical intervention.

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It seems to be a case of palmar ganglion. It has got some clinical importance. It may be a simple palmar ganglion. You press it if it has got any communication with the palm underneath the flexor retinaculum the it may be a compound palmar ganglion usually tuberculous origin in that case excision may rise complication. First of all rule out tuberculous origin or not then decide for excision.

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Swelling appears to be palmer ganglion Adv xray for your suspicions Rx excision under LA

Thanx dr A Dutta
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Ganglion Synovial growth Lipoma Sarcoma Cyst Usg fnac hp

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? GC .. ? GANGLION CYST.. NEED'S.. FNAC.. X-RAY STUDY..

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Ganglion, localised collection of excess synovial fluid, needs aspiration and inj. Triamcelon injection.

Apparently Ganglion cyst Excision

Thanks Dr. A Dutta ,Dr Kute Ankush, Dr. Ramesh Kumar Singh, Dr. Dinesh Gupta
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Ganglion Suggest US exam , FNAC , followed by excision

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It's a common site for ganglion Usg evaluation will confirm Do take xrays

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Palmar Ganglion

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