Cyst, metaplastic, synovial L72.0

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Cutaneous metaplastic synovial cyst

Definition
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Rare, cystic, usually post-traumatic, firm, subcutaneous nodule.

Etiopathogenesis
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Predominantly post-traumatic; rarely in connective tissue diseases without previous trauma!

Clinical features
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Solitary, rarely multiply occurring, firm, skin-coloured, subcutaneous nodule. Generally occurring in areas that have been traumatically affected, either by previous surgery or accidental trauma.

Histology
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Intradermal (not epithelially lined) pseudocyst. Villous structures that protrude into the lumen mimic hyperplastic synovia. Surrounding connective tissue with mixed cellular inflammatory infiltrate and features of the scar.

Therapy
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Excision is curative.

Note(s)
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Apparently metaplastic synovial cysts without traumatic previous damage also occur in connection with connective tissue malformations such as Ehlers-Danlos syndrome.

Literature
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  1. Bhawan J et al (1990) Cutaneous metaplastic synovial cyst. J Cutan catheter 17: 22-26
  2. Choonhakarn C, Tang S (2003) Cutaneous metaplastic synovial cyst. J Dermatol 30: 480-484
  3. Lin YC, Tsai TF (2003) Cutaneous metaplastic synovial cyst: unusual presentation with "a bag of worms". Dermatol Surgery 29: 198-200
  4. Nieto S et al (1997) Cutaneous metaplastic synovial cyst in an Ehlers-Danlos patient. On J Dermatopathol 19: 407-410
  5. Singh SR et al (1999) Multiple cutaneous metaplastic synovial cysts. J Am Acad Dermatol 41: 330-332

Outgoing links (2)

Ehlers-danlos syndrome; Excision;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020