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October 4, 1965

Steroid Injection of Myxoid Finger Cysts

Author Affiliations

San Mateo, Calif

JAMA. 1965;194(1):98-99. doi:10.1001/jama.1965.03090140106042

To the Editor:—  Cutaneous myxoid finger cysts, also called digital cysts or synovial cysts, are a vexing therapeutic problem. While harmless, myxoid cysts of the fingers are unsightly and frequently cause discomfort. After attempts to remove them by a variety of surgical procedures, they generally recur. The frustrated surgeon may eventually resort to wide excision and skin grafting. Unfortunately the pesky digital myxoid cyst tends to recur after even such a formidable assault.Johnson, Graham and Helwig1 recently stated that "Injection of triamcinolone or other similar steroids into cutaneous myxoid cysts is a simple and effective method of treatment." This conclusion was based on results in one patient, although the authors add that "other patients at our institution have recently been treated successfully by injection of triamcinolone into the lesion." No statement was made as to the length of follow-up. Smith, Skipworth, and Vanderploeg2 recommended a similar approach