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An old traditional treatment for a ganglion cyst was to hit it with a Bible, since the cysts can burst when struck.Today, cysts are removed surgically by aspiration but often reappear.They are benign growths, usually causing problems in the functioning of the joints or tendons of the hand or finger only when they are large.Many people do not seek medical attention for ganglion cysts unless they cause pain, affect the movement of the nearby tendons, or become particularly unsightly.
It entails aspiration, or draining fluid from the cyst with a large hypodermic needle. Ganglion cysts are sacs that contain the synovial fluid found in joints and tendons.Occult cysts may be diagnosed because the patient feels pain in that part of the hand or has noticed that the tendon cannot move normally. Patients are given a local or regional anesthetic in a doctor's office. Most physicians use the more conservative procedure, which is known as aspiration.Some ganglion cysts are so large that the doctor recommends excision.Ganglion cysts recur after excision in about 5–15% of cases, usually because the cyst was not completely removed. Aspiration or excision to treat ganglion cysts is done by primary care doctors as well as orthopedic surgeons.Aspirated ganglion cysts disappear and cause no further symptoms in 27–67% of cases. The procedures may be performed in the doctor's office or at an outpatient clinic.