腱鞘囊腫

Ganglion cyst
同義詞	Ganglia/synovial cyst Gideon's disease, Olamide's cyst, Bible cyst, Bible bump
	出現在左手手腕背側附近的一個腱鞘囊腫
症狀	關節或腱鞘附近的小軟腫塊
併發症	腕隧道症候群; 橈動脈（英語：Radial artery）壓迫
常見始發於	15-40歲
類型	囊腫
診斷方法	取決於病徵
相似疾病或共病	脂肪瘤; 表皮樣包涵囊腫; 痛風; 血管瘤
治療	隨訪觀察（英語：Watchful waiting）; 夾板固定受影響關節; 針吸取; 外科手術
預後	不嚴重
盛行率	約3人/10,000人每年（手腕及手掌）
分類和外部資源
醫學專科	整形外科
ICD-11	FB42.2
ICD-10	M67.4
DiseasesDB	31229
eMedicine	1243454
	[編輯此條目的維基數據]

腱鞘囊腫（ganglion cyst）是發生在腱鞘或關節囊附近內含黏液的囊腫^[3]，囊腫壁主要由緻密結締組織組成^[6]。以往將腱鞘囊腫與滑膜囊腫視為同一疾病，但現在因組織學與治療方式的不同已將兩者區分，前者由結締組織的黏液樣變性造成^[7]，而後者則由滑膜（英語：Synovial membrane）的疝出造成^[8]^[9]^[10]。此外，英語命名 ganglion 亦為一歷史誤稱^[11]^[12]。

腱鞘囊腫最容易發生於手腕背側，其次是手腕掌側^[3]^[4]。腱鞘囊腫一般會持續一月以上^[4]。一般來說，腱鞘囊腫發生後不會有其它症狀，但可能偶爾伴有疼痛或麻木^[3]。腕隧道症候群是腱鞘囊腫的併發症之一^[4]。腱鞘囊腫的病因目前尚未闡明，健身可能是誘因之一^[3]。一般來說，使用光照射囊腫區域即可進行診斷。使用醫學影像學的手段能排除其它相似似疾病的可能性^[3]^[4]。

針對腱鞘囊腫的治療方法包括隨訪觀察（英語：Watchful waiting）、夾板固定受影響關節、針吸取，或外科手術^[3]。在超過半數的病例中，腱鞘囊腫會自愈。根據統計，每年一萬人中大約有3人會得手腕或手掌的腱鞘囊腫^[5]。腱鞘囊腫多發於青年女性和中年女性^[3]。嘗試用書本打擊患處進行治療並不是一個明智的選擇^[4]。

參考資料[編輯]

^ National Library of Medicine - Medical Subject Headings (MeSH) - Ganglion Cyst. [August 27, 2013]. （原始內容存檔於March 10, 2016）.
^ E-hand.com The Electronic Textbook of Hand Surgery. The American Society for Surgery of the Hand assh.com. [April 12, 2014]. （原始內容存檔於2014-03-09）.
^ ^3.00 ^3.01 ^3.02 ^3.03 ^3.04 ^3.05 ^3.06 ^3.07 ^3.08 ^3.09 ^3.10 Ganglion Cyst of the Wrist and Hand-OrthoInfo. orthoinfo.aaos.org. March 2013 [10 June 2017]. （原始內容存檔於2017-07-06）.
^ ^4.0 ^4.1 ^4.2 ^4.3 ^4.4 ^4.5 ^4.6 ^4.7 Ferri, Fred F. Ferri's Clinical Advisor 2015 E-Book: 5 Books in 1. Elsevier Health Sciences. 2014: 472. ISBN 9780323084307. （原始內容存檔於2017-09-10）（英語）.
^ ^5.0 ^5.1 Cooney, William P. The Wrist: Diagnosis and Operative Treatment. Lippincott Williams & Wilkins. 2011: 1089. ISBN 9781451148268. （原始內容存檔於2017-09-10）（英語）.
^ Thomas H. Berquist. MRI of the Musculoskeletal System. Lippincott Williams & Wilkins. 2012: 939. ISBN 9781451109184.
^ Gregush RE, Habusta SF. Ganglion Cyst. [Updated 2023 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470168/ （頁面存檔備份，存於網際網路檔案館）
^ Giard MC, Pineda C. Ganglion cyst versus synovial cyst? Ultrasound characteristics through a review of the literature. Rheumatol Int. 2015 Apr;35(4):597-605. doi: 10.1007/s00296-014-3120-1. Epub 2014 Sep 5. PMID 25190552.
^ Neto, N., Nunnes, P. Spectrum of MRI features of ganglion and synovial cysts. Insights Imaging 7, 179–186 (2016). https://doi.org/10.1007/s13244-016-0463-z
^ Vanhoenacker, F.M. (2023). Synovial Cysts, Ganglion Cysts, and Bursae. In: Vanhoenacker, F.M., Ladeb, M.F. (eds) Imaging of Synovial Tumors and Tumor-like Conditions. Medical Radiology. Springer, Cham. https://doi.org/10.1007/174_2023_419
^ J.C. Segen (1992). The Dictionary of Modern Medicine. CRC Press. ISBN 9781850703211. Archived from the original on 2017-09-10. (see the entry for aneurysmal bone cyst, which "like pyogenic granuloma and ganglion cyst, a misnomer that has withstood the sands of time and the dint of logic")
^ See Hippocrates' "On the Articulations" (part 40) at Wikisource

[1] National Library of Medicine - Medical Subject Headings (MeSH) - Ganglion Cyst. [August 27, 2013]. （原始內容存檔於March 10, 2016）.

[E-hand.com-2] E-hand.com The Electronic Textbook of Hand Surgery. The American Society for Surgery of the Hand assh.com. [April 12, 2014]. （原始內容存檔於2014-03-09）.

[AAOS2013-3] 3.00 ^3.01 ^3.02 ^3.03 ^3.04 ^3.05 ^3.06 ^3.07 ^3.08 ^3.09 ^3.10 Ganglion Cyst of the Wrist and Hand-OrthoInfo. orthoinfo.aaos.org. March 2013 [10 June 2017]. （原始內容存檔於2017-07-06）.

[Fer2014-4] 4.0 ^4.1 ^4.2 ^4.3 ^4.4 ^4.5 ^4.6 ^4.7 Ferri, Fred F. Ferri's Clinical Advisor 2015 E-Book: 5 Books in 1. Elsevier Health Sciences. 2014: 472. ISBN 9780323084307. （原始內容存檔於2017-09-10）（英語）.

[Co2011-5] 5.0 ^5.1 Cooney, William P. The Wrist: Diagnosis and Operative Treatment. Lippincott Williams & Wilkins. 2011: 1089. ISBN 9781451148268. （原始內容存檔於2017-09-10）（英語）.

[6] Thomas H. Berquist. MRI of the Musculoskeletal System. Lippincott Williams & Wilkins. 2012: 939. ISBN 9781451109184.

[7] Gregush RE, Habusta SF. Ganglion Cyst. [Updated 2023 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470168/ （頁面存檔備份，存於網際網路檔案館）

[8] Giard MC, Pineda C. Ganglion cyst versus synovial cyst? Ultrasound characteristics through a review of the literature. Rheumatol Int. 2015 Apr;35(4):597-605. doi: 10.1007/s00296-014-3120-1. Epub 2014 Sep 5. PMID 25190552.

[9] Neto, N., Nunnes, P. Spectrum of MRI features of ganglion and synovial cysts. Insights Imaging 7, 179–186 (2016). https://doi.org/10.1007/s13244-016-0463-z

[10] Vanhoenacker, F.M. (2023). Synovial Cysts, Ganglion Cysts, and Bursae. In: Vanhoenacker, F.M., Ladeb, M.F. (eds) Imaging of Synovial Tumors and Tumor-like Conditions. Medical Radiology. Springer, Cham. https://doi.org/10.1007/174_2023_419

[11] J.C. Segen (1992). The Dictionary of Modern Medicine. CRC Press. ISBN 9781850703211. Archived from the original on 2017-09-10. (see the entry for aneurysmal bone cyst, which "like pyogenic granuloma and ganglion cyst, a misnomer that has withstood the sands of time and the dint of logic")

[12] See Hippocrates' "On the Articulations" (part 40) at Wikisource

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