- A 35 Year Old White Male Had A Mass On His Right Wrist For Quite Some Time It Had Become Tender And Quite Achy It Was 1 (104.58 KiB) Viewed 78 times
A 35-year-old white male had a mass on his right wrist for quite some time. It had become tender and quite achy. It was, therefore, recommended that this be removed under axillary block anesthesia. Incidentally, he also had a lesion of the skin of the nose and requested removal of the lesion. The patient was admitted to undergo these surgeries under local anesthesia following removal of the ganglion cyst. His orthopedic examination at the time of admission revealed him to have a 1 x 2- centimeter fluctuant but fairly firm mass of the radial volar aspect of the right wrist, which was just proximal to the flexor crease. This was nonpulsatile. He also had what appeared to be a sebaceous cyst involving the skin on the tip of the nose. The patient's preoperative chest x-ray, complete blood count, and urinalysis were all within normal limits. An x-ray of the right wrist revealed no bony abnormality, but it did reveal a soft tissue mass on the lateral aspect of the wrist. The patient underwent the operative procedures described above, the first under axillary block and the other two under local anesthetic. The patient tolerated the procedures well and left the operating room in good condition. The pathology report revealed a ganglion cyst of the wrist and a sebaceous cyst of the nose. He was discharged the next day with instructions to return to the office for follow-up. DISCHARGE DIAGNOSES: Ganglion cyst, right wrist M67.431 Sebaceous cyst, nose L72.3 PROCEDURES: Open extirpation, ganglion cyst, right wrist OXBGOZZ Excision, lesion, skin of nose OHB1XZZ