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Annals of Dermatology 2011 Oct; 23(0): S165~S168
Annals of Dermatology 2011 Oct; 23(0): S165~S168

Cutaneous Metaplastic Synovial Cyst of the First Metatarsal Head Area
Byung Chul Kim, M.D., Woo Jin Choi, M.D., Eun Joo Park, M.D., In Ho Kwon, M.D., Hee Jin Cho, M.D.1, Kwang Ho Kim, M.D., Kwang Joong Kim, M.D.
Department of Dermatology, College of Medicine, Hallym University, Anyang, 1Department of Dermatology, College of Medicine, Hallym University, Chuncheon, Korea
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
A cutaneous metaplastic synovial cyst (CMSC) is a cyst lined with metaplastic synovial tissue, which includes the formation of an intracystic villous structure resembling hyperplastic synovial villi. Clinically, the lesion is a tender, subcutaneous nodule that usually occurs at the site of previous surgical trauma and is frequently misdiagnosed as a suture granuloma. The actual cause remains unclear; however, trauma is presumed to be a precipitating factor, as most reported cases have demonstrated a history of antecedent cutaneous injury. Here, we present a case of CMSC in a 51-year-old woman who presented with a cystic mass localized in the left sole. She had no history of previous trauma or surgical procedures performed in the area. Although the case explained in this report is a spontaneous case of CMSC that occurred without a history of trauma, it is believed to have been caused by constant and chronic pressure since CMSC occurred in the first metatarsal head area, a part of the sole where heavy pressure is consistently applied. (Ann Dermatol 23(S2) S165∼S168, 2011)
Annals of Dermatology 2011 Oct; 23(0): S165~S168
Keyword : Chronic pressure, Cutaneous metaplastic synovial cyst, Sole
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