Recurrent invasive lobular mass in an athletic female soccer player: A case report

Abstract

This case presentation focuses on an athletic female soccer player who is seen following previous surgeries for removal of ganglion cyst with complications of hypertrophic scarring and recurrent cyst formation. The patient developed several lobular mass tracking from the ankle joint within a hypertrophic scar on the lateral aspect of her right ankle. Ganglion cyst is the most common soft tissue mass in the foot and has a relatively thin wall with gelatinous fluid inside. It is most common in the dorsum of the hand and wrist, whereas 11% of all ganglia around the body occur in the foot and ankle areas. In this case, due to the athlete’s high physical activity level, the ganglion cysts frequently recurred and limited her performance on the field. The patient underwent a series of ganglion cyst aspirations, intermittent injection of corticosteroid and application of Cordran Tape as a topical corticosteroid. After a period of conservative care and continued regrowth the patient opted for surgical intervention with removal of recurrent ganglion cysts.