What is the differential diagnosis for a fluid-filled growth on the finger, possibly a ganglion cyst (GC) or other soft tissue tumor?

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Differential Diagnosis for Fluid-Filled Growth on Finger

Single Most Likely Diagnosis

  • Ganglion cyst: This is the most common type of lump found on the wrist or finger, often filled with a jelly-like fluid. It is usually benign and can be caused by wear and tear on the joint.

Other Likely Diagnoses

  • Mucous cyst: A small, fluid-filled lump that appears on the finger, typically near the nail. It is often associated with osteoarthritis and can be caused by a buildup of fluid in the joint.
  • Epidermoid cyst: A benign cyst filled with a thick, cheesy material that can appear on the finger. It is usually caused by a blockage of the oil glands in the skin.
  • Sebaceous cyst: Similar to an epidermoid cyst, but filled with a thick, oily material. It is also usually benign and caused by a blockage of the oil glands.

Do Not Miss Diagnoses

  • Squamous cell carcinoma: A type of skin cancer that can appear as a firm, growing lump on the finger. Although rare, it is important to rule out this diagnosis due to its potential severity.
  • Malignant melanoma: A type of skin cancer that can appear as a new or changing mole on the finger. It is crucial to consider this diagnosis due to its high mortality rate if left untreated.
  • Infectious abscess: A collection of pus that can appear as a painful, fluid-filled lump on the finger. It is essential to consider this diagnosis, as it requires prompt antibiotic treatment or drainage.

Rare Diagnoses

  • Glomus tumor: A rare, benign tumor that appears as a small, blue-colored lump under the fingernail. It is usually painful and sensitive to temperature changes.
  • Digital myxoid cyst: A rare, benign cyst filled with a thick, jelly-like material that appears on the finger. It is often associated with osteoarthritis and can be caused by a buildup of fluid in the joint.
  • Synovial sarcoma: A rare type of cancer that can appear as a lump on the finger, often near the joint. It is essential to consider this diagnosis due to its potential severity, although it is extremely rare.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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