L. David Livingston, A. Betty Janice
40-year-old female patient who was a farmer by occupation, Presented with painless swelling over the dorsum of the right hand for the past one year. Patient gives history of thorn prick over the dorsum of the right hand following which she developed the swelling which was insidious in onset and gradually increased in size to the current size. No history of pain, fever, pus discharge from the swelling. In view of history of thorn prick, diagnosis of implantation dermoid was made. Since history was suggestive prick by a thorn, chronic abscess secondary to retained foreign body with surrounding infection was also held in differential diagnosis. Due to the location, over the dorsal surface of right hand, Ganglion was also held in the differential diagnosis list. Fungal aetiology was not thought of pre-operatively. Routine blood investigation was not done as procedure was done under local anaesthesia and diagnosis considered was of benign aetiology.
