History: 44 year old female with a chronic mass at her fingernail. The mass had been present for many months and would occasionally become infected and drain. It was also causing a depression in her nail and quite uncomfortable and unsightly.
Diagnosis: Left ring finger mucous cyst
Treatment: Mucous cyst excision with bilobed advancement flap
Outcome: She healed the incision beautifully and by 4 weeks the area was painless and improved. At her 3 month visit the nail plate and returned to normal appearance and she was very pleased.