$Unique_ID{BRK00531} $Pretitle{} $Title{Is Baker's Cyst Anything to Worry About?} $Subject{popliteal cysts knee Baker's Cyst musculoskeletal joint joints aspirating fluid bursa sac bursae removed surgically} $Volume{M-17} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Is Baker's Cyst Anything to Worry About? ------------------------------------------------------------------------------ QUESTION: I have a soft lump on the back of my knee, that hurts when I straighten my leg. My doctor told me it was a Baker's Cyst, but I can't find anything about it in my medical books. Is this anything to worry about? Can it turn into cancer? It isn't getting any better and I have had it for six months. ------------------------------------------------------------------------------ ANSWER: It's also called a "popliteal cyst," since the back of your knee is the popliteal area; and it may be the result of a hernia, or pushing outward of the fibrous capsule of your knee, or of one of the bursa that are located in this area. A bursa is a sac or sac like formation that contains the thick, viscid fluid that helps to "oil" the joint and prevent friction. Although a Baker's cyst (named, not after the bread makers, but Dr. W.M. Baker who described it first) may occur at any age, but is seen most frequently in men aged 15 to 30. Its cause is unknown, although trauma to the knee is suspected, and it never progresses into a cancer of any type. Conservative treatment using anti-inflammatory medications or aspirating the fluid out of the cyst and injecting it with corticosteroids may help reduce the symptoms temporarily. However, your only hope for a permanent solution is to have the sac removed surgically. The surgeon dissects the cyst away from the surrounding tissue, and ties of the neck of the sac. When performed properly, this has a permanent effect and prevents the cyst from increasing in size and extending down the leg. The pain will also disappear, and you will regain normal function in your knee and leg. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.