Bimodal Treatment of a Huge Hypervascular Neurofibroma on the Groin

and medial and lateral sural nerves. A Baker’s cyst in this area can cause lower leg pain, paresthesia, and muscle weakness by the compression of the tibial nerve [5]. The authors were careful not to damage the lateral and medial sural nerves while dissecting the lateral head of the gastrocnemius muscle. Surgeons should have a precise plan to explore and dissect the popliteal fossa and to not damage vital structures; further, they should explain the possibility of a nerve injury to patients, preoperatively. A case of an intramuscular ganglionic cyst has been rarely reported. Moreover, this cyst is easily mistaken for a Baker’s cyst or a meniscal cyst in the popliteal fossa. Surgeons should be aware of the differential diagnosis among cystic masses for definite treatments. The details of the differential diagnosis are provided in Table 1. Preoperative imaging studies can be helpful, particularly MRI. Here, we have reported a rare case of an intramuscular ganglionic cyst and the distinction among the popliteal cystic masses in order to help with their diagnosis and treatment.