Introduction. Digital mucous cyst is a benign, translucent nodule that occurs on the dorsum of the finger. The cyst is filled with a gelatinous mass and connected with the interphalangeal joint. Arthritis plays the main role in the etiology.

Objective. To present a case of digital mucous cyst and its therapeutic difficulties.

Case report. A 60-year-old patient was admitted to the Outpatient Clinic of Dermatology because of a soft, periungual nodule on the left third finger. The clinical picture suggested a mucous cyst. Many treatment methods were used with varying therapeutic efficacy (puncture, electrocoagulation, cryotherapy, surgery).

Conclusions. The choice of treatment is individual, but in our case, surgical removal of the lesion was most efficacious.