Venous malformation. To remove it?

Sorry to disturb you all. Actually I posted an mri few days back which had swelling on my left wrist.. there were 2 possible diagnosis written.. ganglion and venous malformation. So I was advised a contrast study to rule out venous malformation . But the contrast says it's more likely to be a venous malformation what do I do ?. My left hand is paining slightly beyond wrist joint going upwards.. it starts from fingers especially index and crosses the joint and goes little further . So making a fist is little painful.. ! Movements of hands are painful too. Actually this used to be there from many years.. only in last 3-4 weeks it started paining a lot and has also grown in size. Is surgery an option to remove it?