Bartholin’s Gland: Cysts

Chapter 68 Bartholin’s Gland: Cysts



INTRODUCTION



Description: A chronic cystic dilation of Bartholin’s gland and duct, generally secondary to past infection.

Prevalence: Two percent of adult women develop infection or enlargement of one or both Bartholin’s glands.

Predominant Age: Of Bartholin’s gland cysts, 85% occur during the reproductive years (peak: 20 to 29 years). Occurrence after age 40 years is rare and should raise concerns about malignancy.

Genetics: No genetic pattern.


ETIOLOGY AND PATHOGENESIS



Causes: Bartholin’s gland infection or abscess leading to obstruction of the duct.

Risk Factors: Exposure to sexually transmitted disease, trauma, prior Bartholin’s gland abscesses.


CLINICAL CHARACTERISTICS



Signs and Symptoms



Smaller, more chronic cysts, caused by obstruction of the Bartholin duct, may be identified by gentle palpation at the base of the labia majora. These cysts are smooth, firm, and tender with varying degrees of induration and overlying erythema. The cysts may be clear, yellow, or bluish in color.


DIAGNOSTIC APPROACH



Differential Diagnosis



• Epidermal inclusion or sebaceous cyst

• Mesonephric cysts of the vagina

• Lipomas

• Fibromas

• Hernias

• Hydrocele

• Bartholin’s gland malignancy (rare)

• Neurofibroma

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Jun 6, 2016 | Posted by in GYNECOLOGY | Comments Off on Bartholin’s Gland: Cysts

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