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[女性新生儿的斯基恩氏腺囊肿——病例报告]

[Skene duct cyst in female newborns--case reports].

作者信息

Miño A, Rodríguez J

出版信息

Rev Chil Pediatr. 2014 Oct;85(5):584-7. doi: 10.4067/S0370-41062014000500009.

Abstract

INTRODUCTION

The Skene duct cyst, classified as a paraurethral cyst, is a rare congenital abnormality in female neonates and it may manifest throughout the course of life. The incidence varies from 1 in 2000 to 3000 female births.

OBJECTIVE

To expose the characteristics and symptoms of a Skene duct cyst at different stages of child development in order to carry out a timely suspicion and diagnosis.

CASE REPORT

The first case is a female newborn who presented a painless yellowish tumor adjacent to the urethral meatus, which drained spontaneously; the second case is a teenager who consulted due to leucorrhea for a year and a three-centimeter diameter paraurethral injury between the labia minora, which required surgical treatment and study of the paraurethral mass.

CONCLUSIONS

Based on the literature review, we concluded that the frequency of Skene duct cyst is higher than the number of reported cases. Cyst removal, marsupialization, puncture and aspiration are all effective treatment methods. Spontaneous drainage is also appropriate in certain cases. We suggest the use of the least aggressive technique according to each case.

摘要

引言

斯基恩氏腺囊肿归类为尿道旁囊肿,是女性新生儿中罕见的先天性异常,可能在一生中任何阶段出现。发病率为每2000至3000例女性出生中有1例。

目的

揭示斯基恩氏腺囊肿在儿童发育不同阶段的特征和症状,以便及时进行怀疑和诊断。

病例报告

第一例是一名女新生儿,在尿道口旁出现一个无痛的淡黄色肿物,自行引流;第二例是一名青少年,因白带异常一年前来就诊,在小阴唇间有一个直径3厘米的尿道旁肿物,需要手术治疗并对尿道旁肿物进行研究。

结论

基于文献综述,我们得出结论,斯基恩氏腺囊肿的发生率高于报告病例数。囊肿切除、袋形缝合术、穿刺抽吸都是有效的治疗方法。在某些情况下,自行引流也是合适的。我们建议根据每个病例采用最保守的技术。

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