Díaz de la Noval Begoña, García Fernández Irene, Álvarez Fernández Beatriz
Department of Obstetrics and Gynecology, Hospital Francisco Grande Covián, 42 Castañera St., 33540 Asturias, Spain.
Case Rep Womens Health. 2019 Apr 16;22:e00115. doi: 10.1016/j.crwh.2019.e00115. eCollection 2019 Apr.
Distal blockage of the Bartholin's gland duct can result in the retention of secretions, with consequent formation of a cyst or abscess.
A 57-year-old woman, in whom a bulky vulvar mass in the left labia majora was detected during cystoscopy for urinary symptoms, was referred to the gynaecology clinic. We performed complete removal of the mass as well as ipsilateral vulvar reconstruction. Histological analysis confirmed a large benign Bartholin's duct cyst without acute infection.
Epidermoid cysts take a long time to develop and so large cysts are rare. The differential diagnosis of a Bartholin's cystic mass should be considered among many other pathologies in the vulvovaginal area. Treatment with complete surgical excision should be carefully performed, under prophylactic antibiotic coverage if required.
Urogynaecological complaints require a careful consideration of the symptoms and an adequate physical examination before additional tests are requested. Although a differential diagnosis can be made preoperatively, confirmation is necessarily histological.
巴氏腺导管远端阻塞可导致分泌物潴留，进而形成囊肿或脓肿。
一名57岁女性，因泌尿系统症状在膀胱镜检查时发现左侧大阴唇有一个巨大的外阴肿物，遂转诊至妇科门诊。我们对肿物进行了完整切除并同期进行了同侧外阴重建。组织学分析证实为一个巨大的良性巴氏腺导管囊肿，无急性感染。
表皮样囊肿生长缓慢，因此巨大囊肿较为罕见。巴氏腺囊性肿物的鉴别诊断应考虑外阴阴道区域的许多其他病理情况。如需，应在预防性使用抗生素的情况下仔细进行完整手术切除治疗。
在要求进行进一步检查之前，对泌尿妇科主诉需要仔细考虑症状并进行充分的体格检查。虽然术前可以做出鉴别诊断，但确诊仍需组织学检查。
