Yahaya James J
Department of Biomedical Science, College of Health Science (CHS), The University of Dodoma, Dodoma, Tanzania.
J Surg Case Rep. 2020 Sep 18;2020(9):rjaa312. doi: 10.1093/jscr/rjaa312. eCollection 2020 Sep.
The purpose of this paper is to report unusual, rarest and interesting case of a patient with nodular hyperplasia of Bartholin's gland with dysplastic changes. The case of a 30-year old female with right-sided Bartholin's gland hyperplasia with dysplastic changes, which was confirmed histopathologically, is presented in this paper. The patient reported increased swelling of the right major labium when she became sexually aroused with intermittent dyspareunia during intercourse. Surgical excision of the swelling was done under general anaesthesia. Healing of the surgical scar was complete and she reported no any discomfort or dyspareunia during sexual intercourse. Bartholin's gland swellings with firm consistency require complete excision due to possibility of being neoplastic rather than just inflammation, cyst or obstructed gland particularly in postmenopausal women. Diagnosis of nodular hyperplasia of Bartholin's gland with areas of dysplastic changes in the present case is of great interest and requires further investigation.
本文旨在报告一例罕见、极其罕见且有趣的巴氏腺结节性增生伴发育异常改变的病例。本文介绍了一名30岁女性，其右侧巴氏腺增生伴发育异常改变，经组织病理学证实。该患者报告称，性唤起时右侧大阴唇肿胀加剧，性交时有间歇性性交困难。在全身麻醉下对肿胀部位进行了手术切除。手术切口完全愈合，患者报告性交时无任何不适或性交困难。巴氏腺质地坚硬的肿胀因其可能为肿瘤性病变而非单纯炎症、囊肿或腺管阻塞，尤其在绝经后女性中，故需完整切除。本例巴氏腺结节性增生伴发育异常区域的诊断极具意义，需要进一步研究。
