A Bartholin's gland with nodules and cysts bathed in mucus

Burger, M. P. M.; Salvatore, Concetta M.; Bleeker, Maaike

doi:10.1016/j.crwh.2016.11.001

Cited by 4 publications

(9 citation statements)

References 13 publications

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“…Adenomas of the Bartholin’s gland are neoplastic and are thought to transform into carcinomas as a result of clonal expansion following mutation. This can be evidenced by P53 expression in adenomatous lesions and not in non-adenomatous lesions [ 4 , 8 ]. The risk of adenomas to transform into cancer is reported in postmenopausal women unlike in premenopausal and adolescent women [ 2 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Management of Bartholin’s gland cystic lesions requires marsupialization and fistulization with Word catheterization [ 1 , 4 ]. NH and other neoplastic lesions (adenomas and adenomyomas) are managed surgically by excision.…”

Section: Discussionmentioning

confidence: 99%

“…NH and other neoplastic lesions (adenomas and adenomyomas) are managed surgically by excision. There are two major challenges related with management of such lesions as it was reported by Burger et al [ 4 ]. Incomplete excision is a frequent experience.…”

Section: Discussionmentioning

confidence: 99%

“…[ 10 ] reported the highest rate of relapse of 80% in patients with NH. Another reason may be that, sometimes the enlarged gland is deeply situated in the stroma and laterally of the labiocrural fold making vestibular incision of the gland approach not possible to achieve complete excision of the lesion; therefore, a transcutaneous incision alongside the labiocrural fold would help to ensure complete excision of the enlarged gland [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Occurrence of malignant tumours in the Bartholin’s gland is extremely rare and the most malignant tumours are adenocarcinoma and squamous cell carcinoma. These carcinomas have been thought to develop by the process of adenoma-carcinoma transformation from clonal expansion of transformed cells with malignant characteristics [ 3 , 4 ]. Adenocarcinoma and squamous cell carcinoma account for 80–90% of primary cases and the remaining 10–20% of cases include transitional, adenoid-cystic or undifferentiated carcinomas [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Bartholin’s gland hyperplasia with dysplastic changes: a rare case report

Yahaya

2020

Journal of Surgical Case Reports

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bartholin’s gland hyperplasia with dysplastic changes: a rare case report

Yahaya

2020

Journal of Surgical Case Reports

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A 5-year Review of Incidence, Presentation and Management of Bartholin Gland Cysts and Abscesses in a Tertiary Hospital, Yenagoa, South-South Nigeria

Oriji

Allagoa

Ubom

et al. 2022

Preprint

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Background: Bartholin gland cysts and abscesses are common in women of reproductive age and declines after menopause. Organisms implicated in Bartholin abscess include, Neisseria gonorrhoeae, Chlamydia trachomatis, Escherichia coli, Staphylococcus aureus and Bacterioides spp. Aim: To determine the incidence, presentation and management of Bartholin gland cysts and abscesses at the Federal Medical Centre, Yenagoa, Bayelsa State, South-South Nigeria, over a five-year period. Settings and Design: This retrospective study was conducted in the Gynaecological Unit of the Federal Medical Centre, Yenagoa, Bayelsa State, South-South, Nigeria, between January 1, 2016 and December 31, 2020. Materials and Methods: Relevant data were retrieved, entered into a pre-designed proforma, and analysed. Statistical Analysis: Statistical Package for the Social Sciences version 25.0 was used for data analysis. Results were presented in frequencies and percentages for categorical variables. Results: There were 2,478 gynaecological cases managed in our Centre; out of which there were 26 cases of Bartholin cyst and abscess, giving an incidence of 1.05%. Most of the women were ≤ 30 years (14, 53.8%), single (17, 65.4%), nulliparous (13, 50.0%), traders (11, 42.3%), with only primary/secondary education (18, 69.2%). The left Bartholin gland was the most frequently affected (17, 65.4%). A positive microbial culture was obtained in 84% of cases, with Staphylococcus aureus and Escherichia coli being the isolated organisms. Marsupialisation was the treatment modality in all the patients. Conclusion: Women of reproductive age-group should be counselled on this condition and encouraged to keep good perineal hygiene and better sexual conduct so as to reduce the risk of Bartholin cysts and abscesses. Keywords: Bartholin gland, Cyst, Abscesses, Reproductive age, Marsupialisation.

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Pitfalls in Pathology—Nodular Hyperplasia of Bartholin's Gland

et al. 2021

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Nodular hyperplasia of the Bartholin's gland is an underreported and extremely rare entity that presents as a solid lesion potentially raising concern for malignancy clinically, most solid lesions at this location are carcinomas. They may also be mistaken for a Bartholin cyst clinically. Nodular hyperplasia is rarer than carcinoma of the Bartholin gland, and hence pathologists may not be familiar with this entity, making it a pitfall in pathologic as well as a clinical diagnosis. Here we report a case originally considered a Bartholin cyst, but raising intraoperative concern due to solid elements. Histological examination of the lesion revealed nodular hyperplasia of Bartholin's gland. Recognition of this entity is important, as it is something that may be encountered by the pathologist.

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A Bartholin's gland with nodules and cysts bathed in mucus

Cited by 4 publications

References 13 publications

Bartholin’s gland hyperplasia with dysplastic changes: a rare case report

Bartholin’s gland hyperplasia with dysplastic changes: a rare case report

A 5-year Review of Incidence, Presentation and Management of Bartholin Gland Cysts and Abscesses in a Tertiary Hospital, Yenagoa, South-South Nigeria

Pitfalls in Pathology—Nodular Hyperplasia of Bartholin's Gland

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