Pocket ObGyn – GynDerm Cysts
See Abbreviations
| Vaginal and perineal cysts | |||
|
Cyst type |
Clinical
characteristics |
Physical exam |
Treatment |
| Epidermoid cyst
Epidermal proliferation due to disruption of dermis Lined by keratinized epidermal cells |
Commonly asymptomatic, may cause discomfort, altered cosmetic appearance, discharge | Mobile cyst commonly filled w/ white or clear fluid upon incision
Located at vulva & perineum |
Observation Excision |
| Gartner duct cyst
Remnant of mesonephric duct |
Dyspareunia, difficulty inserting tampons, feeling a bulge/mass | Cystic mass commonly found in the posterolateral vagina | Marsupialization Excision |
| Skene duct cyst Obst of Skene duct Lined by squamous epithelial cells | Commonly asymptomatic, dyspareunia, pain, urethral obst, UTI | Cystic mass in inferolateral periurethral region | Observation Excision |
| Bartholin gland cyst
Obst of Bartholin gland |
Dyspareunia, pain, drainage, may form abscess | Cystic mass in medial labia majora (at 5 or
7 o’clock, relative to the introitus) |
Incision & drainage Word catheter
placement Marsupialization Excision (Chap. 5) |
| Sebaceous gland cyst
Obst of sebaceous gland |
Commonly asymptomatic; may cause discomfort, altered cosmetic appearance | Mobile cyst filled w/ thick yellow material upon incision, often multi cysts
Located at vulva & perineum |
Observation Excision |
| From Hoffman BL, Schorge JO, Schaffer JI, et al. Benign disorders of the lower reproductive tract. In: Hoffman BL, Schorge JO, Schaffer JI, et al, eds. Williams Gynecology. 2nd ed. New York, NY: McGraw-Hill; 2012; Black M, Mckay M, Braude P, et al., eds. Obstetric and Gynecologic Dermatology. 2nd ed. Philadelphia, PA: Mosby; 2002. | |||