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Management of Bartholin's duct cyst and gland abscess.
Am Fam Physician. 2003 Jul 01; 68(1):135-40.AF

Abstract

Bartholin's duct cysts and gland abscesses are common problems in women of reproductive age. Bartholin's glands are located bilaterally at the posterior introitus and drain through ducts that empty into the vestibule at approximately the 4 o'clock and 8 o'clock positions. These normally pea-sized glands are palpable only if the duct becomes cystic or a gland abscess develops. The differential diagnosis includes cystic and solid lesions of the vulva, such as epidermal inclusion cyst, Skene's duct cyst, hidradenoma papilliferum, and lipoma. The goal of management is to preserve the gland and its function if possible. Office-based procedures include insertion of a Word catheter for a duct cyst or gland abscess, and marsupialization of a cyst; marsupialization should not be used to treat a gland abscess. Broad-spectrum antibiotic therapy is warranted only when cellulitis is present. Excisional biopsy is reserved for use in ruling out adenocarcinoma in menopausal or perimenopausal women with an irregular, nodular Bartholin's gland mass.

Authors+Show Affiliations

Department of Family Medicine, Morehouse School of Medicine, Atlanta, Georgia 30331, USA. omoyinf@msm.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

12887119

Citation

Omole, Folashade, et al. "Management of Bartholin's Duct Cyst and Gland Abscess." American Family Physician, vol. 68, no. 1, 2003, pp. 135-40.
Omole F, Simmons BJ, Hacker Y. Management of Bartholin's duct cyst and gland abscess. Am Fam Physician. 2003;68(1):135-40.
Omole, F., Simmons, B. J., & Hacker, Y. (2003). Management of Bartholin's duct cyst and gland abscess. American Family Physician, 68(1), 135-40.
Omole F, Simmons BJ, Hacker Y. Management of Bartholin's Duct Cyst and Gland Abscess. Am Fam Physician. 2003 Jul 1;68(1):135-40. PubMed PMID: 12887119.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of Bartholin's duct cyst and gland abscess. AU - Omole,Folashade, AU - Simmons,Barbara J, AU - Hacker,Yolanda, PY - 2003/7/31/pubmed PY - 2003/10/1/medline PY - 2003/7/31/entrez SP - 135 EP - 40 JF - American family physician JO - Am Fam Physician VL - 68 IS - 1 N2 - Bartholin's duct cysts and gland abscesses are common problems in women of reproductive age. Bartholin's glands are located bilaterally at the posterior introitus and drain through ducts that empty into the vestibule at approximately the 4 o'clock and 8 o'clock positions. These normally pea-sized glands are palpable only if the duct becomes cystic or a gland abscess develops. The differential diagnosis includes cystic and solid lesions of the vulva, such as epidermal inclusion cyst, Skene's duct cyst, hidradenoma papilliferum, and lipoma. The goal of management is to preserve the gland and its function if possible. Office-based procedures include insertion of a Word catheter for a duct cyst or gland abscess, and marsupialization of a cyst; marsupialization should not be used to treat a gland abscess. Broad-spectrum antibiotic therapy is warranted only when cellulitis is present. Excisional biopsy is reserved for use in ruling out adenocarcinoma in menopausal or perimenopausal women with an irregular, nodular Bartholin's gland mass. SN - 0002-838X UR - https://www.unboundmedicine.com/medline/citation/12887119/Management_of_Bartholin's_duct_cyst_and_gland_abscess_ L2 - https://www.aafp.org/link_out?pmid=12887119 DB - PRIME DP - Unbound Medicine ER -