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The pathomorphology of Bartholin's gland. Analysis of surgical data.
Pol J Pathol. 2007; 58(2):99-103.PJ

Abstract

Medline data did not reveal any statistical approach to Bartholin's gland pathomorphological lesions, especially when the social aspect was considered.

Objectives.

To complete knowledge and data according to this subject on the basis of own surgical material analysis. Microscopic examinations of histopathological 5 microm thick specimens stained with hematoxylin-eosin and in selected cases with histochemical and immunohistochemical methods on 104 Bartholin's glands taken from 103 female patients in age of 39.4 +/- 9.6. Retention cysts, suppurating lesions (abscesses), extrauterine endometriosis and neoplasms were separated from obtained samples. Localization of lesions, the patients' age and education status were determined. P < 0.05 was considered as statistically significant. Retention cysts were observed in 84.6% of cases, abscesses in 10.6%, extrauterine endometriosis in 2% and neoplasms in nearly 3% of patients. In 54.1% of cases the lesion was localized on the left side, in 45.9% on the right. 17.2% of female patients presented with university education, 29.9% with elementary education, while 52.9% with secondary education. The average age of operated patients amounted to 33 +/- 9.8 years in case of university education, being significantly lower as compared to the average age of secondary (40.5 +/- 7 years) and elementary (42.4 +/- 12 years) education (p < 0.01 and p < 0.02 respectively). 47.7% of retention cysts demonstrated various degrees of inflammatory infiltration. However, the anatomical variability of the ductal and glandular epithelium was higher in cases of non-inflammatory cysts. Considering three Bartholin's gland neoplasms, two were diagnosed as adenocarcinomas and one as a fibromyoma. All of them were observed in female patients with a rare blood type (twice Rh-minus and once AB Rh-plus). There was no significant relationship between the type of pathomorfological lesions and age of operated patients, in spite of the fact that the lowest mean age was observed in woman with endometriosis while the highest in those with neoplasms. The pathology of Bartholin's gland mostly concerns female patients with secondary education. However, early diagnosis is associated with patients with university education. Thus, further investigations considering the statistical analysis of Bartholin's gland neoplasms in order to determine the possible relationship between blood type antigens and neoplasm development are required.

Authors+Show Affiliations

Department of Pathomorphology, Regional Specialistic Hospital, Wrocław.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17715676

Citation

Sośnik, Henryk, et al. "The Pathomorphology of Bartholin's Gland. Analysis of Surgical Data." Polish Journal of Pathology : Official Journal of the Polish Society of Pathologists, vol. 58, no. 2, 2007, pp. 99-103.
Sośnik H, Sośnik K, Hałoń A. The pathomorphology of Bartholin's gland. Analysis of surgical data. Pol J Pathol. 2007;58(2):99-103.
Sośnik, H., Sośnik, K., & Hałoń, A. (2007). The pathomorphology of Bartholin's gland. Analysis of surgical data. Polish Journal of Pathology : Official Journal of the Polish Society of Pathologists, 58(2), 99-103.
Sośnik H, Sośnik K, Hałoń A. The Pathomorphology of Bartholin's Gland. Analysis of Surgical Data. Pol J Pathol. 2007;58(2):99-103. PubMed PMID: 17715676.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The pathomorphology of Bartholin's gland. Analysis of surgical data. AU - Sośnik,Henryk, AU - Sośnik,Katarzyna, AU - Hałoń,Agnieszka, PY - 2007/8/25/pubmed PY - 2007/9/26/medline PY - 2007/8/25/entrez SP - 99 EP - 103 JF - Polish journal of pathology : official journal of the Polish Society of Pathologists JO - Pol J Pathol VL - 58 IS - 2 N2 - Medline data did not reveal any statistical approach to Bartholin's gland pathomorphological lesions, especially when the social aspect was considered. Objectives. To complete knowledge and data according to this subject on the basis of own surgical material analysis. Microscopic examinations of histopathological 5 microm thick specimens stained with hematoxylin-eosin and in selected cases with histochemical and immunohistochemical methods on 104 Bartholin's glands taken from 103 female patients in age of 39.4 +/- 9.6. Retention cysts, suppurating lesions (abscesses), extrauterine endometriosis and neoplasms were separated from obtained samples. Localization of lesions, the patients' age and education status were determined. P < 0.05 was considered as statistically significant. Retention cysts were observed in 84.6% of cases, abscesses in 10.6%, extrauterine endometriosis in 2% and neoplasms in nearly 3% of patients. In 54.1% of cases the lesion was localized on the left side, in 45.9% on the right. 17.2% of female patients presented with university education, 29.9% with elementary education, while 52.9% with secondary education. The average age of operated patients amounted to 33 +/- 9.8 years in case of university education, being significantly lower as compared to the average age of secondary (40.5 +/- 7 years) and elementary (42.4 +/- 12 years) education (p < 0.01 and p < 0.02 respectively). 47.7% of retention cysts demonstrated various degrees of inflammatory infiltration. However, the anatomical variability of the ductal and glandular epithelium was higher in cases of non-inflammatory cysts. Considering three Bartholin's gland neoplasms, two were diagnosed as adenocarcinomas and one as a fibromyoma. All of them were observed in female patients with a rare blood type (twice Rh-minus and once AB Rh-plus). There was no significant relationship between the type of pathomorfological lesions and age of operated patients, in spite of the fact that the lowest mean age was observed in woman with endometriosis while the highest in those with neoplasms. The pathology of Bartholin's gland mostly concerns female patients with secondary education. However, early diagnosis is associated with patients with university education. Thus, further investigations considering the statistical analysis of Bartholin's gland neoplasms in order to determine the possible relationship between blood type antigens and neoplasm development are required. SN - 1233-9687 UR - https://www.unboundmedicine.com/medline/citation/17715676/The_pathomorphology_of_Bartholin's_gland__Analysis_of_surgical_data_ L2 - https://medlineplus.gov/vulvardisorders.html DB - PRIME DP - Unbound Medicine ER -