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Gartner's Duct Cyst

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Topic updated on 12/16/16 4:54am

Snapshot
  • During a routine pelvic exam, a 20-year-old woman has a 1 cm cystic mass incidentally discovered on the lateral wall of the vagina. She has no past medical history. She denies any pain or symptoms associated with the cyst.
Introduction
  • Incomplete regression of wolffian mesonephric duct
  • Submucosal along anterior or lateral wall of the upper vagina
    • benign
    • usually small (<2cm) and asymptomatic 
      •  if larger, may cause mass effect on adjacent structures
  • Usually isolated but possible associations with metanephric urinary system abnormalities
    • renal agenesis
    • ipsilateral renal dysplasia
    • Herlyn-Werner-Wunderlich syndrome
Presentation
  • Symptoms
    • dyspareunia
    • difficulty inserting tampons
  • Pelvic exam
    • cyst on the anterior or lateral vaginal wall
  • Histology
    • nonmucinous cuboidal or columnar epithelium
  • Differential diagnosis
    • Bartholin cyst: usually posterolateral vagina
    • urethral diverticulum
Prognosis and Treatment
  • Frequently cysts remain small and require no treatment
  • If symptomatic, surgical exicision
 


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Qbank (1 Questions)

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(M1.RP.4753) A 35-year-old female presents to her gynecologist complaining of vaginal discomfort. She reports that over the past two weeks, she has developed dyspareunia and feels as if there is a mass on the external aspect of her vagina. She is sexually active in a monogamous relationship. On physical examination, there is a 2 cm unilateral erythematous swelling on the right side of the posterolateral labia minora. Which of the following embryologic precursors gives rise to the affected tissue in this patient? Topic Review Topic

1. Paramesonephric duct
2. Genital tubercle
3. Urogenital sinus
4. Urogenital fold
5. Labioscrotal swelling

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