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Re: Bartholin's From: Mary Amlon, MD (maryaml@qwest.net) Mon Sep 22 23:32:24 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: Bartholin's" Previous message: Joanne Bulley, MD: "FRI: The Dead Duck" In reply to: Joanne Bulley, MD: "Bartholin's" Next in thread: Bernard Cristalli: "Re: Bartholin's" At Mon, 22 Sep 2003, Joanne Bulley, MD wrote: > >I was surprised that I got no responses on this one - is it really a >"no-brainer" - if it looks like a duck ... maybe I should just treat >with soaks an observation like Bartholin's in the 20-something woman. > >--- Joanne > >I know we've discussed this before ... >What would you do: > >Mid 40's woman has a Bartholin's duct cyst which develops into an abcess >and spontaneously drains. > >1. hot soaks for 24-48 hours and just observe (how soon - 1 month, 6 >months or something else) > >2. go to OR and marsupialize and biopsy the duct wall (because of >others recommending biopsy of any Bartholin's if the woman is over 40) >(I have seen two patients with Adenocarcinoma of the Bartholin's gland - >duct) > >3. Something else (and describe) > >If you biopsy - WHAT do you biopsy - the lower end of the duct where you >are marsupializing - or further up??? > >Thanks - I look forward to the discussion! > >Joanne > >-- >Joanne Bulley, MD >Keene, NH, USA > >----- >Work to create peace everywhere you go and with everything you do. >----- >Let us accept truth, even when it surprises us and alters our views. >-George Sand > -- I would recommend excision of the Bartholin's duct and gland in a woman over age 40 with an abscess in order to rule out adenocarcinoma of the Bartholin's gland. Please refer to page 647 in the 4th edition of Comprehensive Gynecology by Stenchever, Droegemueller, Herbst, and Mishell. But be prepared for the risk of substantial bleeding - it can be the bloodiest little minor surgery case around! Next message: Bernard Cristalli: "Re: Bartholin's" Previous message: Joanne Bulley, MD: "FRI: The Dead Duck" In reply to: Joanne Bulley, MD: "Bartholin's" Next in thread: Bernard Cristalli: "Re: Bartholin's"

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