Re: Bartholin's

From: Bernard Cristalli (bcrist@club-internet.fr)
Tue Sep 23 00:04:06 2003


Marsupialization for an abcess is OK, when it's a cyst I remove it entirely. It's a bit more bleedy, but you are sure there will be no recurrence and you have a biiiiig biopsy.

--
Bernard Cristalli MD AMACOG
AIHP - ACCA
Paris France
http://www.CliniquedelEssonne.fr
http://www.obgyn.net/corresp/cristalli.htm
http://www.gyneweb.fr
'64 Mk2 3.8

> De : islesannie@yahoo.com (Joanne Bulley, MD) ... > > 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





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