Re: Gyn: recurrent Bartholin Gland cyst/abscess

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Mon Mar 12 19:49:54 2007


Thanks, Dan.

I do NOT anticipate excision--been there, done that. . .

Garry

At Mon, 12 Mar 2007, R. Daniel Braun wrote: >
>If it doesn't go away completely in 1-2 weeks, consider getting some tissue
>for pathology. "cyst walls weren't well defined" treated 4-5 times not
>likely but could be a malignancy.
>Biopsy or SHUDDER (excision).
>
>Dan
>
>On 3/12/07, Garry E. Siegel, M.D. <garrys@mindspring.com> wrote:
>>
>> 30 YO P0000
>>
>> Had Bartholin Gland problems years ago--no records. Word X 2, then
>> marsupialization--all well for 7 years.
>>
>> 10 days ago, on a Friday, saw another gyn who tried to do something in
>> office (no records).
>>
>> Seen on a Monday afterwards (one week ago)--3 cm. cystic, non-inflammed
>> mass. I thought that I could do an office Word--but only got a bit of
>> clear liquid and it was too painful.
>>
>> OR Tuesday--marsupialization done--the cyst walls weren't well defined
>> for 360 degrees.
>>
>> Today seen with 3 cm. mass that literally just drained spontaneously 30
>> minutes before her visit. Sutures intact, can't really expose the lumen
>> well due to discomfort.
>>
>> I suspect she somehow has re-obstructed or may have septae in there
>> (none in OR). My instinct is to leave this alone if possible and
>> reassess in a few weeks, with the thought of another marsupialization
>> under more ideal conditions.
>>
>> Any ideas?
>>
>> Garry
>>
>> --
>> Garry E. Siegel, M.D.
>> Private Practice
>> Roswell, GA
>>
>--
>R. Daniel Braun, MD FACOG(L) CMT
>Professor Emeritus
>Dept. of Obstetrics and Gynecology
>Indiana U. School of Medicine
>
>R. Daniel Braun
>
> "The way to health is an aromatic bath and scented massage everyday".
> Hippocrates
>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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