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Bartholin's From: Joanne Bulley, MD (islesannie@yahoo.com) Mon Sep 22 21:06:01 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "FRI: The Dead Duck" Previous message: Dean Huffman: "DDAVP" Next in thread: Mary Amlon, MD: "Re: Bartholin's" Reply: Mary Amlon, MD: "Re: Bartholin's" Reply: Bernard Cristalli: "Re: Bartholin's" Reply: Efrain Ramirez: "Re: Bartholin's" 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 Next message: Joanne Bulley, MD: "FRI: The Dead Duck" Previous message: Dean Huffman: "DDAVP" Next in thread: Mary Amlon, MD: "Re: Bartholin's" Reply: Mary Amlon, MD: "Re: Bartholin's" Reply: Bernard Cristalli: "Re: Bartholin's" Reply: Efrain Ramirez: "Re: Bartholin's"

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