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Re: Bartholin's From: Joanne Bulley, MD (islesannie@yahoo.com) Sat Sep 27 22:06:52 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Victor Jose Sanna: "Re: Antenatal Steroids" Previous message: D. Ashley Hill, MD: "Re: Bartholin's" In reply to: D. Ashley Hill, MD: "Re: Bartholin's" Ashley, Thanks for your note. I have been involved with two women who had Bartholin's Ad-Ca. One had been diagnosed at 50-something and I saw her at UofMich for follow up that was being done. The other was the mother of a patient of mine who I saw acutely as an urgent add in as she was moving out of state - for what looked more like a boil (and positioned a bit off) than a Bartholins. I had said (since there wasn't time for doing anything else) that she should do warm soaks and see somone promptly where she was moving if it didn't go away completely over a week to 10 days. So ... turns out she did NOT do that and when she finally saw somone - they took her to the OR and diagnosed the problem. Joanne At Fri, 26 Sep 2003, D. Ashley Hill, MD wrote: > >Why not marsupialize using the "window" procedure reported by Cho et al? >That way you excise a segment of the cyst which you can send for biopsy. >Although some texts advocate excision of Bartholin gland lesions in >women over 40 to "rule out adenocarcinoma" a retrospective report from >1996, referenced below, found that the incidence of Bartholin gland >adenocarcinoma in post-menopausal women was 0.114 per 100,000 >woman-years. That's an extremely low incidence, which probably does not >justify excision. > >Visco AG, Del Priore G. Postmenopausal bartholin gland enlargement: a >hospital-based cancer risk assessment. Obstet Gynecol 1996;87:286-90. > >Ashley > -- 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: Victor Jose Sanna: "Re: Antenatal Steroids" Previous message: D. Ashley Hill, MD: "Re: Bartholin's" In reply to: D. Ashley Hill, MD: "Re: Bartholin's"

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