Bartholin's gland leiomyoma: A diagnostic and management dilemma

There are limited reports in the literature about Bartholin's gland leiomyoma, mainly due to its rare occurrence. This case report describes a 56‐year‐old woman presenting with a lump in her vulva. The initial suspicion was that of a Bartholin's gland carcinoma based on her clinical signs...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2012-06, Vol.38 (6), p.941-943
Main Authors: Francis, Sarah A., Wilcox, Frank L., Sissons, Mark
Format: Article
Language:English
Subjects:
Bartholin's gland
Bartholin's Glands - pathology
Bartholin's Glands - surgery
Biopsy
carcinoma
Diagnosis, Differential
Female
Humans
leiomyoma
Leiomyoma - diagnosis
Leiomyoma - pathology
Leiomyoma - surgery
Middle Aged
Treatment Outcome
vulva
Vulvar Neoplasms - diagnosis
Vulvar Neoplasms - pathology
Vulvar Neoplasms - surgery
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Description
Summary:There are limited reports in the literature about Bartholin's gland leiomyoma, mainly due to its rare occurrence. This case report describes a 56‐year‐old woman presenting with a lump in her vulva. The initial suspicion was that of a Bartholin's gland carcinoma based on her clinical signs and symptoms. The mass was excised and the histopathology report described a leiomyoma. Differentiating between benign and malignant tumors by inspection alone can pose a diagnostic dilemma. There are no clear management guidelines but some authorities recommend that enlarged Bartholin's gland in postmenopausal women should be completely excised so as to exclude adenocarcinoma of the gland. However, other case reports and reviews have tried to justify an initial biopsy before considering complete excision to avoid unnecessary intervention in women whose biopsy confirms a benign lesion. In the case described, surgical excision was necessary and beneficial to the patient to provide symptom control.
ISSN:1341-8076
1447-0756
DOI:10.1111/j.1447-0756.2011.01787.x