Surgical approach to a vulval–pubic cartilaginous cyst: A case report and review of published work

Cartilaginous cyst of symphysis pubis is rare and to our knowledge 12 cases have been reported in the published work. Although cartilaginous cysts of the vulva and pubis are likely to present to a gynecologist as a vulval–pubic mass, their diagnosis and management warrants a multidisciplinary team a...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2013-09, Vol.39 (9), p.1419-1424
Main Authors: Gajjar, Ketan, Robati, Shahin, Packer, Greg, Razvi, Khalil
Format: Article
Language:English
Subjects:
Aged
Benign
Cartilage Diseases - diagnosis
Cartilage Diseases - surgery
cartilaginous cyst
Female
Ganglion Cysts - diagnosis
Ganglion Cysts - surgery
ganglion‐like cyst
Humans
Postoperative Complications - prevention & control
pubic symphysis
Pubic Symphysis - surgery
Treatment Outcome
vaginal mass
Vulvar Diseases - diagnosis
Vulvar Diseases - surgery
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Summary:Cartilaginous cyst of symphysis pubis is rare and to our knowledge 12 cases have been reported in the published work. Although cartilaginous cysts of the vulva and pubis are likely to present to a gynecologist as a vulval–pubic mass, their diagnosis and management warrants a multidisciplinary team approach because of their rarity and anatomical location. Non‐invasive diagnosis includes magnetic resonance imaging and ultrasound scan, while the invasive preoperative biopsy is reserved for cases with a high index of suspicion of malignancy. The surgical approach for the management of vulval–pubic cartilaginous cyst is not well established. The current case demonstrates a joint surgical approach involving a gynecologist and orthopedic surgeon in management of a degenerative cartilaginous cyst. As this condition is benign, every effort should be made to preserve the stability of the pubic symphysis. Symphyseal dysfunction from surgery remains a potential complication for which treatment is not straightforward.
ISSN:1341-8076
1447-0756
DOI:10.1111/jog.12075