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Retrospective Analysis Of Benign Vaginal Cysts

Year 2016, Volume: 13 Issue: 4, 168 - 169, 01.10.2016

Abstract

Objective: Vaginal cysts are usually detected incidentally during a pelvic exam, and are of asymptomatic congenital origin and formation. In this study, we aimed at putting forth demographical, clinical and pathological characteristics of vaginal cysts for consideration.Methods: This study included the patients who applied at Gynecology Clinic of Zekai Tahir Burak Women’s Health Education & Research Hospital between November 2010 and June 2015, who were diagnosed with vaginal cyst and underwent surgery. Bartholin’s gland cyst and suburethral cyst were excluded from the study. Age, symptoms, size of the cysts, localization and final pathology results were analyzed retrospectively from files of hospitalization.Findings: Thirty-five patients revealed benign vaginal cysts. Average age of the patients was 45.74±9.04. 65% of patients n =23 were asymptomatic. The average diameter of cysts was 3.88±1.71cm. 62.85% of the lesions n = 22 was localized laterally and 28% n = 10 was localized in the anterior wall. The most common types encountered were Mullerian cysts 40%,n = 14 and squamous inclusion cysts 31.42%, n = 11 , respectively. A patient’s pathology result was hydatid cyst.Conclusion: Vaginal cysts which are encountered asymptomatic and often incidentally, stem from the lateral and anterior walls of the vagina. The most common histopathologic diagnoses are Mullerian cysts and inclusion cysts. Excision of the cysts is the curative therapy.

References

  • R. N. Marisa and E. Oliva, Gynecologic Pathology, Elsevier HealthSciences,P- hiladelphia,Pa,USA,2009.
  • Woodman PJ,Davis GD.The relationship of the in-sutu advancing vaginal wall sling to vaginal epithelial inclusion cyst.Int Urogynecol J Pelvic Floor Dysfunct 2000;11:124-6
  • Baldwin DD,Hadley HR.Epithelial inclusion cyst formation after free va- ginal wall swing sling procedure for stress urinary incontinence.J Urol 1997;157:952
  • Hagspiel KD.Giant Gartner duct cyst:magnetic resonance imaging findings. Abdom Imaging 1995;20:566-8
  • Töz E,Sanci M,Cumurcu S,Özcan A.Mullerian cyst of the vagina masquera- ding as a cystocele.Case Rep Obstet Gynecol 2015;2015;376834.
  • Jayaprakash S,Lakshmidevi M,Kumar SG.Arare caseof posterior vaginal wall cyst.BMJ Case Reports 2011;2011:3804
  • Eilber KS,Raz S. Benign cystic lesions of the vagina:a literature review. J Urol.2003 ;170:717-22.
  • Glavan N,Haller H,Brncic-Fischer A,Glavan-Gacanin L,Miletic D,Jonjic N.Im- perforate hymen presenting as vaginal cyst in a 16-month-old child-conside- rations for an early diagnosis.Scott Med J.2016;61(1):48-50
  • Seigelman ES,Outwater EK,Banner MP,Ramchandani P,Anderson TL,S- chnall MD.High –resolution MR imaging of the vagina.Radiographi- cs.1997;17;1183-1203
  • Ohya T,Tsunoda S,Aril S,Iwai T.Diagnosis and treatment for persistent Gartner dıct cyst in an infant:A case repoert.J.Pediatr Surg.2002;37-E4
  • Rashmi,Suneja A,Agarwal N,Guleria K,Yaday P.Vaginal mullerian cyst presen- ting as enterocele.J Obstet Gynecol India 2009;59(1):74-76
  • Fan EW,Cheng TC,Chlu AW et al.Pyonephrosis and urinary retention secon- dary to a large Gartner’s duct cyst associated with a single ectopic ureter in a pregnant woman.BJU Int 2002,89:572-3.
  • Pradhan S,Tobon H. Vaginal cysts:a clinicopathologic entity revisited. Int J Gynecol Pathol.1986;5:35-46.
  • Lee KS,Park KH,Lee S et al 2005.Adenocarcinoma arising in a vaginal mülle- rian cyst:a case report.Gynecologic Oncology 99:767-769.
  • Letizia,Matthew J,DO,Kelly,Joseph V.M.Case report:Gartner’s Duct Cyst. emergency Medicine News 2011;33:35.
  • Ozcan S, Karayalçin R, Ozyer S. Large solitary paravaginal hydatid cyst: a rare cause of urethral injury. Int Urogynecol J. 2010;21:1577-9.
  • Sabir N, Yildirim B, Cetin B, Sengul M, Alatas E. A rare presentation of hydatid cyst. Saudi Med J. 2005;26:1986-8.

Benign Vajinal Kistlerin Retrospektif Analizi

Year 2016, Volume: 13 Issue: 4, 168 - 169, 01.10.2016

Abstract

Amaç: Vajinal kistler genellikle jinekolojik muayene esnasında insidental olarak saptanan, genellikle konjenital kökenli ve asemptomatik oluşumlardır. Biz bu çalışmamızda vajinal kistlerin demografik, klinik ve patolojik özelliklerini ortaya koymayı amaçladık.Yöntem: Çalışmaya Kasım 2010-Haziran 2015 tarihleri arasında Zekai Tahir Burak Kadın Sağlığı Eğitim Araştırma Hastanesi jinekoloji polikliniğine başvuran ve jinekoloji servisinde vajinal kist tanısı ile opere olan hastalar dahil edildi. Bartolin bezi kistleri ve subüretral kistler çalışma dışı bırakıldı. Hastaların yaş, semptomları, kistlerin boyutu, lokalizasyonu ve nihai patoloji sonuçları retrospektif olarak yatış dosyalarından incelendi.Bulgular: Otuz beş hastada benign vajinal kist saptandı. Hastaların ortalama yaşı 45,74±9,04’dü. Hastaların % 65’i n=23 asemptomatikti. Kistlerin ortalama çapı 3,88±1,71 cm idi. Lezyonların %62,85’i n=22 lateral ve %28’i n=10 anterior duvarda lokalize idi. En sık karşılaşılan tipler Müllerian kistler %40, n=14 ve skuamoz inklüzyon kistleri %31,42, n=11 idi. Bir hastada patoloji sonucu kist hidatik olarak raporlandı.Sonuç: Asemptomatik ve çoğunlukla insidental olarak karşımıza çıkan vajinal kistler sıklıkla vajenin lateral ve anterior duvarından kaynaklanmaktadır. En sık histopatolojik tanıyı müllerian kistler ve inklüzyon kistleri oluşturur. Kistlerin total eksizyonu küratif tedavidir.

References

  • R. N. Marisa and E. Oliva, Gynecologic Pathology, Elsevier HealthSciences,P- hiladelphia,Pa,USA,2009.
  • Woodman PJ,Davis GD.The relationship of the in-sutu advancing vaginal wall sling to vaginal epithelial inclusion cyst.Int Urogynecol J Pelvic Floor Dysfunct 2000;11:124-6
  • Baldwin DD,Hadley HR.Epithelial inclusion cyst formation after free va- ginal wall swing sling procedure for stress urinary incontinence.J Urol 1997;157:952
  • Hagspiel KD.Giant Gartner duct cyst:magnetic resonance imaging findings. Abdom Imaging 1995;20:566-8
  • Töz E,Sanci M,Cumurcu S,Özcan A.Mullerian cyst of the vagina masquera- ding as a cystocele.Case Rep Obstet Gynecol 2015;2015;376834.
  • Jayaprakash S,Lakshmidevi M,Kumar SG.Arare caseof posterior vaginal wall cyst.BMJ Case Reports 2011;2011:3804
  • Eilber KS,Raz S. Benign cystic lesions of the vagina:a literature review. J Urol.2003 ;170:717-22.
  • Glavan N,Haller H,Brncic-Fischer A,Glavan-Gacanin L,Miletic D,Jonjic N.Im- perforate hymen presenting as vaginal cyst in a 16-month-old child-conside- rations for an early diagnosis.Scott Med J.2016;61(1):48-50
  • Seigelman ES,Outwater EK,Banner MP,Ramchandani P,Anderson TL,S- chnall MD.High –resolution MR imaging of the vagina.Radiographi- cs.1997;17;1183-1203
  • Ohya T,Tsunoda S,Aril S,Iwai T.Diagnosis and treatment for persistent Gartner dıct cyst in an infant:A case repoert.J.Pediatr Surg.2002;37-E4
  • Rashmi,Suneja A,Agarwal N,Guleria K,Yaday P.Vaginal mullerian cyst presen- ting as enterocele.J Obstet Gynecol India 2009;59(1):74-76
  • Fan EW,Cheng TC,Chlu AW et al.Pyonephrosis and urinary retention secon- dary to a large Gartner’s duct cyst associated with a single ectopic ureter in a pregnant woman.BJU Int 2002,89:572-3.
  • Pradhan S,Tobon H. Vaginal cysts:a clinicopathologic entity revisited. Int J Gynecol Pathol.1986;5:35-46.
  • Lee KS,Park KH,Lee S et al 2005.Adenocarcinoma arising in a vaginal mülle- rian cyst:a case report.Gynecologic Oncology 99:767-769.
  • Letizia,Matthew J,DO,Kelly,Joseph V.M.Case report:Gartner’s Duct Cyst. emergency Medicine News 2011;33:35.
  • Ozcan S, Karayalçin R, Ozyer S. Large solitary paravaginal hydatid cyst: a rare cause of urethral injury. Int Urogynecol J. 2010;21:1577-9.
  • Sabir N, Yildirim B, Cetin B, Sengul M, Alatas E. A rare presentation of hydatid cyst. Saudi Med J. 2005;26:1986-8.
There are 17 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Burcu Kısa Karakaya This is me

Hatice Kansu Çelik This is me

Mehmet Keçecioğlu This is me

Özlem Evliyaoğlu This is me

Esma Sarıkaya This is me

Salim Erkaya This is me

Publication Date October 1, 2016
Published in Issue Year 2016 Volume: 13 Issue: 4

Cite

Vancouver Karakaya BK, Çelik HK, Keçecioğlu M, Evliyaoğlu Ö, Sarıkaya E, Erkaya S. Benign Vajinal Kistlerin Retrospektif Analizi. JGON. 2016;13(4):168-9.