Summary
Definition
History and exam
Key diagnostic factors
- vulval/perineal mass
- vulval pressure or fullness
- pain during sitting or walking
Other diagnostic factors
- fever
- dyspareunia
- vulval erythema and induration
- spontaneous rupture
Risk factors
- woman of reproductive age
- previous Bartholin cyst/abscess
- sexual activity
- direct trauma or surgery
诊断性检查
需考虑的检查
- microscopy and culture of abscess material
- biopsy of vulval lesion
治疗流程
asymptomatic Bartholin cyst
symptomatic Bartholin cyst
Bartholin abscess
撰稿人
作者
Colleen Kennedy Stockdale, MD, MS
Professor of Obstetrics and Gynecology
University of Iowa
Iowa City
IA
利益声明
CKS is on the Executive Board for ISSVD and is an Associate Editor for the Journal of Lower Genital Tract Disease. CKS is an author of a number of references cited in this topic.
Lori A. Boardman, MD, ScM
Professor of Obstetrics and Gynecology
University of Central Florida College of Medicine
Orlando
FL
利益声明
LAB declares that she has no competing interests.
鸣谢
Dr Colleen Kennedy Stockdale and Dr Lori A. Boardman would like to gratefully acknowledge Dr Laura K. Bonebrake, a previous contributor to this topic. LKB declares that she has no competing interests.
同行评议者
Robert Anderson, MB, MD, FRCOG
Consultant Gynaecologist
St Michael's Hospital
Bristol
UK
利益声明
RA declares that he has no competing interests.
Kevin Ault, MD
Associate Professor
Department of Gynecology and Obstetrics
Emory University School of Medicine
Atlanta
GA
利益声明
KA declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
参考文献
关键文献
Kaufman RH, Faro S, Brown D. Benign diseases of the vulva and vagina. 5th ed. Philadelphia, PA: Elsevier Mosby; 2005:240-9.
Marzano DA, Haefner HK. The Bartholin gland cyst: past, present, and future. J Low Genit Tract Dis. 2004 Jul;8(3):195-204. 摘要
Omole F, Kelsey RC, Phillips K, et al. Bartholin duct cyst and gland abscess: office management. Am Fam Physician. 2019 Jun 15;99(12):760-6.全文 摘要
参考文献
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
鉴别诊断
- Mucous cyst of the vestibule
- Vulval hematoma
- Vulval fibroma
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