Author/Authors :
Hashemi, Neda Department of Obstetrics and Gynecology- Rasoul-e-Akram Hospital, Iran University of Medical Sciences, Tehran , Haghighi, Ladan Department of Obstetrics and Gynecology- Rasoul-e-Akram Hospital, Iran University of Medical Sciences, Tehran , Shaabani Zanjani, Mansooreh Department of Obstetrics and Gynecology - Shahid Akbarabadi Hospital, Iran University of Medical Sciences, Tehran , Najmi, Zahra Department of Obstetrics and Gynecology, Zanjan University of Medical Sciences, Zanjan
Abstract :
A 37-year-old woman underwent surgery to remove bilateral
vulvar masses. The masses were firm, non-tender, and immobile.
Pathologic finding was a well-delineated creamy grayish mass
with a homogenous grayish solid surface and mild edema,
chronic inflammatory infiltration, and focal dilation of the ducts
with squamous metaplasia. The diagnosis was hyperplastic and
hypertrophied Bartholin’s gland. Hyperplasia is a rare etiology for
an enlarged Bartholin’s gland. Clinical presentation of Bartholin’s
gland nodular hyperplasia is rather specific, although inflammatory
lesion is the most common cause of swelling of the Bartholin’s gland
in all age groups. Bartholin’s hyperplasia should be considered
in cases with a solid mass. Total surgical excision is required for
diagnosis. Only a few cases of Bartholin’s gland hyperplasia have
been reported in the literature. Our patient has been receiving regular
follow-up examination and there is no evidence of dyspareunia,
perineal pain, and recurrent disease 12 months after surgery.
