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Updated: Mar 16 2018

Gartner Duct Cyst

Images duct cyst.jpg
  • Snapshot
    • During a routine pelvic exam, a 20-year-old woman has a 1 cm cystic mass incidentally discovered on the lateral wall of the vagina. She has no past medical history. She denies any pain or symptoms associated with the cyst.
  • Introduction
    • Incomplete regression of wolffian mesonephric duct
    • Submucosal along anterior or lateral wall of the upper vagina
      • benign
      • usually small (<2cm) and asymptomatic
        • if larger, may cause mass effect on adjacent structures
    • Usually isolated but possible associations with metanephric urinary system abnormalities
      • renal agenesis
      • ipsilateral renal dysplasia
      • Herlyn-Werner-Wunderlich syndrome
  • Presentation
    • Symptoms
      • dyspareunia
      • difficulty inserting tampons
    • Pelvic exam
      • cyst on the anterior or lateral vaginal wall
    • Histology
      • nonmucinous cuboidal or columnar epithelium
    • Differential diagnosis
      • Bartholin cyst: usually posterolateral vagina
      • urethral diverticulum
  • Prognosis and Treatment
    • Frequently cysts remain small and require no treatment
    • If symptomatic, surgical excision
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