The Problem Is Related To The Bartholin Gland
Bartholin cyst is a gynecological pathology in women of reproductive age. Every year, women with bartholin cysts account for 2% of gynecological diseases. Despite the simple treatment, the problem of concern is recurrence and differential diagnosis of glandular cysts with abscess or malignant lesions.
Location of the Bartholin gland
Bartholin gland is the gland of the external genitalia, located at the vaginal opening at 4 and 8 o'clock. These are small glands so it is difficult to see or notice when the gland is normal
The gland has a spherical shape, with a diameter of 1cm, is composed of mucus secreting cells.
The function of the gland is to secrete mucus into the small lips surface of the vulva surrounding the vagina, keeping the area lubricated during intercourse and moisturizing.
Why is there a Bartholin cyst?
Glandular formation is caused by obstruction of the gland duct, while the gland continues to secrete mucus, forming a thin-walled cyst
The obstruction of the gland can be caused by infection and edema that pinch the gland, or due to trauma, a chronic infection that blocks the mouth of the gland.
Bartholin gland is the gland of the external genitalia, located at the vaginal opening at 4 and 8 o'clock
Diagnosis of Bartholin gland cysts
Bartholin gland is a type of cystic lesion, size 1.5 - 3cm, most common in the vulva. Although glandular cysts are usually only one side of the vulva and do not show any symptoms, so without treatment, the follicle may go away on its own.
Treatment cysts, when the cyst has an increase in size, sometimes 5 - 10cm or infection and pain in the vulva. Commonly aged between 25 - 45. Determining Bartholin gland cyst is a completely clinical diagnosis
The first and simplest diagnostic method is to look at the lesion, determine its size, density, mobility and pain when pressing.
The follicles and gland duct are located in and in the lower part of the small labia.
Differential diagnosis of Bartholin gland cysts
Some vulvar - vaginal pathologies have symptoms similar to those of the Bartholin gland.
Fat cyst or large lip cyst: tumor is located outside the vulva area, confirmed by manual examination and observed lesions.
Hematoma of the vulva: after trauma or trauma to the vulva, symptoms of soreness, large tumor, bloody bruising.
Skene gland capsule: the position of the capsule is horizontal to the urethral hole, 2-3cm higher than Bartholin gland.
Management of Bartholin gland cysts
Normally open pockets, there are two methods:
The opening of the gland, the opening of the gland to open the gland, called dissolution of the gland by dissolving thread like Chromic 2 cells, helps to regenerate the gland.
Peel off the selected gland to remove loose stitches with thread. This is a complete removal of the gland capsule.
Combining antibiotics and analgesics, anti-inflammatory. Sample of glandular tissue after removal, need to be sent for pathology, to determine the nature of gland capsule.
Bartholin glandular abscess
When the follicle is infected, the follicle increases in size very quickly after 2-4 days and causes a lot of pain, accompanied by fever. However, it should be noted that the Bartholin gland can be abscessed without prior cyst damage. Previously, the popular opinion was that the Bartholin abscess was caused by two main factors: gonorrhea or chlamydia. Today, with microbiological evidence from studies, scientists conclude that the abscess of this organ is caused by a variety of bacteria. Brook isolated and reported a total of 67 bacteria in the Bartholin glandular abscess.
Management of abscess of Bartholin gland
Systemic antibiotics use antibiotics such as cefotaxim 1g intravenously combined with Tobi 80mg intramuscularly.
Use panadol analgesic 0.5g and alpha chymotrpysin. After 24 - 48 hours. Make an abscess of the gland where penrose is drained. Bartholin gland can be completely removed. Continue antibiotics by mouth.
Management of abscess of Bartholin gland with intravenous cefotaxim 1g
Recurrence in Bartholin's cyst gland and how to prevent it
About 20% of Bartholin's glandular cysts and abscesses recur and are often caused by gonorrhea germs. Need to clean the vagina area clean, use the sitting bath as a measure to prevent recurrence.
Surgery to keep the opening open, such as a pocket catheter, or the Bartholin duct can be completely removed. Thorough treatment of sexually transmitted diseases. Use condoms during intercourse to prevent transmission.
Clean vaginal area hygiene is a way to prevent recurrence
Bartholin gland cancer
Bartholin gland cancer is divided into two forms.
Bartholin primary cancer is a rare gynecological pathology, accounting for only 1% of female genital cancers. The cancer has typical symptoms similar to that of gland abscess: vulvar tumor, with or without ulcer and painful intercourse.
Because the pathology is rare, the epidemiological characteristics of risk factors remain unknown. The average age of cancer is: 55-65 years old.
Bartholin secondary cancer is a cancer of the surrounding tissue or metastases from elsewhere. Diagnosis of Bartholin's cancer requires a tissue biopsy to perform anatomical test in the presence of malignant cells. Bartholin gland cancer treatment: surgery. . Dịch vụ: Thiết kế website, quảng cáo google, đăng ký website bộ công thương uy tín
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