We present a case of bilateral hyperplastic Bartholin's gland masses in a patient with perineal pain.
Microscopic examination showed hyperplastic and hypertrophied Bartholin's gland revealing mild edema, chronic inflammatory infiltrate, and focal dilation of ducts with squamous metaplasia (figure 2).
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.
Nodular hyperplasia, adenoma, adenomyoma can sometimes cause Bartholin's gland enlargement and differential diagnosis between these anatomo-pathological types can be difficult based on a simple clinical examination.
Browsing recent literature, there is no mention of the prevalence and incidence of Bartholin's gland nodular hyperplasia since only 36 cases are reported in the modern English-language literature.
5) Clinically, the painful swelling of the Bartholin's gland area may be confused with Bartholin's duct cyst and abscess treated by drainage or marsupialization which causes delay in diagnosis and treatment.
Therefore, the possibility of cancer should be considered in any women older than 40 years of age with a mass near the Bartholin's glands.
You can pinpoint this in virtually every case of vestibulitis, and the Bartholin's glands seem to be the most frequently affected," Dr.
Baggish performs an excision of the vestibule and excision of the Bartholin's glands and sometimes other glands, as well as advancement of the vagina.
Baggish cautioned that excision of the Bartholin's glands is a surgically challenging procedure that can take more than an hour per gland and requires intraoperative visualization with a microscope to ensure accuracy.