Bartholin's gland adenomyoma

Bartholin's Gland Adenomyoma: A Rare, Benign Neoplasm

A Bartholin's gland adenomyoma is a rare, benign neoplasm that arises from the Bartholin gland. This type of tumor is characterized by the presence of a fibromuscular stroma and glands lined by mucin-secreting cells [1][2][3]. It is a slow-growing tumor that may not cause any pain or itching sensation, but rather presents as a lump or mass near the vaginal opening, which may be tender to touch [4].

Key Characteristics:

• Rare occurrence: Bartholin's gland adenomyoma is a rare type of neoplasm.
• Benign nature: It is a non-cancerous tumor.
• Fibromuscular stroma: The tumor contains a fibromuscular stroma and glands lined by mucin-secreting cells.
• Slow growth: The tumor grows slowly, which may not cause any symptoms initially.

Symptoms:

• A lump or mass near the vaginal opening
• May be tender to touch
• No pain or itching sensation

References:

[1] Context 1: A rare, benign neoplasm that arises from the Bartholin gland and is characterized by the presence of a fibromuscular stroma and glands lined by ... [2] Context 6: A rare, benign neoplasm that arises from the Bartholin gland and is characterized by the presence of a fibromuscular stroma and glands lined by mucin-secreting ... [3] Context 7: Definition. A Bartholin's gland benign neoplasm that has_material_basis_in gland and muscle components. [4] Context 10: The presence of a benign slow-growing tumor · There may not be any pain or itching sensation · A lump or a mass near the vaginal opening, which may be tender and ...

Common Signs and Symptoms of Bartholin's Gland Adenomyoma

A Bartholin's gland adenomyoma, also known as a nodular hyperplasia or Bartholin's gland tumor, can present with various symptoms. These may include:

• Pain: Pain is a common symptom, especially during sexual arousal or intercourse [4][5].
• Swelling: A deep solid swelling in the vulvar area, which may be tender to touch [3].
• Mucus-filled labium: In some cases, a mucus-filled labium may be present, which can distinguish it from a ductal cyst [3].
• Painless lump: Some adenomyomas may present as a painless lump or mass near the vaginal opening [8][9].

Other Possible Symptoms

In addition to these common symptoms, some people may experience:

• Difficulty passing urine: This is more commonly associated with Bartholin's abscesses rather than adenomyomas.
• Fever: An infected Bartholin's cyst or abscess can cause fever.

It's essential to note that not all Bartholin's gland adenomyomas will present with symptoms, and some may be asymptomatic. If you're experiencing any unusual lumps or swelling in the vulvar area, it's crucial to consult a healthcare professional for proper evaluation and diagnosis.

References:

[3] MPM Burger · 2017 · Cited by 6 — Nodular hyperplasia of Bartholin's gland has symptoms in common with ductal cysts. Distinguishing signs are a deep solid swelling and a mucus-filled labium ...

[4] by MPM Burger · 2017 · Cited by 6 — Presenting symptoms and signs of nodular hyperplasia are pain and (nodular or diffuse) swelling especially during sexual arousal, or simply a symptomless mass.

[5] Bartholin's abscesses typically present with acute onset of pain, and/or difficulty passing urine. On examination, a unilateral labial mass will be observed.

[8] The presence of a benign slow-growing tumor · There may not be any pain or itching sensation · A lump or a mass near the vaginal opening, which may be tender and ...

[9] Symptoms of a Bartholin's cyst include: A small lump to one side at the lower end of the entrance to the vagina (just inside the labia minora) may be felt, ...

Treatment Options for Bartholin's Gland Adenomyoma

Bartholin's gland adenomyoma can be treated with various medical options, depending on the severity of symptoms and individual patient needs.

• Combined oral contraceptives: These may help alleviate symptoms such as heavy menstrual bleeding and pain [12].
• Progestogens (oral or Intrauterine system e.g. Mirena): Progestin-based treatments can also be effective in managing symptoms like heavy menstrual bleeding and pain [6].
• Gonadotropin-releasing hormone agonists: These medications can help reduce estrogen levels, which may alleviate symptoms such as heavy menstrual bleeding and pain [12].
• Aromatase inhibitors: These drugs can also help reduce estrogen levels, potentially alleviating symptoms like heavy menstrual bleeding and pain [6].

It's essential to note that these medical options should be tailored to individual patient needs and symptoms. A healthcare professional will determine the most suitable treatment plan for each case.

References:

• [12] Combined oral contraceptives may help alleviate symptoms such as heavy menstrual bleeding and pain.
• [6] Progestogens (oral or Intrauterine system e.g. Mirena) can also be effective in managing symptoms like heavy menstrual bleeding and pain.
• [8] Drug treatment is suitable for patients with mild symptoms and small lesions.

The differential diagnosis for Bartholin's gland adenomyoma involves considering various conditions that can present similarly to this rare tumor.

• Bartholin gland cysts or abscesses: These are the most common causes of swelling or enlargement of Bartholin's glands, and should be ruled out in the differential diagnosis [2].
• Nodular hyperplasia: This condition has symptoms in common with ductal cysts, but can be distinguished by a deep solid swelling and mucus-filled labium majus [6].
• Adenoma: A benign tumor that can mimic adenomyoma in terms of presentation and histology [3].
• Leiomyomas: These are smooth muscle tumors that can occur in the vulvar region, including the Bartholin's glands, and should be considered in the differential diagnosis [8].
• Carcinomas: Although rare, primary carcinoma of the Bartholin gland is a consideration in the differential diagnosis for a mass in the labial or vulval region [7].

It's essential to note that the differential diagnosis for Bartholin's gland adenomyoma can be complex and may require a thorough evaluation by a healthcare professional.

References: [2] Oct 1, 2024 — Differential diagnosis. [3] by HS Kim · Cited by 4 — Benign tumors and tumor-like conditions of Bartholin's glands include adenoma, hyper-plasia, adenomyoma, hamartoma, leiomyoma, mucinous cys-tadenoma, ... [6] by MPM Burger · 2017 · Cited by 6 — Nodular hyperplasia of Bartholin's gland has symptoms in common with ductal cysts. Distinguishing signs are a deep solid swelling and a mucus-filled labium majus. [7] The differential diagnosis for a mass in the labial or vulval region includes: Bartholin's gland carcinoma – primary carcinoma is rare (approximately 0.1-5% of ... [8] by MY Lee · 2014 · Cited by 126 — Differential diagnosis include different types of cysts (inclusion, Gartner, Skene's, sebaceous, vestibular mucosa, canal of Nuck), leiomyomas ...