Ciliated cyst of the vulva

Ciliated cyst of the vulva is a rare benign cyst that occurs in the vulva of women. It is characterized by the presence of ciliated columnar epithelium, which is not typically found in this region of the female anatomy. The cyst is usually asymptomatic and is often discovered during routine gynecological examinations.

History

The ciliated cyst of the vulva was first described in the medical literature in 1969 by the gynecologist Dr. Robert E. Scully. Since then, fewer than 100 cases have been reported worldwide, making it a rare condition.

Pathogenesis

The exact cause of the ciliated cyst of the vulva is unknown. It is believed to develop from the remnants of the Müllerian duct, a structure present during the embryonic development of the female reproductive system. Other theories suggest that it may arise from metaplasia of the squamous epithelium of the vulva.

Clinical Features

The ciliated cyst of the vulva is usually asymptomatic. When symptoms do occur, they may include discomfort, itching, or a palpable mass in the vulvar area. The cyst is typically small, ranging from 1 to 4 cm in diameter, and is often discovered during routine gynecological examinations.

Diagnosis

Diagnosis of the ciliated cyst of the vulva is typically confirmed through histopathological examination. This involves taking a sample of the cyst and examining it under a microscope. The characteristic feature of this cyst is the presence of ciliated columnar epithelium.

Treatment

Treatment for the ciliated cyst of the vulva typically involves surgical excision. This is usually curative, with a low risk of recurrence. In some cases, if the cyst is small and asymptomatic, a watchful waiting approach may be adopted.

See Also

• Vulvar cysts
• Müllerian duct
• Cyst
• Vulva

References

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