Accepted Manuscript

An unusually large ciliated cyst of the vulva in an adolescent patient

Jessica A. Horne, MD, Lena L. Merjanian, MD, Adrian C. Balica, MD

PII: S0002-9378(17)32714-X
DOI: 10.1016/j.ajog.2017.12.215
Reference: YMOB 12003

To appear in: American Journal of Obstetrics and Gynecology

Received Date: 27 September 2017

Revised Date: 1 November 2017
Accepted Date: 16 December 2017

Please cite this article as: Horne JA, Merjanian LL, Balica AC, An unusually large ciliated cyst of the
vulva in an adolescent patient, American Journal of Obstetrics and Gynecology (2018), doi: 10.1016/
j.ajog.2017.12.215.

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 ACCEPTED MANUSCRIPT

An unusually large ciliated cyst of the vulva in an adolescent patient

Jessica A. Horne, MD1, Lena L. Merjanian, MD, Adrian C. Balica, MD

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New Brunswick, New Jersey, 08901, Department of Obstetrics and Gynecology, Rutgers-Robert

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Wood Johnson University Hospital

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Present address Burlington, Vermont, 05401University of Vermont Medical Center

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Disclosure Statement: The authors report no conflict of interest
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There is no financial support to disclose for this submission.
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Corresponding author information:

Jessica Horne
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127 Churchill St. #102

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South Burlington, VT 05403

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Cell 781-603-6839
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Email: jesshorne@gmail.com

Word count: 150

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1 A 16 year old presented with a painless, cystic left labial mass that had grown over 3 years

2 (Figure 1). The differential diagnosis of a cystic vulvar mass includes a Bartholin duct cyst,

3 epidermal inclusion cyst, mucinous or ciliated cyst, Canal of Nuck cyst, Gartner duct cyst, or

4 perineal hernia. The evaluation includes MRI with contrast for localization and determination of

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5 vascularization, however excision for histopathologic examination is often necessary for

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6 diagnosis. On MRI (Figure 2), the smoothly defined cystic mass measured 11x4.6x4.5cm. The

7 remainder of the genitourinary tract was structurally normal and there was no communication

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8 with the inguinal canal. In the operating room, the mass was completely excised without rupture

9 and incision was closed in layers. The unilocular translucent cyst containing clear, serous fluid

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measured 10.5x9x1.7cm, with a 0.1cm smooth cyst wall (Figure 3). Histopathology revealed
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11 ciliated epithelium-lined fibroconnective tissue consistent with a ciliated cyst of the vulva.
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