Case Report: Bartholin’s gland leiomyoma masquerading as a bartholin’s cyst: a rare clinical entity and diagnostic challenges - Summary - MDSpire

Case Report: Bartholin’s gland leiomyoma masquerading as a bartholin’s cyst: a rare clinical entity and diagnostic challenges

  • By

  • Oadi N. Shrateh

  • Peter SzontaghKishazi

  • Nor Azlia Abdul Wahab

  • June 11, 2026

  • 0 min

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Objective:

To report a case of leiomyoma arising in the Bartholin's gland region, emphasizing its rarity and the diagnostic challenges it presents in clinical practice.

Key Findings:
  • Vulvar leiomyomas are rare and can be misdiagnosed as Bartholin's cysts or abscesses, leading to inappropriate management.
  • Histopathological examination is essential for accurate diagnosis and differentiation from malignant lesions.
  • Complete surgical excision with clear margins is the treatment of choice, minimizing recurrence risk.
Interpretation:

Bartholin's gland leiomyomas are uncommon benign tumors that may mimic more frequent vulvar lesions. Accurate recognition and histopathologic confirmation are crucial for effective management.

Limitations:
  • The rarity of vulvar leiomyomas may lead to underreporting and limited literature on the subject, potentially skewing clinical understanding.
  • Misdiagnosis can occur due to their non-specific clinical presentation, emphasizing the need for heightened awareness among clinicians.
Conclusion:

Increased awareness of Bartholin's gland leiomyomas can reduce misdiagnosis and improve patient care. Clinicians should consider these tumors in differential diagnoses for vulvar masses.

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