Baylor University Medical Center Proceedings January 2014, Volume 27, Number 1 | Page 27

Smooth muscle neoplasms of the vulva masquerading as
Bartholin gland duct cysts
Rebecca A. Levy, MD, Whitney M. Winham, MD, Christopher S. Bryant, MD, and Charles M. Quick, MD

Smooth muscle neoplasms of the vulva can be mistaken for Bartholin
duct cysts, which can lead to a delay in diagnosis. We present a case of
vulvar leiomyoma and a case of leiomyosarcoma that clinically mimicked
Bartholin duct cysts. Identification of leiomyosarcomas in this region is
particularly important; due to the risk of recurrence, patients may need
radiation and/or chemotherapy in addition to adequate surgical treatment
and appropriate follow up. Prior series have shown that risk of recurrence
is related to inadequate resection and not to the size or grade of tumor. It
is c ɥѥ