In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

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Case Number : Case 2025 - 09 March 2018 Posted By: Dr. Richard Carr

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)

RAC7776 Clinical Details

F40. Vulva. Cyst wall.

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Anil Patki

Posted

Cystic lesion lined by cuboidal epithelium. Mesonephric (Gartner's) duct cyst.

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Raul Perret

Posted

Coul be a vestibular mucous cyst too. Topography is important, either way this is benign

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vincenzo polizzi

Posted

The epithelium consists of low columnar or cuboidal cells..., but mucin producing and ciliated, so could be Mullerian, mucous cyst. The serrated pattern is evocative of accessory nipple duct, ma there aren't two cellular layers.

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Guillermo García

Posted

Paraurethral (Skene) Gland Cyst or Prostatic-Type Tissue of the Vulva
 

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In the OB / GYN literature,  this type of cyst is called mucinous and cilated cyst (of the vulva).

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tyelaine

Posted

Reminds me of mucinous and ciliated cyst as anh mentions - single layer of columnar mucinous epithelium, some of which are ciliated. Thought to arise from minor vestibular glands?

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Dr. Richard Carr

Posted

I called it a Mullerian cyst (mucinous and ciliated but have to admit the cilia disappeared a little when I came to take the photomicrographs). I'll try to get it looked at again but someone with GYN interest. All agreed it's benign!

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Dr. Richard Carr

Posted

Case kindly reviewed by Dr Shatrughan Sah as follows:

I agree with you. It looks like Mullerian cyst to me as well. The cyst lining is endocervical type with some mucin within the cells. One can do mucin stain to confirm and this will help to differentiate from mesonephric (Gartner’s duct) cyst. I could not see definite squamous metaplasia which is commonly associated with Mullerian cyst. I am happy to call this as Mullerian cyst. We do see Mullerian cyst and Mesonephric cyst in vulvovaginal region once in every 2-3 month.  Mesonephric cyst is almost always located in lateral wall of the vagina and therefore clinical history is very important.

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