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Tumor-like Lesions, Pathology of the Vagina

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  • First Online:
Encyclopedia of Pathology

Part of the book series: Encyclopedia of Pathology ((EP))

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Cysts

Synonyms

Epithelial inclusion cysts; Gartner’s duct cysts; Mesonephric cysts; Mullerian-type cysts

Definition

These are cystic lesions seen in the vaginal wall.

Clinical Features

Mostly discovered incidentally at gynecological examination (Kondi-Pafiti et al. 2008).

  • Age

    Adults

  • Site

    Mullerian-type cysts are most common anterolaterally, Gartner’s duct (mesonephric) cysts are seen laterally, and epithelial inclusion cysts are seen at the site of previous episiotomy or injury.

  • Treatment

    Removal or marsupialization

  • Outcome

    Benign

Macroscopy

Collapsed cystic structure or membranous cyst wall is seen. Epithelial inclusion cysts may be filled with keratinous material

Microscopy

As the name implies, Mullerian-type cysts are lined by endocervical-type, endometrial, or tubal-type epithelium (Fig. 1a, b). Focal metaplastic squamous epithelium can be seen. Epithelial inclusion cysts are lined by keratinizing squamous epithelium. The epithelium lining the Gartner’s duct (mesonephric) cyst is...

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References and Further Reading

  • Kondi-Pafiti, A., Grapsa, D., Papakonstantinou, K., Kairi-Vassilatou, E., & Xasiakos, D. (2008). Vaginal cysts: A common pathologic entity revisited. Clinical and Experimental Obstetrics & Gynecology, 35(1), 41–44.

    CAS  Google Scholar 

  • Ouldamer, L., Caille, A., & Body, G. (2013). Fallopian tube prolapse after hysterectomy: A systematic review. PLoS One, 8(10), e76543.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

  1. Princess Alexandra Hospital NHS Trust, Harlow, Essex, UK

    Saimah Arif

Authors
  1. Saimah Arif
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Corresponding author

Correspondence to Saimah Arif .

Editor information

Editors and Affiliations

  1. NIJMEGEN, The Netherlands

    J.H.J.M. van Krieken

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Arif, S. (2022). Tumor-like Lesions, Pathology of the Vagina. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_5608-1

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  • DOI: https://doi.org/10.1007/978-3-319-28845-1_5608-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28845-1

  • Online ISBN: 978-3-319-28845-1

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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