Diagnosis Kista Dan Abses Kelenjar Bartholin

Oleh :

dr. William Alexander Setiawan, SpOG

Diagnosis kista atau abses kelenjar Bartholin dapat ditegakkan dari anamnesis dan pemeriksaan fisik ginekologis. Pasien bisa mengeluh benjolan di daerah vulva, kadang disertai rasa nyeri atau rasa tidak nyaman ketika melakukan hubungan seksual. Kista Bartholin dapat pula asimtomatik. Saat pemeriksaan fisik teraba kista di bagian unilateral labia minora posterior, nyeri dan fluktuasi.[5,6,8]

Anamnesis

Pada anamnesis pasien dengan suspek kista atau abses Bartholin, biasanya mengeluh adanya benjolan di daerah vulva, bisa nyeri atau asimtomatik. Kista Bartholin sering bersifat kronis, umumnya tidak menunjukkan gejala akut. Perlu ditanyakan juga apakah nyeri terasa saat beraktivitas, seperti saat berjalan, duduk, berdiri, atau saat berhubungan seksual. Keluhan lain:

Referensi

1. Heller DS, Bean S. Lesions of the Bartholin Gland: A Review. J Low Genit Tract Dis. 2014 Oct;18(4):351–7.
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4. Lee MY, Dalpiaz A, Schwamb R, Miao Y, Waltzer W, Khan A. Clinical Pathology of Bartholin’s Glands: A Review of the Literature. Curr Urol. 2014;8(1):22–5.
5. Reif P, Ulrich D, Bjelic-Radisic V, Häusler M, Schnedl-Lamprecht E, Tamussino K. Management of Bartholin’s cyst and abscess using the Word catheter: implementation, recurrence rates and costs. Eur J Obstet Gynecol Reprod Biol. 2015 Jul;190:81–4.
6. Frega A, Schimberni M, Ralli E, Verrone A, Manzara F, Schimberni M, et al. Complication and recurrence rate in laser CO2 versus traditional surgery in the treatment of Bartholin’s gland cyst. Arch Gynecol Obstet. 2016 Aug;294(2):303–9.
7. Kroese J, van der Velde M, Morssink L, Zafarmand M, Geomini P, van Kesteren P, et al. Word catheter and marsupialisation in women with a cyst or abscess of Bartholin gland (WoMan-trial): a randomised clinical trial. BJOG Int J Obstet Gynaecol. 2017 Jan;124(2):243–9.
8. Boama V, Horton J. Word balloon catheter for Bartholin’s cyst and abscess as an office procedure: clinical time gained. BMC Res Notes. 2016 Dec;9(1):13.
9. Di Donato V, Vena F, Casorelli A, Marchetti C, Musella A, Tomato F, et al. The impact of CO2 laser for treatment of Bartholin’s gland cyst or abscess on female sexual function: a pilot study. Gynecol Endocrinol. 2019 Feb;35(2):150–4.
10. Kilpatrick CC, Alagkiozidis I, Orejuela FJ, Chohan L, Hollier LM. Factors complicating surgical management of the vulvar abscess. J Reprod Med. 2010 Apr;55(3–4):139–42.
11. Vaniarty TIN, Martodihardjo S. Studi Retrospektif: Kista dan Abses Bartholin. Period Dermatol Venereol. 2017 Apr;29(1):52–8.
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15. Weir CB, St. Hilaire NJ. Epidermal Inclusion Cyst. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 [cited 2019 Oct 16]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK532310/
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21. Bhalwal AB, Nick AM, Dos Reis R, Chen C-L, Munsell MF, Ramalingam P, et al. Carcinoma of the Bartholin Gland: A Review of 33 Cases. Int J Gynecol Cancer Off J Int Gynecol Cancer Soc. 2016 May;26(4):785–9.
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23. Tavares KA da S, Moscovitz T, Tcherniakovsky M, Pompei L de M, Fernandes CE. Differential Diagnosis between Bartholin Cyst and Vulvar Leiomyoma: Case Report. Rev Bras Ginecol E Obstet Rev Fed Bras Soc Gynecol Obstet. 2017 Aug;39(8):433–5.
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Diagnosis Kista Dan Abses Kelenjar Bartholin

Referensi

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