Skene's Gland Leiomyoma

Abstract

Background:

Vulvar masses are a relatively common complaint that may cause women of all ages to seek gynecologic care. Masses may arise in various vulvar glands including Bartholin's, Gartner's, and Skene's glands. Skene's gland cysts are fairly uncommon cysts found in the Skene's gland or periurethral gland. These cysts typically are fluid filled and many times resolve on their own. However, if persistent, they may require incision and drainage. Although other types of masses have been found near the location of Skene's gland, they are even more uncommon. Specifically, vulvar leiomyomas have been reported in the literature, but are extraordinarily rare.

Case:

We report a case of a 37-year-old female presenting with a vulvar mass in the location of Skene's gland, consistent with a Skene's gland cyst. After the mass failed to resolve with expectant management, the patient opted for surgical intervention. She underwent an examination under anesthesia with excision of what was initially thought to be a Skene's gland cyst.

Results:

The final pathology analysis of the mass returned consistent with a leiomyoma.

Conclusion:

Vulvar masses in the region of Skene's gland may not be simple cysts, and leiomyomas should remain on the differential. Solid masses such as leiomyomas will require a different surgical technique for removal than simple cysts.