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      Neonatal Gartner Duct Cyst: Two Case Reports and Literature Review

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          Abstract

          Vaginal cysts are rare, particularly in the newborn. They usually present as one of these three entities in the newborn: paraurethral cysts (Skene duct cysts), Gartner duct cysts (mesonephric ductal remnants) or a covered ectopic ureter. Abdominal ultrasound should always be included in the clinical evaluation in search of renal anomalies. We report two cases of Gartner cysts in neonates.

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          Most cited references13

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          Congenital urogenital anomalies that are associated with the persistence of Gartner's duct: a review.

          The embryogenesis and management of congenital urogenital anomalies that are associated with ureteric ectopia and the persistence of Gartner's duct are discussed. Ureteric ectopia with Gartner's duct cyst is caused by the failure of separation of the ureteric bud from the mesonephric duct, which leads to persistence of Gartner's duct, frequently with cystic dilation. Abnormal development of the ureter subsequently causes maldevelopment or absence of the ipsilateral kidney. The diagnosis and treatment of 2 adult women with congenital urethrovaginal fistula that was associated with unilateral single ectopic ureter, renal agenesis, and Gartner's duct anomaly are presented. Surgical repair of the urethrovaginal fistulae and removal of the Gartner's duct and cyst was performed transvaginally.
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            Malignant transformation of Gartner cyst.

            Vaginal cysts are common lesions that include Gartner cysts, which develop from the wolffian duct remnants in the vaginal wall. Malignant transformation of Gartner cysts is exceedingly rare. Our case was diagnosed upon evaluation of vaginal bleeding in a 67-year-old woman. Histologic examination showed a clear cell carcinoma. Treatment consisted of surgical excision and radiation therapy. Treatment quality, stage, and pelvic node status are the main prognostic factors. Regular long-term follow-up is crucial.
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              Conservative treatment and follow-up of vaginal Gartner’s duct cysts: a case series

              Background In women, during embryologic development, the paired Müllerian (paramesonephric) ducts fuse distally and develop into the uterus, cervix, and upper vagina. If the Wolffian ducts persist in vestigial form, they can lead to Gartner’s cysts, mainly located in the right wall of the vagina. This is one of the few studies of Gartner’s cysts with a series of consecutive cases over a long period of time who were exclusively subject to clinical observation. Although Gartner’s cysts are found in approximately 0.1 to 0.2 % of women, controversy exists regarding the course of action to be taken. Case presentation We describe the cases of four women who were 38-years old, 53-years old, 37-years old, and 49-years old at their first appointment and who were of mixed ethnicity, mixed ethnicity, black, and mixed ethnicity respectively. The follow-up of these patients ranged from 2 to 17 years. In these four cases the location of the cysts was the right wall of the vagina. Transvaginal ultrasound was the test of choice for diagnostic confirmation. In the cases presented in this study, the women were asymptomatic and chose to be observed clinically. Conclusions This is the first study reporting long-term clinical observation of these lesions. This study shows that conservative treatment can be a safe option for asymptomatic patients with vaginal Gartner’s duct cysts.
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                Author and article information

                Journal
                Dev Period Med
                Dev Period Med
                jmotherandchild
                jmotherandchild
                Developmental Period Medicine
                Sciendo
                1428-345X
                2354-0060
                March 2017
                29 May 2017
                : 21
                : 1
                : 35-37
                Affiliations
                [1 ]Dept of Paediatric Surgery, TNMC & BYL Nair Hospital , Mumbai Central, Mumbai, Maharashtra. India. Pin: 400008
                Author notes
                [* ] Hemanshi Shah Dept of Paediatric Surgery, TNMC & BYL Nair Hospital, Mumbai Central, Mumbai, Maharashtra. India. Pin: 400008. Contact No. 022-23027324, Fax No. 0712-6631896 drcharusharma18@ 123456gmail.com
                [* ] Charu Tiwari TNMC & BYL Nair Hospital, Mumbai, Maharashtra India Pin: 400008
                Article
                devperiodmed.20172101.3537
                10.34763/devperiodmed.20172101.3537
                8522989
                28551690
                ce33b493-56fd-4cd5-b19e-48d60be271b9
                © 2017 Charu Tiwari, Hemanshi Shah, Jayesh Desale, Mukta Waghmare, published by Sciendo

                This work is licensed under the Creative Commons Attribution 4.0 International License.

                History
                : 17 January 2017
                : 22 February 2017
                Page count
                Pages: 3
                Categories
                Original Articles/Prace Oryginalne

                neonate,vaginal mass,gartner duct cyst
                neonate, vaginal mass, gartner duct cyst

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