Cyst, ciliated, the vulva N89.8; N85.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Ciliated cyst of the vulva; Müller epithelial cysts

Definition
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Frequent, ciliated, asymptomatic lump, which typically occurs on the large labia in young women.

Etiopathogenesis
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Cystic development of atypically localized remnants of the Müller duct (embryonic sexual duct that develops at the beginning of the 2nd embryonic month from a depression of the celomepihtel and develops into fimbriae and tubes in the female sex). Epithelial cysts from scattered Müller ducts develop mainly in uterus and vagina, more rarely extragenital.

Localization
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vulva, large labia

Clinical features
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1.0-3.0 cm large, asymptomatic cystic nodule. In case of rupture emptying of a mostly clear secretion. The diagnosis is mainly made as a random histological finding.

Histology
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Dermal unilocular or chambered cyst whose wall is covered by a prismatic ciliated epithelium. Narrow "papillary projections" into the glandular lumen are detectable.

Therapy
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Excision is curative.

Note(s)
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There is probably a close etiological relationship to the ciliated cyst of the lower extremity. It seems reasonable to summarize both under the name "Müller epithelial cysts" with addition of the localization, especially since such cysts are frequent gynecological diagnoses!

Literature
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  1. Dini M et al (2000) Cutaneous ciliated cyst: a case report with immunohistochemical evidence for dynein in ciliated cells. Am J Dermatopathol 22: 519-523
  2. Kang IK et al (1995) Ciliated cyst of the vulva. J Am Acad Dermatol 32: 514-515
  3. Robboy SJ et al (1978) Urogenital sinus origin of mucinous and ciliated cysts of the vulva. Obstetric Gynecol 51: 347-351

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Last updated on: 29.10.2020