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Excision of an Enlarging Vaginal Epidermal Inclusion Cyst During Pregnancy: A Case Report

Pereira, Nigel MD; Guilfoil, Daniel S. MD

Journal of Lower Genital Tract Disease: July 2012 - Volume 16 - Issue 3 - p 322–324
doi: 10.1097/LGT.0b013e31823fcc43
Case Reports

Objective The study aimed to report the case of a patient with an enlarging and symptomatic epidermal inclusion cyst during pregnancy that required surgical excision.

Materials and Methods This study was a case report of a 28-year-old woman (gravida 8, para 5, aborta 2) at a gestational age of 18 weeks 5 days who reported a tender vaginal mass that had grown larger for more than a week.

Results An enlarging symptomatic cystic mass was surgically excised. Histopathologic findings of the excised mass were consistent with an epidermal inclusion cyst with surrounding moderate chronic inflammation and cyst rupture. The patient’s symptoms resolved completely by her postoperative visit.

Conclusions Although most epithelial inclusion cysts are asymptomatic and can be managed expectantly, cysts that enlarge or become symptomatic should be excised surgically.

Epidermal inclusion vaginal cysts may enlarge and become symptomatic during pregnancy, necessitating surgical excision.

Department of Obstetrics and Gynecology, College of Medicine, Drexel University, Philadelphia, PA

Reprint requests to: Nigel Pereira, MD, Department of Obstetrics and Gynecology, College of Medicine, Drexel University, 245 N 15th Street, MS495, 16th Floor, New College Building, Philadelphia, PA 19102. E-mail:

The authors have no financial disclosures.

©2012The American Society for Colposcopy and Cervical Pathology