Differential Diagnosis for a Cyst near the Clitoris
- Single most likely diagnosis
- Bartholin's gland cyst: This is the most common cystic structure found near the vulva and clitoris, typically located on the labia, but can be near the clitoris. It occurs when the Bartholin's gland becomes obstructed, leading to cyst formation.
- Other Likely diagnoses
- Mucous cyst: These can occur on the vulva and near the clitoris due to the obstruction of mucous glands.
- Epidermal inclusion cyst: Also known as sebaceous cysts, these can occur anywhere on the body, including near the clitoris, and are usually benign.
- Vulvar cyst: A general term that can encompass various types of cysts found on the vulva, including near the clitoris.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Malignant tumor: Although rare, any cystic structure near the clitoris should be evaluated for the possibility of a malignant tumor, such as squamous cell carcinoma or adenocarcinoma.
- Infected cyst or abscess: An infected Bartholin's gland cyst or other cysts can lead to serious complications if not promptly treated.
- Rare diagnoses
- Dermoid cyst: A type of cyst that can contain skin, hair, and other tissue, which is rare in the vulvar area.
- Adnexal tumor: Tumors of the adnexal structures (sweat glands, sebaceous glands) near the clitoris are rare but can present as cysts.
- Gartner's duct cyst: These are rare, benign cysts that arise from remnants of the Wolffian ducts and can be found along the walls of the vagina but can occasionally be near the clitoris.