10-21-2011, 05:11 AM
A 26-year-old woman comes to the physician because of a lump in her vagina. The lump is nontender but is uncomfortable when she walks. She states that for the last 6 years this lump has appeared about once a year. When it occurs she goes to the doctor who puts a catheter into it, which is taken out in a few weeks. She has no other medical problems. She is sexually active with two partners. Examination shows a cystic mass approximately 4 cm in diameter on the right side of the vagina near the hymeneal ring. The mass feels like a discrete cyst. The rest of the pelvic examination is unremarkable. Which of the following is the most appropriate next step in management?
A.Expectant management
B.Oral antibiotics
C.Intravenous antibiotics
D.Incision and drainage
E.Marsupialization
A.Expectant management
B.Oral antibiotics
C.Intravenous antibiotics
D.Incision and drainage
E.Marsupialization