Ciliated vulvar cyst in an 11 year old

Abstract

Background: Ciliated cysts are an uncommon, benign vulvovaginal cyst characterized by simple columnar ciliated epithelium, akin to Mullerian tissue. They are associated with pregnancy and exogenous progesterone use and as such, are a particularly rare finding within the pediatric population. Case: We describe the case of an 11-year-old girl who presented with a large cystic structure disfiguring the introitus and labia. The cyst was surgically excised, and histopathology revealed a simple ciliated cyst of the vulva. Summary and conclusion: Ciliated vulvovaginal cysts are typically found incidentally in women of child bearing age but may present as large, disfiguring masses in the pediatric population. Surgical excision is curative and allows for both histopathologic confirmation of diagnosis and restoration of genital appearance. Keywords: Ciliated cyst, Pediatric urology, Vulvovaginal pathology