N90.7 Vulvar cyst

Name of the Condition

• Vulvar cyst
• Also known as epidermal inclusion cyst, sebaceous cyst of the vulva.

Summary

A vulvar cyst is a fluid-filled sac on the vulva, often benign and painless. These cysts can vary in size and may not require treatment unless symptomatic.

Causes

Vulvar cysts can develop due to:

• Blocked skin glands or ducts
• Trauma to the area
• Post-surgical complications

Risk Factors

Factors that might increase the risk include:

• History of cysts or abscesses
• Skin conditions affecting sebaceous glands
• Recent pelvic or vulvar surgeries

Symptoms

Common symptoms include:

• A noticeable lump on the vulva
• Swelling or discomfort in the area
• Occasionally pain if infected

Diagnosis

Diagnosis is usually based on:

• Physical examination
• Ultrasound imaging to assess cyst size and contents
• Biopsy in rare cases to rule out malignancy

Treatment Options

• Observation: Many cysts resolve on their own.
• Surgical removal: Necessary if the cyst is large or recurrent.
• Antibiotics: If the cyst is infected.

Prognosis and Follow-Up

• Generally, the prognosis is good. Cysts may recur and require monitoring.
• Regular gynecological exams are important for follow-up.

Complications

• Infection leading to pain and discomfort
• Abscess formation in case of severe infection

Lifestyle & Prevention

• Maintain good hygiene
• Wearing loose-fitting clothes to decrease irritation
• Regularly scheduled healthcare maintenance visits

When to Seek Professional Help

• Noticeable increase in size or pain
• Signs of infection such as redness, warmth, or pus
• New or unusual symptoms in the vulvar region

Additional Resources

• American College of Obstetricians and Gynecologists (ACOG)
• Mayo Clinic
• Planned Parenthood

Tips for Medical Coders

• Ensure accurate documentation of the cyst's characteristics and any related symptoms.
• Avoid confusing vulvar cysts with similar conditions like Bartholin's cysts.