Interlabial masses in little girls: review and imaging recommendations
When an interlabial mass is seen on physical examination in a little girl, there is often confusion about its etiology, its implications, and what should be done next. Five common interlabial masses, which superficially are strikingly similar, include a prolapsed ectopic ureterocele, a prolapsed urethra, a paraurethral cyst, hydro(metro)colpos, and rhabdomyosarcoma of the vagina (botryoid sarcoma). A prolapsed ectopic ureterocele occurs in white girls as a smooth mass which protrudes from the urethral meatus so that urine exits circumferentially. A prolapsed urethra occurs in black girls and resembles a donut with the urethral meatus in the center. A paraurethral cyst is smaller and displaces the meatus, so that the urinary stream is eccentric. Hydro(metro)colpos from hymenal imperforation presents as a smooth mass that fills the vaginal introitus, as opposed to the introital grapelike cluster of masses of botryoid sarcoma. Recommendations for efficient imaging are presented.
- Research Organization:
- Harvard Medical School, Childrens Hospital Medical Center, Boston, MA
- OSTI ID:
- 5549932
- Journal Information:
- AJR, Am. J. Roentgenol.; (United States), Vol. 141:1
- Country of Publication:
- United States
- Language:
- English
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FEMALE GENITALS
BIOMEDICAL RADIOGRAPHY
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CHILDREN
AGE GROUPS
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DIAGNOSTIC TECHNIQUES
DISEASES
MEDICINE
MYOSARCOMAS
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ORGANS
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550602* - Medicine- External Radiation in Diagnostics- (1980-)