Which of the following is the most appropriate course of action for this patient?

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Asymptomatic Bartholin duct cysts in young women do not require intervention as most of the cysts drain spontaneously and resolve on their own. Therefore, observation and expectant management are recommended for these patients. In contrast, patients with symptomatic cysts or abscesses are treated with incision and drainage (Choice C) followed by placement of a Word catheter to reduce the risk of recurrence. Some women develop recurrent Bartholin cysts or abscesses and undergo a marsupialization procedure, which creates another point of drainage for the Bartholin gland. Word catheter marsupialization (Choice A) Broad-spectrum antibiotic therapy is not required for Bartholin cysts and is recommended for Bartholin abscesses only if there are signs (eg, fever) or risk factors (eg, pregnancy, immunocompromise) for systemic infection. (Choices B and E) Cryotherapy and topical podophyllotoxin treat condylomata acuminata; neither is used in the treatment of a Bartholin cyst. (Choice F) Vulvar biopsy is indicated in patients with possible Bartholin gland carcinoma, which typically presents as a solid, fixed mass in older women (eg, age >60). Educational objective: Observation and expectant management are recommended for an asymptomatic Bartholin cyst as spontaneous resolution may occur. Symptomatic cysts or abscesses are treated with incision and drainage, followed by Word catheter placement. References: Clinical pathology of Bartholin's glands: a review of the literature. (http://www.ncbi.nlm.nih.gov/pubmed/26195958) Word balloon catheter for Bartholin's cyst and abscess as an office procedure: clinical time gained. (http://www.ncbi.nlm.nih.gov/pubmed/26740004)

Which of the Following Is the Most Appropriate Course of Action