Hello, I can understand your concern. Your first doctor had examined the swelling when it was of small size and was symptomless so based on the area and lack of symptoms his best assumption was Bartholin cyst. You must have been through investigations like ultrasound or ct scan but it is hard to differentiate bartholin cyst from other swellings based on these investigations as they all look same in the reports. The best method to diagnose such lesions is biopsy which requires opening the area surgically and removing the lesion for laboratory analysis. If that was a bartholin cyst, then it was fine if it was not removed surgically and left there as far as it was not a cause of concern or symptoms. As the lesion grew a lot in size, you had to go for surgical removal and biopsy. So according to my view, the process that you have had to follow is the normal protocol while dealing with such lesions and there has been no misdiagnosis or mismanagement of the condition based on the situation. I hope this information solves your confusion. Thank you for choosing HealthcareMagic. Let me know if you have any other question. Best, Dr. Viraj Shah