A Large Adenoid Cystic Carcinoma of BartholinGland Misdiagnosed and Mistreated as a BartholinCyst: A Case Report

Introduction :

Bartholin gland primary cancer occurs scarcely. Adenoid cystic carcinoma of the Bartholin gland is one of the rarest types of primary adenocarcinoma. Treatment delayed can lead to high rate of local recurrence and distant metastasis. The aim of this experimental case study was to discuss a woman with misdiagnosed and mistreated ACC-BG, as a benign situation.

Patient Information:

 In this experimental case study, a 54-year-old woman referred to Joint Committee in Gynecology Oncology Department of Imam Khomeini Hospital of Tehran University of Medical Sciences, Tehran, Iran on Aug 2016 with a large mass within her vaginal distal wall. This woman was undertaken marsupialization for Bartholin cyst. Because of the bizarre manifestation of intervention, the biopsy was performed and revealed as adenoid cystic carcinoma of the Bartholin gland. Therefore, wide local excision and ipsilateral inguinal lymphadenectomy were considered. Adjuvant irradiation was planned. nificant difference in glucose levels in the first and second fingertip blood drops (p=0.257), while there was a significant difference between glucose levels in the first and second fingertip blood drops with standard venous sample (p<0.05). There was also a significant correlation between 2 drops in expression of glucometry results.

Conclusion:

 Adenoid cystic carcinoma of the Bartholin gland is very rare, but despite its low prevalence, it should be considered especially in the older patient or when the Bartholin cyst is unusually large and sticking to the surrounding tissue to prevent delays in diagnosis and treatment