부산대학교 도서관

Bartholin gland adenocarcinoma is a rare malignancy of the vulva seen in less than 1% of women with primary genital malignancy. They are usually asymptomatic and present in postmenopausal women. Diagnosis is usually delayed as they are mistaken for benign diseases such as cysts and adenomas. Adenocarcinomas of the Bartholin gland arise from the mucin-secreting columnar epithelial cells and are associated with worse prognosis than other histological types. Given their rarity, there is no defined treatment guideline and management is extrapolated from individual experiences and non-Bartholin vulvar cancers. We report a case of Bartholin gland adenocarcinoma in a 68-year-old lady who presented with a painless growth in the vulva. She underwent a wide local excision and bilateral inguino-femoral lymph node dissection. She was staged as stage 1B (FIGO 2021) and did not receive adjuvant treatment. Prospective trials are required to study the risk factors, treatment, and outcomes of this rare cancer.