PRIMARY ADENOID CYSTIC CARCINOMA OF BARTHOLINS-GLAND - A CASE-REPORT

An extremely rare case of primary adenoid cystic carcinoma of Bartholi n's gland in a 71-year-old woman is reported. With the working diagnos is of malignancy of Bartholin's gland on biopsy, she underwent-a left radical vulvectomy with bilateral inguinal and pelvic lymphadenectomy and postoperative left vulvar irradiation. The cytologic and pathologi c findings an the surgical specimens were distinctive. The imprint cyt ology of the cut surface of the tumor showed that the neoplastic cells were crowded and that some cells had a peripherally displaced nucleus . The nuclei were oval or round, and the quantity of chromatin was inc reased and fine. Some nuclei had prominent nucleoli. The cytoplasm was abundant. The surgical specimens showed the same findings as did cyto logy. The final diagnosis was primary adenoid cystic carcinoma of Bart holin's gland, postoperatively based on the cytologic and pathalogic f indings.