title: Recurrence of endometrial adenocarcinoma in a prior Bartholin's cyst marsupialization incision.
abstract: BACKGROUND
  Endometrial cancer recurrences in surgical incisions are rare and thought to be due to seeding of the area with microscopic disease at the time of original surgery.
  
  
  METHODS
  A 53-year-old woman underwent a dual procedure of a marsupialization of a benign bartholin's cyst with a hysteroscopic dilation and curettage for postmenopausal bleeding and received the diagnosis of endometrial adenocarcinoma. Final pathology from subsequent hysterectomy and staging procedure demonstrated a surgical Stage IB Grade 1 endometrial cancer. An isolated recurrence of disease in her marsupialization scar was discovered 10 months after her staging procedure.
  
  
  CONCLUSIONS
  This case represents the only described endometrial cancer recurrence in a Bartholin's gland which was contaminated at the time of the original hysteroscopy and dilation and curettage.
authors.affiliation: Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Alabama at Birmingham, Birmingham, AL 35249-7333, USA.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Ray
authors.forename: Rodney P
authors.initials: RP
authors.lastname: Rocconi
authors.forename: Lea
authors.initials: L
authors.lastname: Novak
authors.forename: J Michael
authors.initials: JM
authors.lastname: Straughn
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology*; D001472:Bartholin's Glands / Q000601:surgery; D003560:Cysts / Q000601:surgery; D004107:Dilatation and Curettage / Q000009:adverse effects; D016889:Endometrial Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology*; D009366:Neoplasm Seeding; D014623:Vaginal Diseases / Q000601:surgery