title: [Manifest carcinoma of the glandula vestibularis major (Bartholin's gland), detected one year after an inguinal lymph-node metastasis].
abstract: A 68-year-old woman had had a TNM stage-III rectal carcinoma at the age of 54 for which she had undergone a low anterior resection followed by postoperative radiotherapy and adjuvant chemotherapy with fluorouracil and levamisol. More than 10 years later she presented with a swelling in the right groin, which turned out to be a metastasis; this was a poorly differentiated carcinoma with some of the characteristics of a transitional epithelial carcinoma, for which no primary tumour was found. The lymph node was excised. One year later, a swelling was detected on the labium majus, caused by a poorly differentiated transitional epithelial carcinoma of the glandula vestibularis major (Bartholin's gland). The patient was treated by means ofhemivulvectomy and postoperative radiotherapy.
authors.affiliation: Medisch Centrum Haaglanden, Postbus 432, 2501 CK Den Haag. genmig@mchaaglanden.nl
authors.forename: M D J M
authors.initials: MD
authors.lastname: van Gent
authors.forename: H M
authors.initials: HM
authors.lastname: Oosterkamp
authors.forename: M J
authors.initials: MJ
authors.lastname: Kagie
mesh_terms: D000368:Aged; D001472:Bartholin's Glands / Q000473:pathology*; D002295:Carcinoma, Transitional Cell / Q000175:diagnosis* / Q000532:radiotherapy / Q000556:secondary* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D018714:Radiotherapy, Adjuvant; D014846:Vulvar Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery