title: Adenoid cystic carcinoma of the Bartholin's gland: a rare tumor unmarked by persistent vulvar pain in a postmenopausal woman.
abstract: BACKGROUND
  Adenoid cystic carcinoma (ACC) of the Bartholin's gland is a rare malignancy characterized by slow growth, local invasion and perineural infiltration.
  
  
  METHODS
  A 64-year-old postmenopausal woman presented with persistent vulvar pain. Local examination revealed a 2 x 2 cm painful vulvar nodule. Nodule was excised and ACC originating in the Bartholin's gland with positive resection margin was determined in pathological examination. We performed hemivulvectomy and ipsilateral inguinal lymph node dissection. Pathology showed that the resection margins were free of tumor and there was no lymph node metastasis.
  
  
  CONCLUSIONS
  In cases of persistent vulvar pain without swelling, complete vulvovaginal evaluation should be done to prevent delay in diagnosis of Bartholin's gland cancer. Treatment modality must be tailored to each patient, though there is no consensus on the treatment.
authors.affiliation: Department of Obstetrics and Gynecology, Ankara University School of Medicine, Cebeci, Ankara, Turkey. ozgursahincioglu@gmail.com
authors.forename: Ozgür
authors.initials: O
authors.lastname: Sahincioğlu
authors.forename: Bülent
authors.initials: B
authors.lastname: Berker
authors.forename: Mete
authors.initials: M
authors.lastname: Güngör
authors.forename: Duygu
authors.initials: D
authors.lastname: Kankaya
authors.forename: Ayşe
authors.initials: A
authors.lastname: Sertçelik
mesh_terms: D001472:Bartholin's Glands; D003528:Carcinoma, Adenoid Cystic / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D014846:Vulvar Neoplasms / Q000473:pathology* / Q000601:surgery