The problem of accurate initial diagnosis of Bartholin's gland carcinoma resulting in delayed treatment and aggressive course of the disease
Medical University of Gdansk, Danzig, Pomeranian Voivodeship, PolandInternational Journal of Gynecological Cancer (Impact Factor: 1.96). 05/2006; 16(3):1469-72. DOI: 10.1111/j.1525-1438.2006.00571.x
Carcinoma of the Bartholin's gland is a rare lesion accounting for only 5% of all vulvar cancers. Initial diagnosis of Bartholin's gland cancer (BGC) and recurrence after primary radical surgery and adjuvant radiotherapy poses a challenge in the treatment of BGC. This case report presents a particularly aggressive course of BGC. Spontaneous rupture of the femoral artery in the postoperative period was observed. The length of the survival period from the moment of diagnosis amounted to less than 16 months. Aspects of initial diagnosis problem and treatment options in groin recurrence of vulvar carcinoma and vascular complications are discussed.
- "Th e surgical margins were free of disease and no pathological lymph nodes were found. Th e presence of metastasis in the inguinal lymph nodes is the most important prognostic factor for the Bartholin gland carcinoma (Wydra et al. 2006). Apart from the surgical approach, other treatment modalities have been reported concerning the management of primary Bartholin gland cancer. "
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ABSTRACT: The LAST definition of superficially invasive squamous cell carcinoma of the vulva conforms to the American Joint Committee on Cancer T1a (FIGO [International Federation of Gynecology and Obstetrics] 1A) staging, delineating a subset of early invasive lesions with minimal risk of lymph node metastasis. The diagnosis can be difficult to make histopathologically. A case of unexpected early multifocal invasion is presented that highlights the difficulties in the diagnosis of superficially invasive squamous cell carcinoma and FIGO 1A of the vulva.
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