Adenoid cystic carcinoma of the Bartholin’s gland is easily misdiagnosed: A case report and literature review

作者：Wenhui Wang, Hao Chen, Hualei Guo, Lei Chen, Miaoping Zhu, Yingjia Zhu · 发表于：Medicine · 年份：2022 · DOI：10.1097/md.0000000000031744 · 被引用次数：9 · 研究领域：Salivary Gland Tumors Diagnosis and Treatment、Cancer and Skin Lesions、Head and Neck Cancer Studies

RATIONALE: Adenoid cystic carcinoma (ACC) often occurs in the major and minor salivary glands and other sites containing secretory glands, while ACC of the Bartholin's gland (BG-ACC) in the vulva is rare and easily misdiagnosed. PATIENT CONCERNS: A 58-year-old female was referred to our hospital for further valuation of a mass occurring on the left side of her vulva. In the other hospital, the beginning of the period, local ultrasound showed a vulva mass, which was suspected to be a Bartholin's gland cyst. Mixed neoplasms were considered in some biopsies. When transferred to our hospital, virtuous tumors were considered by ultrasound and magnetic resonance imaging. Pathology initially considered benign hyperplastic active tumor or borderline tumor. DIAGNOSES: Histological, immunochemical, and molecular tests confirmed a diagnosis of BG-ACC, negative surgical margin, without lymphatic metastasis. INTERVENTIONS: Extended excision of the mass at left labia majora plus left inguinal lymph node dissection was performed. OUTCOMES: The patient received surgery therapy, no recurrence was observed during a 18-month follow-up period. LESSONS: Due to its lack of specific characteristics in clinical, ultrasound and imaging, it is easy to be misdiagnosed, Due to its rarity and nonspecific clinical, radiologic and ultrasonographic manifestations, BG-ACC can be easily misdiagnosed. And its pathomorphological features overlap with other benign and malignant tumors occurring at vulva, BG-ACC ...