Respuesta :
A 60-year-old woman presents with a 3-week history of a painful genital lesion and bleeding. Physical examination reveals an exophytic, ulcerated 1-cm polypoid mass near the external end of the urethra is the most likely diagnosis as Bartholin gland cyst.
A uncommon malignant tumour of the female genital tract is adenoid cystic carcinoma of the Bartholin's gland. We describe a 42-year-old lady who for the two months prior had a palpable painful mass and burning feeling on the left side of her vulva. On the left side of the vagina, a firm fixed painful nodule with intact mucosa could be felt during the examination. Histological characteristics matched those of adenoid cystic cancer. Such a lesion is frequently clinically mistaken as an infection or cyst. The current instance was handled with endometriosis in mind. Any woman over 40 with a lesion close to the Bartholin's glands should be evaluated for the risk of malignancy.
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