Yamagiwa S, Niwa K, Yokoyama Y, Tanaka T, Murase T, Shimonaka E, Shimokawa K, Kato K, Tamaya T
Department of Obstetrics and Gynecology, Gifu University School of Medicine, Japan.
Acta Cytol. 1994 Jan-Feb;38(1):79-82.
An extremely rare case of primary adenoid cystic carcinoma of Bartholin's gland in a 71-year-old woman is reported. With the working diagnosis of malignancy of Bartholin's gland on biopsy, she underwent a left radical vulvectomy with bilateral inguinal and pelvic lymphadenectomy and postoperative left vulvar irradiation. The cytologic and pathologic findings on the surgical specimens were distinctive. The imprint cytology of the cut surface of the tumor showed that the neoplastic cells were crowded and that some cells had a peripherally displaced nucleus. The nuclei were oval or round, and the quantity of chromatin was increased and fine. Some nuclei had prominent nucleoli. The cytoplasm was abundant. The surgical specimens showed the same findings as did cytology. the final diagnosis was primary adenoid cystic carcinoma of Bartholin's gland, postoperatively based on the cytologic and pathologic findings.
报告了一例71岁女性巴氏腺原发性腺样囊性癌的极其罕见病例。活检初步诊断为巴氏腺恶性肿瘤后，她接受了左侧根治性外阴切除术及双侧腹股沟和盆腔淋巴结清扫术，术后进行了左侧外阴放疗。手术标本的细胞学和病理学表现具有特征性。肿瘤切面的印片细胞学显示肿瘤细胞密集，部分细胞有核周移位。细胞核呈椭圆形或圆形，染色质数量增加且细腻。一些细胞核有明显的核仁。细胞质丰富。手术标本的表现与细胞学相同。根据细胞学和病理学表现，最终诊断为巴氏腺原发性腺样囊性癌。
