Skull metastasis in primary vulvar adenocarcinoma of the Bartholin's gland: a case report.

Abstract:

BACKGROUND:Metastatic bone involvement in vulvar squamous carcinoma is very rare. Here, we present a case of primary adenocarcinoma of the Bartholin's gland giving rise to isolated skull metastasis. CASE:A 74-year-old woman was referred with a diagnosis of primary vulvar adenocarcinoma of the right labium minus. A right hemivulvectomy was performed with ipsilateral inguinofemoral lymphadenectomy, revealing a primary adenocarcinoma of the Bartholin's gland and metastatic involvement in 6 out of 13 lymphnodes. During chemotherapy administration, the patient started complaining of a worsening of right hypoacousis. CT scan and MRI of the brain showed the presence of a metastatic lesion on the right side of the skullbone. The diagnosis was metastatic poorly differentiated adenocarcinoma. CONCLUSION:In adenocarcinoma of the Bartholin's gland at an advanced stage of disease, a bone scan or survey in the preoperative as well as follow up staging procedures could be useful.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

Ferrandina G,Testa AC,Zannoni GF,Poerio A,Scambia G

doi

10.1016/j.ygyno.2005.04.019

subject

Has Abstract

pub_date

2005-08-01 00:00:00

pages

322-4

issue

2

eissn

0090-8258

issn

1095-6859

pii

S0090-8258(05)00311-2

journal_volume

98

pub_type

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