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Publication
Carcinoma da glândula de Bartholin: estudo de caso de uma metástase à distância
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Advisor(s)
Abstract(s)
O carcinoma adenoide quístico da glândula de Bartholin é um tumor maligno ginecológico muito raro que se manifesta como lesão sólida, móvel e dolorosa, com crescimento lento. É um tumor associado a recorrência local e metastização, que pode ocorrer vários anos depois da lesão primária. O diagnóstico clínico inclui lesão quística ou abcesso. No entanto, apresenta características morfológicas específicas, que permitem o diagnóstico citológico e histológico. O presente caso clínico refere-se a uma mulher de 48 anos diagnosticada em 2015 com carcinoma adenoide quístico da glândula de Bartholin que foi submetida a uma vulvectomia radical modificada com linfadenectomia esquerda e alargamento da margem cirúrgica. Em outubro de 2021 foram detetados dois novos nódulos vaginais, cuja biópsia confirmou tratar-se de recidiva e a avaliação citológica confirmou a metastização paratraqueal e pulmonar. Nesta apresentação de caso salientamos a pertinência da realização do Rapid On-Site Evaluation durante a colheita de amostras citológicas.
ABSTRACT Adenoid cystic carcinoma in Bartholin’s gland is a rare malignant gynecologic tumor that appears as a solid, movable, and painful, with slow growth. It is a tumor associated with frequent local recurrence and metastasis, which can occur several years after the primary lesion. The clinical diagnosis includes a cystic lesion or abscess. However, it has a very particular morphologic presentation, which allows cytological and histological diagnosis. This case report refers to a 48-year-old woman diagnosed in 2015 with an adenoid cystic carcinoma in Bartholin’s gland and further submitted to radical modified vulvectomy with left lymphadenectomy and extended surgical margin. In October 2021, two more vaginal nodules were identified, whose biopsy confirmed the recurrence of adenoid cystic carcinoma, and the cytological evaluation of the pulmonary and mediastinal nodules confirmed metastasis. The presentation of this case allows us to highlight the importance of Rapid On-Site Evaluation of cytological samples.
ABSTRACT Adenoid cystic carcinoma in Bartholin’s gland is a rare malignant gynecologic tumor that appears as a solid, movable, and painful, with slow growth. It is a tumor associated with frequent local recurrence and metastasis, which can occur several years after the primary lesion. The clinical diagnosis includes a cystic lesion or abscess. However, it has a very particular morphologic presentation, which allows cytological and histological diagnosis. This case report refers to a 48-year-old woman diagnosed in 2015 with an adenoid cystic carcinoma in Bartholin’s gland and further submitted to radical modified vulvectomy with left lymphadenectomy and extended surgical margin. In October 2021, two more vaginal nodules were identified, whose biopsy confirmed the recurrence of adenoid cystic carcinoma, and the cytological evaluation of the pulmonary and mediastinal nodules confirmed metastasis. The presentation of this case allows us to highlight the importance of Rapid On-Site Evaluation of cytological samples.
Description
Keywords
Carcinoma adenoide quístico Glândula de Bartholin Metástase pulmonar
Pedagogical Context
Citation
Silva I, Santos I, Tavares V, Roque R, André S, Mendonça P. Carcinoma da glândula de Bartholin: estudo de caso de uma metástase à distância. Citotech Online – Case Rev. 2024;(8).
Publisher
Instituto Politécnico do Porto