Primary Bartholin’s Gland Adenoid Cystic Carcinoma: Dilemmas Around Adjuvant Treatment

Adenoid cystic carcinoma is an uncommon variant of adenocarcinoma arising from Bartholin’s gland. They are malignant tumours with deceptively benign histologic appearance, indolent clinical course with high chance of recurrence and rare distant metastases. Perineural invasion is more common, which may be attributable to the high chance of recurrence. The symptoms are entirely non-specific and hence often get misdiagnosed as cyst or abscess. There is no clear consensus regarding the optimal treatment guidelines. The role of adjuvant chemotherapy and radiotherapy is also unclear. We report a case of Bartholin’s gland adenoid cystic carcinoma in a postmenopausal woman.