ABSTRACT
We report the case of a 77-year-old white female with adenoid cystic carcinoma of Bartholin's gland. To date only 45 cases of adenoid cystic carcinoma of Bartholin's gland have been reported in the world literature. The longest reported survival is 27 years. This patient was originally diagnosed 33 years ago and presented with her fourth recurrence. She was treated with radical surgery and did well for 6 months, but later died secondary to renal failure. Adenoid cystic carcinoma of the Bartholin's gland is a rare tumor of the vulva. When diagnosed the treatment should be tailored to the patient. When margins are found to be positive, adjuvant radiotherapy may prove to be beneficial.
Subject(s)
Bartholin's Glands , Carcinoma, Adenoid Cystic/surgery , Vulvar Neoplasms/surgery , Aged , Carcinoma, Adenoid Cystic/pathology , Female , Humans , Neoplasm Recurrence, Local , Vulvar Neoplasms/pathologyABSTRACT
BACKGROUND: Our purpose is to show that a simple, conservative, fertility-preserving surgical technique can be used to control postpartum hemorrhage from a hypotonic placental implantation site. CASE: Postpartum hemorrhage from a hypotonic placental implantation site at cesarean delivery was treated with surgical excision of the hypotonic segment, resulting in immediate cessation of the bleeding when other measures had failed. The patient's postoperative course was uneventful. The uterus and adjacent vascular structures were evaluated with magnetic resonance imaging studies at 4 weeks postpartum and were free of abnormality. CONCLUSION: Simple excision of a hypotonic bleeding site may be desirable and practical when fertility preservation is desired.
Subject(s)
Postpartum Hemorrhage/surgery , Uterus/surgery , Adult , Cesarean Section , Female , Hemostasis, Surgical , Humans , PregnancyABSTRACT
Mechanisms by which schistosomes escape host immune responses are reviewed, with particular emphasis regarding the possible contributions of host or host-like Fc and C3 receptors on adult parasites.
