Bartholin gland carcinoma treated with acellular dermal matrix filling and vulvo-sparing surgery: a case report and literature review

doi:10.3877/cma.j.issn.1674-0785.2024.01.018

Abstract

Abstract:

To summarize our experience with using acellular dermal matrix (ADM) to fill the defect site of vulva-sparing surgery and right inguinal lymph node dissection in a case of Bartholin gland carcinoma. A case of right Bartholin gland carcinoma admitted to the Department of Obstetrics and Gynecology of the Second People's Hospital of Shaanxi Province in September 2022 was summarized and analyzed for perioperative nursing care, including vulva-sparing surgery, right inguinal lymph node dissection, and defect site filling with ADM. The surgery was successful, and on the 7th day after the surgery, the edema around the inguinal incision was drained, and it healed after 8 days. Perineal fat liquefaction at the surgical site self-healed after 10 days of replacement of dressings. ADM had satisfactory tissue compatibility, and no local tissue collapse was observed. Standardized postoperative radiotherapy and chemotherapy were given, and the patient has good follow-up results so far. Bartholin gland carcinoma is a rare type of malignant tumor of the vulva. Extensive tumor resection and affected inguinal lymph node dissection should be performed in the early stage to preserve the integrity of the structure and morphology of the vulva. ADM can be used to fill the local tissue defect in the surgical field and combined with systematic nursing measures to improve the quality of life of patients after operation.

Key words: Bartholin gland carcinoma, Lymph node dissection, Vulvo-sparing surgery, Acellular dermal matrix

Qiang Liu, Wanli Xuan, Yuan Kang, Pei Li. Bartholin gland carcinoma treated with acellular dermal matrix filling and vulvo-sparing surgery: a case report and literature review[J]. Chinese Journal of Clinicians(Electronic Edition), 2024, 18(01): 105-108.

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