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Adenoid Cystic Carcinoma of Bartholin's Glands

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Higher power view shows nests and sheets of relatively uniform cells with cribriform appearance. The cribriform areas contain amorphous eosinophilic basement membrane-like material. The tumor behaves aggressively with tendency to metastasize to inguinal lymph nodes. Treatment is by wide local excision or vulvectomy with bilateral inguinal lymph node dissection.

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