[2] It typically presents with a painless mass at one side of the vaginal opening in a female of middle-age and older, and can appear similar to a Bartholin cyst.

Many clinicians assume that an enlarged Bartholin gland is malignant in postmenopausal woman until proven otherwise.

The growth of the tumor can spread to nearby areas such as the ischiorectal fossa and inguinal lymph nodes.

[6] The adenoid cystic carcinoma of the Bartholin gland is another uncommon malignancy with symptoms that include local painful intermittent recurrences.

The disease is slow to progress but it can result in lung cancer after a long time after the initial treatment.