PRIMARY cancer of the Bartholin gland is a rare disease. Crossen1 reports an approximate incidence of 1 case of primary Bartholin gland cancer to every 1,000 cases of cancer of the female genital tract. A recent review of the literature by Wharton and Everett2 shows that 109 verified cases have been reported. We are reporting another case of primary cancer of the Bartholin gland, not only because of the rarity of the lesion but because of its size and the unusual method of treatment in this case. The therapy consisted of pelvic evisceration and radical right groin dissection with removal of the right inguinal lymph nodes and vulva en bloc with the pelvic viscera. This surgical approach was used because the lesion was extensive and encroached upon both the urethra and the rectum. Adequate extirpation of the involved areas could not be accomplished by a less radical procedure.